周手術期患者の看護過程を展開する上での教育に関する研究

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The objects of this research are to clarity problems that students encountered in the nursing process as well as their coping in order to study how to instruct the process of perioperative patients. The subjects of this study were 7 students, who have completed Clinical Practice Session (nursing of perioperative patients). They all consented to enrollment in the study. A questionnaire was delivered to the subjects. Then their responses were collected by mail. The questionnaire was composed of 25 questions pertaining to goals. The items analyzed in this study were 12items that are related to the development of the nursing process. The responses were analyzed by using the method of the content analysis. In the preoperative period of the patients, the problems that the students encountered in developing the nursing process were classified into 7 categories : 1 ) difficulty to collect information, 2 ) difficulty of putting information in order, 3 ) uncertainty of the presence of nursing problems, 4 ) difficulty of prediction, 5 ) difficulty of making nursing plans, 6 ) difficulty of practicing nursing, and 7 ) anxiety over the support to provide. In the postoperative period, the problems that the students encountered in developing the nursing process were added one category, irritation due to lack of knowledge, to the problems in the preoperative period. Coping with the problems in the perioperative period were classified into the following 11 categories : 1 ) to think in the range of their knowledge, 2 ) to obtain knowledge, 3 ) to integrate knowledge, 4 ) to collect information, 5 ) to devise methods of collecting information, 6) to organize and integrate information, 7 ) to make preparations, 8 ) to provide the support that they could, 9 ) to refer support methods by others, 10) to obtain cooperation from others, and 11) to devise support methods. These results suggest that the students encountered problems in developing the nursing process but that they managed to cope with the problems and could achieve the goals. However, the problems that the students had in developing the nursing process were derived from their lack of knowledge about nursing of perioperative patients and their immaturity of the skill to develop a supportive relation. Students are expected to prepare themselves for the training by acquiring minimum necessary knowledge about nursing of perioperative patients and to improve their skill for developing a supportive relation. Instructors are required to show the direction of learning to help the students develop the nursing process by coping with changes in the condition of perioperative patients. It is also necessary to program lectures and training classes and improve their contents so that what has been taught in those classes may be applied to practice classes.
高知大学の論文
2002-12-31

周手術期患者の看護過程を展開する上での教育に関する研究

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