Students' Difficulties in the First Stage of Clinical Practice of Gerontological Nursing : Aspect of Observation for Self-Reliance of Elderly People with Disability

本研究は，看護学生が老年看護学実習の初期に直面する困難の中で，疾病や障害を持つ高齢者の観察に関わる困難を明らかにすることを目的とした。実習終了後に面接を実施し，学生が老年看護学実習の初期にわからなかったこと，困ったことを聞き取った。語られた内容を，疾病や障害を持つ高齢者を観察する点に焦点をあて分析した結果，【できる事を観察する視点がわからない】，【自立への目標がわかりにくい】という2つのカテゴリーが得られた。以上によって，老年看護学実習の初期における学生の困難の中で，疾病や障害を持つ高齢者を観察するという観点における困難は，顕在する問題状況にとらわれやすく，内在する能力を見出し難いことが明らかとなった。また疾病や障害を持つ高齢者の自立を，高齢者に内在する能力を維持，拡大することも含めたこれまでとは異なる広い概念として構築することの重要性が示唆された。This study aimed to clarify the difficulties that the student nurses experienced in the first stage of clinical practice of gerontological nursing. The participants were 48 student nurses who were in charge of observing elderly people with disabilities. At the end of the clinical practice of gerontological nursing, the student nurses were interviewed on the difficulties they experienced during the period of their clinical practice. As a research method, the content talked about the difficulty when the student nurses observed the elderly people with disabilities in the interview was analyzed. Results indicated two difficulties that were experienced by student nurses observing elderly people with disabilities, "to find their potential ability" and "to set the target according to their self-reliance". Therefore, it is necessary to strengthen the observation method and the improve the target setting in the first stage of clinical practice of gerontological nursing