Basic principles to create“the best care for the person”:qualitative analysis of a single teaching experience of a nurse instructor to a student nurse exhibiting indecision

｢その人に最善のケア」を創造するために基本的なこと : 看護の判断に迷った臨地実習中の看護学生への指導の一経験を質的に分析する

Basic principles to create“the best care for the person”:qualitative analysis of a single teaching experience of a nurse instructor to a student nurse exhibiting indecision

Creators Masamura Keiko

本研究の目的は,看護学生への臨地実習指導の一経験を用いて,｢その人に最善のケア｣を創造するために基本的なことを明らかにすることである.看護学生は,患者に求められたケアの実施に迷っていた.この学生への臨地実習指導者による指導の具体的な記述を,解釈的現象学により,著者が先行研究において開発した｢卓越した看護実践への道のモデル(The Pathways to Excellent Nursing Practice model)｣を用いて,視覚化して分析した. その結果は次の通りであった.本研究の成果の｢基本的な学生･指導者相互関係のサイクル｣は学生の看護師としての成長を助ける.このサイクルを繰り返しながら,学生の持つニード･問題を明確にし,学生が自分で判断し実施できるように助言する.学生への助言は,指導者が学生と同じ状況で看護師として実施する看護を基に見つけることができる. これらの成果は,｢その人に最善のケア｣を創造し提供するための基本的なこととして確認された.実践に活用しながら,さらに洗練する必要がある.

The purpose of this study was to clarify basic principles that create“the best care for the person”using the mentor relationship between an instructor and a nursing student during clinical practice. A student nurse exhibited indecision with regard to a request from a patient. This episode was visually analyzed by interpretive phenomenology using the Pathways to Excellent Nursing Practice model that was developed by the author in a previous study.The results generated the following findings.The basic student-instructor relationship cycle that was developed in this study contributed to the student’s growth as a nurse. While repeating the cycle, the issues of the student who exhibited indecision should be identified, and then the student should be advised how to decide for herself. The advice to the student should be found by explaining the nursing care the instructor would perform in the same situation.These findings were identified as basic principles to create the best care for the person. Furthermore, these should be refined while being utilized in practice.

[ISSN]0513-1731

[NCID]AN00243156