NAKAFUJI Yukami

本研究の目的は、成人・老年看護学領域（以下、本領域）における慢性期疾患の紙上事例を用いた看護過程演習をよりよい演習に資するための基礎資料を得ることである。2023年度、2024年度の演習前、演習後に成人看護学Ⅱ（慢性期）を受講する学生（延べ111名）に対して質問紙調査をおこない、アセスメントの理解度と講義評価を分析して看護過程演習展開を検討した。その結果、両年度とも演習後にアセスメントの理解度が向上した。特に、学習効果があった項目は、アセスメントガイドの活用とグループ内発表であった。アセスメントガイドは情報整理を助け、個人ワークでまとめたものを個人発表し、学生と教員間でディスカッションする形式のグループ内発表は多角的視点の獲得や思考の深化につながったと考えられる。

Ever since Yanagida (2006) proposed that ``not only children but also adults should read picture books、'' the activity of adults reading picture books has been expanding. Picture book therapy is one of these activities. The purpose of this study was to examine participants' subjective experiences based on a qualitative analysis of their "impressions" of participating in picture book therapy. Picture book therapy was conducted once a month. Each session of picture book therapy had a different theme、 such as "Know Yourself" or "Feel Happiness. It consisted of five picture books facilitated by the same reader. Participation was not mandatory、and participants could attend whenever they wanted. The subjective experiences of the participants in the picture book therapy were as follows. Prior to their participation、 participants held the stereotype that "picture books are for children to read" and also had doubts about the effectiveness of the picture book therapy. However、after their participation、 the participants were able to receive various messages from picture books、 which helped them to stabilize their feelings and become aware of their inner world. In addition、 the participants showed behavioral changes、 such as showing compassion and interest in their surroundings and reading picture books in their daily lives.

Declining birth rate in Japan is a pressing issue that has garnered a significant amount of scholarly attention.Many couples express barriers to having a third child, citing financial concerns as the main reason. In addition, mental factors are the primary drivers for the decision to have children. Developing supportive relationships with others may provide reliable support in childbirth and child-rearing.