Training performance and training style associated with environmental changes in field training

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In 2005, we conducted an anonymous self-descriptive questionnaire survey concerning current problems and measures. The target population consisted of the individuals responsible for the fields of fundamental, adult health, maternity, pediatric, geriatric, or psychiatric mental health nursing at 93 nursing colleges that had been established at least for 5 years. The findings of the survey were summarized as shown below : ・As problems related to medical advancement, students are not trained in highly-advanced medical fields because student training in those fields is difficult. ・As associated with a generally shorter hospital stay and the enactment of the Personal Information Protection Law, difficulties in patient selection and information management and their countermeasures were noted.・ Difficulties in conducting the hands-on training of physically invasive nursing skills were noted. ・The introduction electric medical charts has made it difficult for students to collect information.Ba … More sed on those findings, we carried out another survey at six nursing colleges in 2006, all with a teaching history of at least 5 years, in the Tohoku district, holding focus group interviews with teachers in charge of the field training of nursing care. Twenty-three field training teachers were divided into three groups, each covering two areas, and each group had one interview, with a total of three interviews for all groups. The findings of the interviews suggested the following seven issues and problems : ・The importance of setting a wrap-up conference ・Having students share individual learning and their mutual experience through conferences is vital for improving training performance ・As things stand, not all field training can give students the opportunities to learn nursing processes and clinical skills. Areas where student can learn nursing processes are selected based on the duration of the patient's hospital stay and the severity of disease. ・A system that allows students to achieve overall practical skills; by graduation should be established. ・Based on the current circumstances of modern healthcare and welfare, the conduct of training should consider an emerging trend from intramural treatment to home care in every healthcare field; field training in ambulatory settings, outpatient services, and the expansion of training fields outside medical institutions may all be needed. Less