@article{oai:dmu.repo.nii.ac.jp:00001989, author = {種市, ひろみ and 熊倉, みつ子 and Hiromi, Taneichi and Mitsuko, Kumakura}, issue = {1}, journal = {獨協医科大学看護学部紀要, Bulletin of Dokkyo Medical University School of Nursing}, month = {May}, note = {在宅看護論の教育方法・内容に関する文献から,その変遷と現状を把握し,2009年から統合分野に位置づけられた在宅看護論の今後の改善点・解決方法への示唆を得ることを本研究の目的とする.医学中央雑誌WEB より「在宅看護」「学生」をキーワードとし,教育方法・内容・課題に言及している1997 年から2010 年の原著文献112件を対象とした.科目創設年(1997年)からしばらく文献は少なく,2005 から2010年の文献が8割を占めた.筆頭著者はほとんどが看護教育職であり,実習や学生の学びに関する文献が多くみられていた.統合分野における在宅看護論の教育に関する現状と改善方策としては以下の5 点が挙げられた.1.統合分野として教育上の科目役割を果たすためにも,在宅看護論担当教員をはじめとし,教育に携わる教員,実習指導者等を含めた教育体制の見直しが必要である.2.訪問看護ステーションを取り巻く環境が経済的にも人材的にも厳しいといわれているが,今後実習に関するさらなる協働を図っていく必要がある.また,他の実習施設や実習指導者も同様に協働を図る必要がある.3.限られた時間数の中で,効率よく学習をすすめる,知識を定着させるためには,体験型学習,小集団学習が有効である.しかし,グループ学習に対する教員自身のスキルアップは必須である.4.地域に暮らす人々の生活を理解する新たな工夫をする必要がある.5.在宅終末期看護をすべての学生が実習で体験できる状況にはない.しかし,今後在宅療養者の増加が予測され,在宅での医療的技術の提供や看取り,グリーフケアへの看護職のかかわりが増していく.そのような状況を鑑み,さらなる教育方法を模索していく必要がある., This study reviewed investigations conducted between 1997 to the present on the transition and status of education for homecare nursing, in attempts to obtain suggestions for the improvement of educational methods in this field.  A search was made of the Japana Centra Revuo Medicina database, version 4, covering the period of 1997, when the subject was introduced in nursing, to 2010, using the search terms “homecare nursing” and “students”. Original articles referring to homecare nursing education were targeted and 112 publications were retrieved with both search terms. Publications were few in the early stage of homecare nursing education, from 1997 to 2004; 80% of articles were published from 2005 onwards when homecare nursing was recognized to be an advanced subject. Most of the first authors were nursing educators, and many publications concerned nursing practices and student learning. Problems identified in homecare nursing education through the literature review and suggested improvements are as follows.  First, it is necessary to review the educational system not only with respect to educators in charge of homecare nursing education but also educators in all fields and practicum leaders. Second, it is necessary to improve cooperation between homecare nursing professionals, practicum leaders, and other health and welfare professionals in practice. Third, it is effective for students to have opportunities for experiential study and small group study, but it should not be forgotten that nurse educators also need skill improvement to facilitate group study. Fourth, a new evaluation tool is required to ascertain the needs of residents in each region. Lastly, while it is not possible for all students to experience home nursing practice in end-of-life care, it is important for some form of educational method to better address this practice, thereby requiring nurses to expand their role to offer medical treatment and provide grief care.}, pages = {9--18}, title = {統合分野における在宅看護論の教育に関する現状 - 1997年から2011年の文献検討より-}, volume = {5}, year = {2011} }