著者

井上 加奈子 森田 敏子

出版者

徳島文理大学

雑誌

徳島文理大学研究紀要 (ISSN:02869829)

巻号頁・発行日

vol.92, pp.13-36, 2016-09

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Objective: This study aims to clarify the following aspects when students meet patients during their participation in nursing practicum: what they experience (their awareness) "in the here and now;" the significance they place on their own practicum experience; and how they attain, form, and deepen their clinical knowledge which consists of situational knowledge, embodied knowledge, and knowledge of relations. Methods: A semi-structured interview was conducted with seven 4th-year students who had completed their nursing practicum at a nursing university, with the interview content qualitatively analyzed. Results: The interview time was 70±31 minutes. The subjects were aged 22±1 years. Although the students had experienced feelings of perplexity and confusion concerning nursing practicum and their patients' states at the beginning of the practicum, the study found that they were ultimately able to form and deepen their clinical knowledge through their relationships with the patients. Discussion: At the beginning of the students' nursing practicum, they felt perplexed at various situations around them. Then, bolstered by their desire to become involved with the patients, they focused on their patients present with them "in the here and now." By getting closer to the patients' worlds, the students assimilated clinical knowledge. When the students were liberated from their own operative emotions in their interaction with the patients, their clinical knowledge deepened. This study suggests that students' growth can be enhanced if support is provided, allowing students to become aware of their sensation of being together with the patients "in the here and now" and to form their "clinical knowledge." This process, in turn, deepens their clinical knowledge and mode of formation and deepening.