57㫽ྲྀ⮫ᗋ⛉Ꮫ 12(1), 57-61, 2020ࠕ⮫ᗋᐇ⩦࡛⋓ᚓࡋࡓຊࡣఱ࠿ࠖ㸫సᴗ⒪ἲኈᏛ⛉ᐇ⩦⏕ࡢ⮬ᕫホ౯ࡢศᯒ㸫࿴⏣⩏ဢ 1) ㎷ᮧ⫕ 2, 3)1) Ꮫᰯἲே኱㜰⁠៞Ꮫᅬ 㫽ྲྀᕷ་⒪┳ㆤᑓ㛛Ꮫᰯ ᩍົ㒊2) ࡧࢃࡇࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᑓ㛛⫋኱Ꮫ సᴗ⒪ἲᏛ⛉3) ኱㜰㟁Ẽ㏻ಙ኱Ꮫ་⒪೺ᗣ⛉Ꮫ㒊

Skills acquired through clinical training: analysis of self evaluation ofoccupational therapy students
Yoshiya Wada1) Hajime Tsujimura2, 3)

1) Education Department, Tottori Medical Nursing Vocational School2) Department of Occupational Therapy, Biwako Professional University of Rehabilitation
3) Faculty of Medical Science and Health-Promotion,
Osaka Electro-Communication Universityせ᪨ᮏ◊✲࡛ࡣ, ⮫ᗋᐇ⩦ࢆ⤊࠼ࡓᐇ⩦⏕ࡓࡕ࡟࢔ࣥࢣ࣮ࢺࢆྲྀࡾ, ᐇ⩦࡛Ꮫࢇࡔࡇ࡜ࢆ⮬⏤࡟グ㏙ࡉࡏ, ᐇ⩦࡛ᚓࡓࡇ࡜࡟ࡘ࠸࡚ࡢศᯒࢆ⾜ࡗࡓ. ᪉ἲࡣ, ⮫ᗋᐇ⩦პ㸦2 ᖺḟࡢ 1㹼2 ᭶㸧࣭II㸦3 ᖺḟࡢ
5㹼7 ᭶㸧
࣭III㸦3 ᖺḟࡢ 8㹼10 ᭶㸧ࡢ⤊஢ᚋ࡟, ᐇ⩦⏕࡟࢔ࣥࢣ࣮ࢺᙧᘧ࡛ࠕᐇ⩦࡛⋓ᚓࡋࡓ⬟ຊ࡜ᡂ㛗ࡋࡓ࡜ࡇࢁࡣఱ࡛ࡍ࠿.ࠖ࡜ᑜࡡࡓ࡜ࡇࢁ, ࡑࡢᅇ⟅࡟ඹ㏻ࡋ࡚ࡳࡽࢀࡓ༢ㄒ࡟࠾࠸࡚, ⮫ᗋᐇ⩦ I࡛ࡣࠕホ౯ࠖ, ࠕᏛࡪࠖ, ࠕぢࡿࠖࡀከࡃ, ⮫ᗋᐇ⩦ II ࡛ࡣࠕ⮬ศࠖ, ࠕ⪃࠼ࡿࠖ, ࠕ἞⒪ࠖࡀከࡃ, ⮫ᗋᐇ⩦ III ࡛ࡣࠕ⪃࠼ࡿࠖ, ࠕ⏕άࠖ, ࠕ㏥㝔ࠖࡀከ࠿ࡗࡓ. ྛᐇ⩦ࡢẁ㝵࡟࠾࠸࡚, ⮫ᗋᐇ⩦ I ࡛ࡣホ౯࡟㛵ࢃࡿࡇ࡜, ⮫ᗋᐇ⩦ II ࡛ࡣ἞⒪࡟㛵ࢃࡿࡇ࡜ࢆᏛࡧ, ⮫ᗋᐇ⩦ III ࡛ࡣ㏥㝔ᚋࡢ⏕ά࡟ࡘ࠸࡚ࡶ⪃࠼ࡿຊࡀ௜ࡃࡼ࠺࡟࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿ. 㫽ྲྀ⮫ᗋ⛉Ꮫ 12(1), 57-61, 2020
Abstract
We performed a free-answer questionnaire survey on trainees who completed clinical training I (January toFebruary of second year), II (May to July of third year), and III (August to October of third year). We asked
them, “What were the skills you acquired and areas where you saw yourself improve through the practicum?”Common words used in the responses of those who completed clinical training I included “evaluation,”“learning,” and “observation.” The common terms describing clinical training II included ͆ myself,”“thinking,” and “treatment;” and in clinical training III, “thinking,” life,” and “discharge.” These results showedthat trainees gained knowledge related to evaluation in clinical training I and knowledge related to treatment inclinical training II. And they were able to think about a patient’s life after discharge in clinical training III.
Tottori J. Clin. Res. 12(1), 57-61, 2020
Key words: సᴗ⒪ἲኈ, ⮫ᗋᐇ⩦, ᐇ⩦࡛ࡢᏛࡧ, ࢸ࢟ࢫࢺ࣐࢖ࢽࣥࢢ, ᝈ⪅࡜ࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙ
ࣥ; occupational therapists, clinical training, learning from the practicum, text mining, communication with1

58patientsࡣࡌࡵ࡟ࡿࡀ, ᐇ⩦⏕⮬㌟ࡀᐇ⩦ᚋ࡟㛵ࡍࡿホ౯ࡋࡓሗ᪥ᮏసᴗ⒪ἲኈ༠఍ࡢసᴗ⒪ἲ⮫ᗋᐇ⩦ᣦ࿌ࡣᑡ࡞ࡃ, ᐇ⩦⏕ࡀ⋓ᚓࡋࡓ⬟ຊࡣఱ࠿ࢆᐇ㔪 1) ࡟ࡼࡿ࡜, ⮫ᗋᐇ⩦ࡢ฿㐩┠ᶆࡣ, ⮫ᗋᐇ⩦ู࡟ㄪ࡭ࡓ◊✲ࡶᑡ࡞࠸.

⩦ᣦᑟ⪅ࡢᣦᑟ࣭┘╩ࡢࡶ࡜࡛, ඾ᆺⓗ࡞㞀ᐖᮏ◊✲࡛ࡣ, ྛẁ㝵࡛ࡢ⮫ᗋᐇ⩦ࢆ⤊࠼ࡓ≉ᛶࢆ࿊ࡍࡿᑐ㇟⪅࡟ᑐࡋ࡚, సᴗ⒪ἲኈ࡜ࡋᏛ⏕ࡓࡕ࡟࢔ࣥࢣ࣮ࢺࢆྲྀࡾ, ᐇ⩦࡛Ꮫࢇࡔࡇ

࡚ࡢ೔⌮ほࡸᇶᮏⓗែᗘࢆ㌟࡟ࡘࡅࡿࡇ࡜, チ࡜ࢆ⮬⏤࡟グ㏙ࡉࡏ, ᐇ⩦࡛ᚓࡓࡇ࡜࡟ࡘ࠸࡚ᐜࡉࢀࡿ⮫ᗋᢏ⬟ࢆᐇ㊶࡛ࡁࡿࡇ࡜, ⮫ᗋᐇ⩦ࡢศᯒࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ.

ᣦᑟ⪅ࡢసᴗ⒪ἲࡢ⮫ᗋᛮ⪃㐣⛬ࢆㄝ᫂ࡋ, స᪉ἲᴗ⒪ἲࡢィ⏬❧᱌ࡀ࡛ࡁࡿࡇ࡜࡛࠶ࡿ.
⮫ᗋᐇ⩦ࡣ, ་⒪⫋⋓ᚓࡢࡓࡵࡢ㞴㛵㐣⛬⿕㦂⪅ࡣ㫽ྲྀᕷ་⒪┳ㆤᑓ㛛Ꮫᰯసᴗ⒪ἲ࡜ࡶゝ࠼ࡿ. Ꮫእ࡛ࡢ⮫ᗋᐇ⩦ࡣ, సᴗ⒪ἲኈ

ኈᏛ⛉㸦3 ᖺไ㸧ࡢ㸯㹼3 ᮇ⏕࡛, ྜィࡣ 106 ྡ࡟࡞ࡿពḧࢆῶ㏥ࡉࡏࡿࡇ࡜ࡶ࠶ࡿࡀ, ᐇ⩦࠿࡛࠶ࡗࡓ. ᪉ἲࡣ, ྛ⮫ᗋᐇ⩦㸦⮫ᗋᐇ⩦პࡣ 2ࡽᚓࡽࢀࡿࡶࡢࡶከ࠸࡜⪃࠼ࡿ.

ᖺḟࡢ 1㹼2 ᭶ࡢ 5 㐌㛫, ⮫ᗋᐇ⩦ II ࡣ 3 ᖺḟࡢ࡟࠾࠸࡚, ⌮Ꮫ⒪ἲኈࡢ⮫ᗋᐇ

5㹼7 ᭶ࡢ 11 㐌㛫, ⮫ᗋᐇ⩦ III ࡣ 3 ᖺḟ 8㹼10⩦࡟ᚲせ࡞せ⣲ࡢ᳨ウ࡛, ᚸ⪏, ▱㆑, ࢥ࣑ࣗ᭶ࡢ 11 㐌㛫ᐇ᪋ࡋࡓ.㸧ࡢ⤊஢᫬࡟, ᐇ⩦࢔ࣥࢣࢽࢣ࣮ࢩࣙࣥຊࡀᣲࡆࡽࢀࡓ. ࡲࡓ, ௚ࡢඛ⾜࣮ࢺࢆᐇ᪋ࡋࡓ. ࡑࡢ୰࡟ࠕࡇࡢᐇ⩦࡛⋓ᚓࡋ◊✲ 3) ࡛ࡣ, ᐇ⩦࡛ࡢᡂᯝࡀ኱ࡁ࠿ࡗࡓ࡜ឤࡌ

ࡓ⬟ຊ, ᡂ㛗ࡋࡓ࡜ࡇࢁࡣఱ࡛ࡍ࠿.ࠖ࡜࠸࠺㉁ࡓᏛ⏕ࡣ, ௓ධࡢ▱㆑ࡸᢏ⾡, ホ౯ࡢ▱㆑ࡸᢏၥ㡯┠ࢆタᐃࡋ, ⮬⏤࡟グ㏙ࡉࡏࡓ. ศᯒ᪉ἲ⾡࡞࡝, ⌮Ꮫ⒪ἲࡢᛮ⪃㐣⛬࡟ᡂᯝࢆឤࡌ, ᐇࡣࢸ࢟ࢫࢺ࣐࢖ࢽࣥࢢ࡟ࡼࡿศᯒࢆ⾜ࡗࡓ. ࢸ⩦ࡢᡂᯝࡀ୰⛬ᗘࡢᏛ⏕ࡣ, ࢥ࣑ࣗࢽࢣ࣮ࢩࣙ࢟ࢫࢺ࣐࢖ࢽࣥࢢ࡜ࡣ, ኱㔞ࡢᩥ❶ࢹ࣮ࢱ࠿ࡽ

ࣥ࡟ᑐࡋᡂᯝࡀ࠶ࡗࡓ࡜㏙࡭࡚࠸ࡿ. ࡇࢀࡲ࡛,᭷┈࡞᝟ሗࢆྲྀࡾฟࡍࡇ࡜ࢆ⥲⛠ࡋࡓࡶࡢ࡛࠶⮫ᗋᐇ⩦࡟㛵ࡍࡿㄪᰝ◊✲ࡣᩘከࡃ࡞ࡉࢀ࡚࠸

ࡿ. ࡇࡢࢸ࢟ࢫࢺ࣐࢖ࢽࣥࢢࢆ⾜࠺⿦⨨࡜ࡋ࡚ඛ⾜◊✲2)

⾲ 1.

⾲ 1. ྛᐇ⩦࡟࠾ࡅࡿᏛࡧ࡟ࡘ࠸࡚㢖ฟࡉࢀࡓ༢ㄒ࡜ㄒᩘ⮫ᗋᐇ⩦პㄒᩘ⮫ᗋᐇ⩦ჟㄒᩘ⮫ᗋᐇ⩦რ

ホ౯59

ᝈ⪅38

⪃࠼ࡿ

39

ᝈ⪅

44

⪃࠼ࡿ

32

ᝈ⪅

38

㺘㺮㺋㺤㺗㺎㺚㺌㺻24㺘㺮㺋㺤㺗㺎㺚㺌㺻

30

἞⒪

21

Ꮫࡪ

24

⮬ศ

27

㺘㺮㺋㺤㺗㺎㺚㺌㺻

20

ぢࡿ

21

἞⒪

24

ホ౯20

⪃࠼ࡿ21

ぢࡿ

19

⮬ศ

19⾜࠺19⾜࠺18ᐇ⩦18

ᑐ㇟

19

ᐇ⩦

18

Ꮫࡪ

17⮬ศ16

ホ౯

15ほᐹ

16

ᐇ⩦15

ຊ

15

ᛮ࠺

152ㄒᩘ