新人助産師の学びを助産師としての成長につなぐ院内教育に関する一考察 : 新人助産師の語りと記述からみた学びに焦点をあてて
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概要
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In Japan, the length of training required for certification as a midwife is considerably shorter than in other advanced countries. Consequently, hospitals have found it necessary to provide in-service training for newly certified midwives after they have been hired. In my 10-year experience as an educator/trainer working with newly certified midwives in a hospital in Tokyo, I have found that when asked to cite examples of their self-development at the end of the one-year training period, they often cite such accomplishments as acquiring the ability to finish their work quickly and learning to respond positively to everything requested by the mother and/or other family members. From these responses alone, I found it difficult to evaluate to what extent these midwives had acquired those attitudes and skills that are most vital for professional midwives, namely, that of maintaining a watchful eye on the mother, infant and other family members and providing the kinds of support that will enable them to exercise their natural abilities in dealing with the birth and/or postpartum process. My research is therefore based on recognition of the need both to transform the current system of hospital in-service training and also to develop a system of evaluation that can more fully assess the learning, growth and development of new midwives. The study attempts to understand the different kinds of feelings new midwives experience in the process of undergoing their first year of hospital in-service training, and to analyze how the various emotions they experience-fear, dismay, sorrow, anger, pleasure, conflict-relate to and contribute to their development as midwives. Data were collected from journals kept by 10 newly certified midwives over the course of their one-year period of hospital in-service training and from focus group interviews with the same group of women. Analysis of the data revealed that each of the midwives had indeed acquired valuable insights and developed professionally in many respects through experiencing a variety of both positive and negative feelings, despite the fact that they themselves, in many cases, felt they had not changed or grown significantly.This result points to the importance for those engaged in hospital in-service education and training to provide opportunities for midwives to engage in dialogue with one another so that they can reflect together on their experiences and emotions and see how these contribute to their learning and growth as professionals. The study also reinforces the value and desirability of creating a relationship between learner and educator in which they can engage in a process of mutual learning.
- 2007-03-15