Health Sciences University of Hokkaido Academic Repository / 北海道医療大学学術リポジトリ
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Students’ perceptions of clinical participatory practicum experience in social worker training course: A Survey of Students after the 2014 - 2022 counseling assistance field practicum at University A
Get PDF本研究では、相談援助実習終了後の学生調査をもとに、社会福祉士養成課程における臨床参加型実習経験に対する学生の認識を明らかにし、社会福祉士養成課程における実習教育における検討課題を得ることを目的とした。
クライエントや関係者と直接・間接的に関わる臨床参加型実習体験は、日本社会福祉養成校協会北海道ブロック／北海道ブロック社会福祉実習研究協議会（以下、北海道ブロック）「相談援助実習評価表」の技術・技能に関する評価項目に対応する体験とし、2014-2022年度に相談援助実習を終えた、Ａ大学の学生459名を対象に学生調査を実施した。
本研究における調査結果によると、社会福祉士課程における実習では、ほとんどの学生が臨床参加型実習体験を経験し、最も多い項目は、他職種連携だった。直接関わる実施と試行的なロールプレイ経験をあわせた能動的体験（実施・試行）は、体験項目は限定的だが76.3%の学生が経験しており、最も多い項目は、面接63.4%であり、コロナ禍期間（2020-2022年度）の経験は、それ以前を上回っていた。
さらに、能動的体験（実施・試行）を、ほとんどの学生が必要な実習体験と認識し、経験者のほとんどが、自らの実習成果との関係で肯定的に捉えていた。実施経験を得た学生の自由記述からは、【OSCE経験を踏まえた実施】体験が、【実習指導者に守られた環境】と【実習生の役割発揮】の上で、【同行・同席を経た実施】として行われ、【思考の深まり】や【スキル向上を意識】する経験となっていた。
以上を踏まえ、今後の社会福祉士養成課程における実習教育に向けた検討課題として、実習関係者での実習教育目標の共有､社会福祉士養成校による事前評価方法の標準化、能動的体験の実習プログラム化と共有、実習評価の引継ぎシステムと実習スーパービジョンのあり方を指摘した。The purpose of this study was to clarify students’ perceptions of the experience of clinicalparticipatory practicum experience for social workers based on a survey of students after the completion of counseling assistance field practicum, and to obtain issues to be considered in the training education for social worker training programs.
Clinical participatory practicum experience, involving direct and indirect contact with clients and other related persons, is considered to be experiences corresponding to the evaluation items on techniques and skills in the “Counseling Assistance Field Practicum Evaluation Form” of the Japan Social Welfare Training School Association Hokkaido Block/Hokkaido Block Social Welfare Training Research Council (hereinafter referred to as Hokkaido Block). A student survey was conducted on 459 students from University A who completed their counseling assistance training in the 2014-2022 academic year.
According to the results of this study, most students in the social work program engaged in clinical participatory practicum experience, with the most common item being collaboration with other professionals. Active experience (implementation/trial), combining direct engagement with trial roleplay in which direct involvement is assumed, were experienced by 76.3% of the students, although the number of experience items was limited, and the most common item was interviewing, 63.4%. Furthermore, it was found that the percentage of active experiences of interviews was higher during the coronavirus pandemic period (2020-2022) than before.
Most students recognized active experience (implementation/trial) in field practice as a necessary experience, and most of those who experienced it viewed it positively in relation to their training results. Furthermore, from the free descriptions of the students, it was found that the experience of 【implementation based on OSCE experience】 was 【an environment protected by the training instructor】 and 【the role of the trainee】, and【accompanying and it was an experience in which participants】【were able to deepen their thinking】 and【 become conscious of improving their skills】.
Based on the above, the author pointed out the issues to be considered for future field practicum program for social work education sharing of practical training goals among those involved in practical training, standardization of pre-evaluation methods by social worker training schools, creation and sharing of practical training programs for active experiences, evaluation handover system, practical evaluation handover system and practical training supervision.departmental bulletin pape
Evaluation of Promotional Program in Palliative Care for small communities
Get PDF研究目的：本研究は、町内会単位で緩和ケアを普及・啓発するプログラムの効果を評価することを目的とした。
研究方法：対象者は、北海道内のＡ－都市、Ｂ－都市近郊、Ｃ－農村に住む20歳以上の住民とし、3 地域において準実験的介入研究を行った。認知症・緩和ケアに関する学習コース（以下啓発群）95名（有効回答数93名）と、認知症・介護予防体操の学習コース（以下非啓発群）59名（有効回答数58名）に対し、緩和ケアに対するイメージ・知識について自記式調査票にて回答を求め、啓発群と非啓発群間の比較、啓発群の学習前後比較を行った。
結果：啓発群・非啓発群ともに、参加前は「緩和ケアについて意味をよく知らない」が約6 割、「ことばを聞いたことがない」が約5 割であった。啓発群では、「緩和ケアは診断の早期から受けるもの」ととらえていた人が1 割に満たなかったが、学習会後には5 割に増えた。さらに学習後には約7 割が「必要時には緩和ケアを受けたいと思う」と答えた。「希望が持てる」「手厚い世話が受けられる」の回答は増え、「自宅では受けられない」が減った。「多額な費用がかかる」との回答は前後ともに約3 割あり学習によっても変化がなかった。
考察：町内会単位での緩和ケアの啓発によって、住民が当事者になった際に早い段階から緩和ケアを選択する可能性が広がったと言える。効果はある程度認められたが、啓発プログラムの内容の検討が必要である。Purpose: The aims of this study were to evaluate the effectiveness of promotional program in palliative in raising awareness of palliative care and to consider an effective promotional program model for small communities.
Method: 154 adults in three different regions in Hokkaido participated in this semi-interventional study. The participants chose one of two programs - palliative care education (experimental group） including lectures on the principles of palliative care with the use of visual materials or preventive physical exercise (control group）. Pre data was collected by the means of a questionnaire – experiences of palliative care, attitudes including feeling and meaning towards palliative care from both group and post data was collected from the experimental group. For the experimental group, pre and post data were compared. Each variable between two groups was analyzed by the chi-square.
Results: 95 people participated in the experimental group and 59 people are in the control group. From the pre data, more people in the experimental group head of ‘palliative care’ and understood its meaning, however, no difference was found in both group regarding the image of palliative care. From the post data, more people consider palliative care‘ hope’,‘ great care’ and‘ able to receive from the beginning. Also, people who want to receive palliative care as needed increased from 43％ to 67％ , and who believe palliative care do not offer at home decreased from 45.2％ to 5 ％ .
Conclusion: The result indicates that promoting program for small communities has positive effects on the image of palliative care, helps a deeper understanding of palliative care and expands the possibility to choose palliative care as it needed. This type of program can be applied as a community based reach out program.departmental bulletin pape
Using the Oral Assessment Guide to Predict the Onset of Pneumonia in Residents of Long-Term Care and Welfare Facilities: A One-Year Prospective Cohort Study
Get PDF北海道医療大学博士（歯学）令和4年度thesi
