- 長崎大学医療技術短期大学部紀要 (ISSN:09160841)
- vol.12, pp.91-98, 1998
実習指導のより効果的なあり方を検討する目的で,ECTB(Effective Clinical Teaching Behaviors)を用いて,看護婦の実習指導に対する自己評価の調査を実施した.今回は看護婦の経験年数による違いを中心に分析し,以下のことが明らかになった. 1)経験年数1~3年目の看護婦と4~5年目・6年目以上を比較すると,全項目の平均点で有意差がみられた.さらに,各項目の平均点をみると経験年数4~5年目では,43項目中30項目,6年目以上では43項目中38項目有意に低かった. 経験年数4~5年目の看護婦と6年目以上の間に有意差がみられたのは43項目中3項目であった.実習指導評価に関しては経験年数1~3年目と4年目以上の間に隔たりがみられた. 2)平均点の高かった項目は,経験年数に関係なく「良くやった時は誉め認めようとしていた」,「緊張している時にはリラックスさせるようにした」など学生との関係性や指導態度を示す内容であった. 経験年数別にみると,1~3年目の看護婦に学生との関係性や指導態度を示す内容が多く,4年目以上の看護婦では学生との関係性や指導態度のみではなく実践指導や指導方法に関する項目がみられた. 3)平均点の低かった項目は,経験年数に関係なく「実習グループの中で刺激しあって向上できるように援助していた」,「学生同士で意見交換ができるように働きかけていた」など,学生のグループダイナミクスを喚起し,意欲を向上させるような内容を示す項目と「看護者としての良いモデルになっていた」であった. 経験年数別にみると,1~3年目の看護婦は学生の意欲向上に関する項目が低い評価であり,4年目以上の看護婦は「看護婦間の指導方法は統一していた」という指導方法に関する項目が,6年目以上では看護実践に関する項目がみられた.Using ECTB (Effective Clinical Teaching Behaviors), a survey of nurses' self-assessments of their clinical teaching was carried out to consider how to make clinical teaching more effective. An analysis of differences according to their years of experience has shown the following results: 1)Comparing the nurses having 1 to 3 years experience with those having 4 to 5 years experience and having more than 6 years experience, a significant difference was found in the average score of all the items. Examining each average score of every item, the nurses having 4 to 5 years experience had significantly low average scores in 30 out of 43 items and those having more than 6 years experience had significantly low average scores in 38 out of 43 items. Significant differences were seen in 3 out of 43 items between the nurses with 4 to 5 years experience and those with more than 6 years experience. In almost all items of the self-assessments of their clinical teaching, there were wide differences between the nurses with 1 to 3 years experience and those with more than 4 yeare experience. 2)Regardless of their years of experience, the average scores were high in the items concerning the relationship to their students or their teaching attitude such as "tells students when she/he has done well", or "keeps self available when students are in stressful srtuations" Examining the average scores according to their years of experience, the nurses with 1to 3 years experience had the high average scores in many items concerning the relationship to their students or their teaching attitude. The high average scores of the nurses having more than 4 years experience were found in the items concerning not only the relationship to their students or their teaching attitude but also practical instruction and the teaching method. 3)Regardless of their years of experience, the low average scores were found in the items concerning stimulation to the group dynamics of students to raise students' motivation such as "Interacts well with students in a group situation", or "Permits freedom of discussion", and the item "is a good role model for students". Considering according to their years of experience, the nurses with 1 to 3 years experience had low opinions of themselves in the items concerning stimulation to students' motivations. The nurses with more than 4 years experience judged themselves low in the item concerning the teaching method, "is organized with clinical instruction". It was in the items concerning nursing practice that the nurses having more than 6 years experience had low opinions of themselves.