Recently, computer-assisted instruction and e-learning have gotten attention in education of university but there is no practice in school of nursing. The purpose of this study is to develop a computer-assisted instruction and e-learning for practice of conduct of labor on midwifery education and usability assessment of it. The subjects are four midwifery students who intended learn specialized fi eld in one of the nursing University. Five subjects with using computer-assisted instruction and e-learning and Five subjects with not using computer-assisted instruction and e-learning but reading of the paper which described about conduct of labor were studied in randomized. Two groups were compared between achievements of the technique after self-learning. The results of the comparison showed the item that “How to disinfect the Vulva ”（Z =－2.494 P=0.029）,“setting of sterile fi eld”（t=－2.390，P=0.028）,“Total score”（Z=－2.192，P=0.042） in procedure of conduct of labor signifi cant diff erences between two groups. There are no signifi cant diff erences another item of in it. Self-learning system like a computer-assisted instruction and e-leaning get practice when and where one can. Those have benefi t for a part of technical learning in procedure of conduct of labor.
近年，大学教育の中で自己学習教材としてのCAIやe-learningが注目されているが，看護大学における助産師教育の中での活用例はほとんどない．本研究は，大学における助産師教育の中で重要な技術でもある分娩介助手順習得のためのCAI教材およびe-learning教材を開発し，その有用性を検証することを目的とした．対象は地方の１公立大学に在学中の助産師国家試験受験科目を履修することになった学生９人とした．対象を助産技術学の講義や演習が開始する前に独自に開発した分娩介助手順に関するCAI教材およびe-learning教材での自己学習を行う実験群と電子媒体を使用しない自己学習を行うコントロール群にランダム割り付けし，自己学習後に分娩介助手順の技術評価を行い２群で比較した．「清潔野作成」（t=－2.390，P=0.028），「外陰部消毒」（Z=－2.089，P=0.043），総合計点（t=－2.192，P=0.042）で２群に有意差を認めた．CAIおよびe-learningを使用した自己学習は，時間や場所を選ばす実技場面を繰り返し見ることができることから，分娩介助手順の一部の技術習得については可能になることが推察された．