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Dramatic Effects of Word Pairs in George VI’s Speech
Get PDFapplication/pdfdepartmental bulletin pape
Survey and Research about Current Situation Regarding Records of Children in School Infirmaries
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An Intensive Training Course in English for High School Students and Up
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Educational Effect by Using Simulated Patient in Basic Nursing Education: Through Practice on Oral Health Care(the Second Report)
Get PDFapplication/pdfThe objective of the present study was to compare the learning content of nursing students in “practice on oral health care” conducted among the students themselves with content using simulated patients (SP) based on the respective practice records, and to thereby elucidate the educational effect of using SP.
The practice records of 64 nursing students were analyzed using qualitative, descriptive analysis. Based on the results, a total of 13 categories were identified for practice conducted among students, including “Devising better support for patients”, “Gaining motivation to learn”, and “Difficulty of oral health care”. For practice using SP, the following three categories were identified in addition to the above categories: “Need for consideration in establishing favorable interpersonal relationships”, “Support is a product of interactions between nurses and patients”, and “The appearance and behavior of nurses influence their relationships with patients”.
The three categories uniquely identified for practice using SP were “effects of realistic practice” associated with SP. These findings indicate that the use of SP in nursing education, along with the knowledge and techniques that must be learnt by nursing students, provides opportunities for students to consider ideal approaches in nursing.本研究の目的は、学生同士および模擬患者（以下SP）を活用した「口腔ケア演習」における看護学生の学びを各演習記録から比較検討し、その教育効果を明らかにすることである。
看護学生64名の各演習記録を質的記述的分析の手続きに基づき分析した。その結果、学生同士の演習では【患者のより良い援助を考える】【学習の動機づけを得る】【口腔ケアの難しさ】など13カテゴリが抽出された。一方、SPを活用した演習では、これらに加えさらに【良好な人間関係を築くための配慮の必要性】【援助は看護師―患者の相互関係から成り立つ】【看護師の身だしなみ、言動は患者との関係に影響を及ぼす】の３カテゴリが抽出された。
SPを活用した演習で独自に抽出された３カテゴリは、模擬患者の「リアリティによる効果」である。看護教育におけるSPの活用は、学生が看護師として学ぶべき知識・技術と合わせて、看護のあり方を考える契機になることが明らかになった。journal articl
The Viewpoint of a Nursing Support Staff Member, about Support for Foreign Nursing Assistants : Interview Results
Get PDFapplication/pdfThe present study has for its purpose a presentation of the viewpoint of a nursing support staff member, with respect to the support given to four foreign nursing assistants at a medical facility where they were employed, as well as the results of this support. The interview was done in a semistructured way, and analyses were done according to the KJ method. The results showed that out of 213 labels, the following eight were the most integrated: “attempts and mistakes with respect to the educational support given at the hospital” “changes in the nursing assistants’ positive mindset”, “changes in the positive mindset of coworkers and supervisors”, “gradually becoming accustomed to life in Japan”, “the difficulty of questions on Japanese national license exams, and ways of overcoming this difficulty”, “the difference between their actual level, and the level expected by their coworkers”, “lack of mutual understanding despite time spent together, and changes toward mutual understanding”, and “the burdensomeness and necessity of the portfolio”.
The nursing support staff member adjusted her way of providing support to the foreign nursing assistants, and witnessed gradual growth in their abilities. Although the foreign nursing assistants improved over time, the opinions of many of their coworkers included the feeling that their present ability in the Japanese language was still insufficient.本研究は、外国人看護師候補者を受け入れた医療施設において、支援に関わった看護師支援者の支援の実際と成果に関する認識を明らかにすることを目的とした。対象者は看護師支援者4名であった。半構造化面接で調査を行い、ＫＪ法を用いて分析した。その結果、213のラベルから、【病院の教育支援の取り組みと試行錯誤】【候補者のポジティブな意識の変化】【受入れ側のポジティブな意識の変化】【徐々に日本の生活に適応】【国家試験問題の困難さと克服】【協働者として期待するレベルとの差】【時間を共有しながら意思疎通、相互理解へと変化】【ポートフォリオの負担感と必要性】の８つが統合された。
看護師支援者は支援の方法を工夫しながら関わり、外国人看護師候補者の成長過程を見守っていた。ポジティブな成長を認めながら、しかし、協働者としての視点では、日本語能力は実践レベルでは難しいと認識していた。journal articl
The Modeling of the Process of School Counselors’ Coordinating with External Organizations
Get PDFapplication/pdfSchools’ Coordination with applicable external organizations and professionals is necessary for children’s mental health problems in an increasing number of cases, and the role of school counselors is increasingly important in Coordination. The purpose of this study was to model the process in which children’s mental health problems improved by school counselors’ coordinating with external organizations. We conducted a semi-structured interview with a school counselor working in a junior high school and analyzed and described four cases using the Trajectory Equifinality Model (TEM). The school counselor evaluated the need to coordinate with external organizations from four perspectives: 1. the student is highly dangerous or the situation is very urgent; 2. the student is diseased; 3. the student may have a disorder and needs to be medically examined; 4. the situation is beyond the ability of school counseling support. In addition, it was suggested that “the trust of students, guardians, teaching staff,” “a shared understanding among teaching staff,” information on related organizations,” “expertise,” and others were the major factors in the school counselor’s collaborating with external organizations and improving problems.子どもの心の健康問題において外部の関係機関や専門家との連携が必要となっているケースが増えており、連携におけるスクールカウンセラーの役割が重要となっている。本研究の目的は、スクールカウンセラーが外部機関と連携することによって、子どもの心の健康問題の状況が好転するまでのプロセスをモデル化することである。中学校に勤務するスクールカウンセラー１名に半構造化面接を行い、4事例について複線経路・等至性モデル（TEM）を用いて分析、記述を行った。スクールカウンセラーは、①危険度・緊急度が高い、②病的である、③障害の疑いがあり診断が必要である、④校内対応には限界がある、の4つの視点から外部機関との連携の必要性を判断している。また、「生徒や保護者、教職員からの信頼」、「教職員の共通理解」、「関係機関の情報」、「専門的な知識」などが、外部機関との連携や問題の好転化において重要な要因となっていることが示唆された。journal articl
A Research Study of Schools’ Coordination with External Organizations Regarding Children’s Mental Health Problems
Get PDFapplication/pdfThe purpose of this paper was to clarify the current situation of the Coordination between schools and external organizations regarding children’s mental health problems. We administered a questionnaire survey to all the 938 yogo teachers in Niigata Prefecture from September through November 2011 on Coordination with external organizations and obtained answers from 651 of them. We analyzed the current situations of “presence of Coordination” and “affiliates,” “people who were directly involved with external organizations,” “the details of Coordination,” “the advantages gained from Coordination” and the associations between their Coordination and the numbers of years and kinds of schools they had experienced as yogo teachers.
The result was that the percentage of yogo teachers who had coordinated with external organizations was 88.5%, which increased with an increase in the numbers of years and kinds of schools they had experienced as Yogo teachers. Also, medical institutions, child guidance centers, and education guidance centers accounted for the largest numbers of affiliates in descending order. “Coordination was helpful in giving instructions or advice to support children” accounted for the largest percentage of the advantages gained from their Coordination with external organizations. In addition, Yogo teachers accounted for the largest percentage of those who were directly involved with external organizations next to class teachers, and it turned out that yogo teachers played a major role in schools’ Coordination with external organizations.本稿の目的は、子どもの心の健康問題における学校と外部機関との連携の現状を明らかにすることである。2011年９～11月に、新潟県のすべての養護教諭938名を対象として、外部機関との連携に関する質問紙調査を行い、651名から回答を得た。「連携の有無」や「連携先」、「外部機関と直接関わった人」、「連携の内容」、「連携してよかったこと」についての現状と、連携と養護教諭の経験年数及び校種との関連について分析した。その結果、外部機関と連携したことがある養護教諭の割合は88.5％であり、養護教諭の経験年数、校種が上がるにつれその割合は高くなっていた。また、連携先は医療機関、児童相談所、教育相談機関の順で多かった。連携してよかったことは、「子どもの支援のために指導・助言に役立った」が最も多かった。さらに、外部機関と直接関わった人は担任の次に養護教諭が多く、連携における養護教諭の役割が大きいことが分かった。journal articl