助産師が行う性教育へのニーズ : 養護教諭へのアンケート調査より

教育機関で行う性教育の場に助産師が召喚され，性教育を実施する機会が多くなった。そこで今回，助産師が行う性教育の資質向上と発展を目的に，教育現場で性教育を担当することが多い養護教諭を対象にアンケート調査を実施し，教育現場における性教育の現状と助産師が行う性教育へのニーズを明らかにした。 教育現場の性教育の現状は，教育機関ごとの取り組みの差や職員間の意識の差があり，これらが養護教諭の性教育の満足感に影響していた。また，養護教諭として経験年数が増えると性教育を実施してからの成果や不成果も体験し，これらの体験も性教育の満足感に影響を及ぼしていた。さらに，性教育の難しさも多くの養護教諭が感じており，難しさを感じる要因は，自身の性に関する専門的知識の乏しさや伝え方に加え，学生自身の多様な性や発達段階への考慮，家族環境への配慮などであった。 性教育の場に助産師が必要と思う養護教諭は多くみられ，助産師の性教育は教育機関で高いニーズがあることが分かった。また，助産師の性教育に期待することは，性に関することの専門的知識の提供は勿論，いのちの大切さを実体験者として語り，学生の自己肯定観を高められ，自分や他者を思いやる心を育むことであった。しかし，一方で専門的過ぎることや先進過ぎる内容への懸念があるという意見もあり，学校側のニーズ把握のためにも事前打ち合わせを行う重要性も同時に示唆された。 将来的に性教育は，単発的な講義・講演で終わるのではなく，“いのちの教育”を根底に性科学的な内容も加味した継続的な授業の一環として科目立てされ，教育機関と専門職者が連携しながら時代のニーズに即しながら展開され，さらに発展していくことが望ましいことも示唆された。In this research study, we conducted a questionnaire survey targeting school nurses, who are often in charge of sex education in educational settings, with the aim of improving and developing the quality of sex education provided by midwives. From the results of the survey, we clarified the current situation of sex education in educational settings and the needs for sex education conducted by midwives. The current state of sex education in schools is that there are differences in the approach taken by each educational institution and differences in awareness among teachers. These factors influenced their satisfaction with sex education. Also, as the number of years of experience as a school nurse increased, the success or failure of their sex education accumulated. These experiences also influenced their satisfaction with sex education. Furthermore, it was found that many school nurses felt the difficulty of sex education. From the survey results showed that the factor was their lack of professional knowledge about sexuality. They also seemed to find it difficult to communicate sexual matters. How to consider the students’ diverse gender and developmental stages, and how to consider their family environment were factors that made them feel that sex education was difficult. Many school nurses felt that midwives were needed in sex education settings. It was found that midwives have a high need for sex education at educational institutions. Their expectations for sex education by midwives were as follows; “Providing specialized knowledge about sexuality” “Talking about the importance of life based on real experiences” “Raising students’ self-esteem” “to nurture their minds of “caring for others and themselves””. On the other hand, there were also opinions that there were concerns about the content being too specialized or too advanced, suggesting the importance of pre-meetings in order to grasp the needs of schools. In the future, sex education should not end up as one-off lectures, but should be positioned as part of a continuous class that incorporates bioscience-based content based on “life and death education”. It is hoped that educational institutions and specialists will work together to meet the needs of the times and to develop further.departmental bulletin pape