Adult Nursing : Efforts for Implementing Online Exercises in Acute-Phase Nursing : Devising Exercises for Practice at Home During the COVID-19 Pandemic

The spread of the novel coronavirus led to various exercises being carried out online in the field of nursing education generally and the acute care phase field of adult nursing specifically. This study examines efforts to implement online exercises conducted under limited conditions and in situatio...

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Published inJOURNAL OF JAPAN HEALTH MEDICINE ASSOCIATION Vol. 32; no. 2; pp. 200 - 205
Main Authors Nishimura, Miho, Uesaka, Mayumi
Format Journal Article
LanguageJapanese
Published JAPAN HEALTH MEDICINE ASSOCIATION 31.07.2023
日本健康医学会
Subjects
Online AccessGet full text
ISSN1343-0025
2423-9828
DOI10.20685/kenkouigaku.32.2_200

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Abstract The spread of the novel coronavirus led to various exercises being carried out online in the field of nursing education generally and the acute care phase field of adult nursing specifically. This study examines efforts to implement online exercises conducted under limited conditions and in situations that prevented experiential learning using a simulator. The exercises consisted of eight assignments : “Preoperative breathing exercises (deep breathing, expectoration methods) and listening to breathing sounds,” “Preventive care for deep vein thrombosis,” “Talking to patients before entering the operating room on the day of surgery,” “Evaluation and nursing care using pain scale,” “Setting up of an ECG monitor,” “Tracheal intubation,” “Preoperative nursing imaging,” and “Learning BLS techniques.” The above online exercises were conducted in a clinical nursing practice setting, with students taking on the roles of nurses and patients. Debriefing time was provided, and the knowledge gained from the prior assignments (knowledge related to the subject of interest), the completion of assignments during the exercises, and efforts made in post-assignments (special curiosity) enabled the students to understand the content and apply it in practice. Accordingly, the online exercises were almost as effective as simulation education and could be used in clinical practice.
AbstractList The spread of the novel coronavirus led to various exercises being carried out online in the field of nursing education generally and the acute care phase field of adult nursing specifically. This study examines efforts to implement online exercises conducted under limited conditions and in situations that prevented experiential learning using a simulator. The exercises consisted of eight assignments : “Preoperative breathing exercises (deep breathing, expectoration methods) and listening to breathing sounds,” “Preventive care for deep vein thrombosis,” “Talking to patients before entering the operating room on the day of surgery,” “Evaluation and nursing care using pain scale,” “Setting up of an ECG monitor,” “Tracheal intubation,” “Preoperative nursing imaging,” and “Learning BLS techniques.” The above online exercises were conducted in a clinical nursing practice setting, with students taking on the roles of nurses and patients. Debriefing time was provided, and the knowledge gained from the prior assignments (knowledge related to the subject of interest), the completion of assignments during the exercises, and efforts made in post-assignments (special curiosity) enabled the students to understand the content and apply it in practice. Accordingly, the online exercises were almost as effective as simulation education and could be used in clinical practice. 新型コロナウィルス感染症拡大に伴い,看護学教育の現場では様々な演習をオンラインで実施しなければならず,本学の成人看護学:急性期領域の演習もオンラインで実施せざるを得なかった。シミュレータを用いた経験学習が困難であるなど,制限された条件のもとで実施したオンライン演習の取り組みについて報告する。演習内容は「術前呼吸訓練(深呼吸,排痰方法)と呼吸音聴取」,「深部静脈血栓症の予防の看護」,「手術当日の手術室入室までの声かけ」,「疼痛スケールを用いた評価と看護ケア」,「心電図モニターの装着」,「気管挿管」,「手術前看護のイメージ化」,「BLS技術の習得」の8課題である。以上のオンライン演習は,臨床の看護実践場面を設定し,学生が看護師役・患者役を担い実施したこと,デブリーフィングの時間を設けたこと,本演習の事前課題により得た知識(興味対象関連の知識)と演習中課題の完成および事後課題への取り組み(特殊的好奇心)により,演習内容が定着し実習での活用が可能であったことで,シミュレーション教育とほぼ同様の効果が得られ,臨地実習で活用できたと考える。
The spread of the novel coronavirus led to various exercises being carried out online in the field of nursing education generally and the acute care phase field of adult nursing specifically. This study examines efforts to implement online exercises conducted under limited conditions and in situations that prevented experiential learning using a simulator. The exercises consisted of eight assignments : “Preoperative breathing exercises (deep breathing, expectoration methods) and listening to breathing sounds,” “Preventive care for deep vein thrombosis,” “Talking to patients before entering the operating room on the day of surgery,” “Evaluation and nursing care using pain scale,” “Setting up of an ECG monitor,” “Tracheal intubation,” “Preoperative nursing imaging,” and “Learning BLS techniques.” The above online exercises were conducted in a clinical nursing practice setting, with students taking on the roles of nurses and patients. Debriefing time was provided, and the knowledge gained from the prior assignments (knowledge related to the subject of interest), the completion of assignments during the exercises, and efforts made in post-assignments (special curiosity) enabled the students to understand the content and apply it in practice. Accordingly, the online exercises were almost as effective as simulation education and could be used in clinical practice.
Author Nishimura, Miho
Uesaka, Mayumi
Author_FL 上坂 真弓
西村 美帆
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新型コロナウィルス感染症流行下における自宅でも可能な急性期看護演習の工夫
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References_xml – reference: 2) 広瀬允美,石塚順子,小元まき子,髙桑優子,笹野幸春,山本哲子:実技を伴う授業(生活援助技術)におけるオンラインによるリアルタイム授業の試み.順天堂保健看研9:52-59,2021
– reference: 7) 厚生労働省:看護教育の内容と方法に関する検討会報告書 平成23年2月28日:2011
– reference: 5) 厚生労働省:新人看護職員研修ガイドライン【改訂版】:7-17,2014
– reference: 10) 南川貴子,田村綾子,市原多香子,桑村由美,森本忠興:看護学生の実習開始前と終了後の観察の相違に関する検討─術後急性状況のモデル人形を用いたバイタルサインと酸素吸入法の観察に注目して─.J Nurs Invest 2:1-6,2004
– reference: 4) 中原 淳:経験学習の理論的系譜と研究動向.日本労働研究雑誌50(10):4-14,2013
– reference: 6) 村田和子,福田和美:成人看護学領域におけるシミュレーション教育に関する文献検討.福岡県大看研紀17:63-70,2020
– reference: 3) 阿部幸恵:看護のためのシミュレーション教育.199 pp,医学書院,東京,2013
– reference: 11) 原田秀子,田中周平,張替直美:成人看護学における看護実践能力の育成に関する研究─成人看護学実習前の効果的な学内演習プログラムの作成─,山口県立大情報2:32-39,2009
– reference: 1) 樋口美樹,髙山由利江,大津山優葵,天野雅美:遠隔授業における看護技術演習の可能性と課題.情報教育3:18-22,2021
– reference: 9) 滝沢美世志,江尻晴美,林さえ子,牧野典子:気管内吸引の学内技術演習から得た学生の学び-患者の苦痛に配慮した技術獲得に向けて-.中部大生命健科研紀13:58-65,2017
– reference: 8) 沖林洋平:知的好奇心と授業に対する興味と学習内容の定着の関係.日本教育工学会論文誌41:133-136,2017
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SubjectTerms acute care
adult nursing
nursing skills
online
practice
simulation education
オンライン
シミュレーション教育
急性期
成人看護学
演習
看護技術
Title Adult Nursing : Efforts for Implementing Online Exercises in Acute-Phase Nursing : Devising Exercises for Practice at Home During the COVID-19 Pandemic
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