東北大医短部紀要 11(1): 105〜114,2002

中堅看護者の「看護実践上の課題解決」を
目指した学習方法の一考察
―― 実践に生かす看護理論をもちいた学習プロセスの分析 ――

浅沼良子,柏倉栄子,柳原真智子*,八重樫妹子,吉田和子
中川佳子,小泉裕子,浅野玲子,深谷真理子**
 東北大学医療技術短期大学部 看護学科
*山梨医科大学医学部 看護学科
**東北大学医学部附属病院 看護部


An Educational Methud to Develop “the Problem-solving
Ability in the Practice of Nursing” for
Experienced Nursing Staff

Ryoko ASANUMA, Eiko KASHIWAGURA, Machiko YANAGIHARA*,
Imoko YAEGASHI, Kazuko YOSHIDA, Yoshiko NAKAGAWA,
Yuko KOIZUMI, Reiko ASANO and Mariko FUKAYA**

Department of Nursing, College of Medical Sciences, Tohoku University
*Yamanashi Medical College
**Department of Nursing, Tohoku University Hospital

Key words: 中堅看護者,看護論,看護理論,学習プロセス,課題解決


  In a seminar for nursing administrators, lectures and group works in which experienced nursing staff were required to have problems with practice of nursing and to exercise theories of nursing were effective for helping the participants develop the problem-solve ability in their practice of nursing.
  The effects of the seminar were evaluated by qualitatively analyzing the method and contents of learning according to all statements in the reports before the seminar and descriptions of impressions after the seminar by 24participants.
  The following results were obtained.
  1. The lectures on “theories of nursing” based on the lecturers' experience in nursing provided the experienced nursing staff opportunities to reflect on their practice and to clarify their problems.
  2. The following processes were observed in the learning of the problem-solving ability: First step, integration of practice and theories; second step, perceiving through theoretical analysis of cases in the group work; third step, problem-solving and acquisition of effects of learning; fourth step, establishment of the participants' own concepts of nursing and claritication of their future goals.
  3. The learning method in which reflection on the participants' practice of nursing was linked to theories of nursing was effective for experienced nursing staff to develop the problem-solving ability.