Abstract
In the society with the aging population and falling birthrates, what is required for the nurse engaging in community health nursing is primarily quick response, enhanced collaboration, ethics and moral and most importantly, self-discipline ability to response to drastically changing social demands. We have tried a learning method for improving the self-discipline ability of nursing student including integration of knowledge, skill, attitude, and moral. This learning Method mainly focuses on the curriculum of field work across all three year-terms. For the 1st grade students, we intended to improve the education of affective domain and deployed an early exposure to nurture the student's needs-orientation. This time we evaluated their early exposure, activity and revealed how it is effective to improve the self-discipline ability. Eighty-four students of Shimane Nursing College were chosen for that purpose. They submitted reports on the training in the course of the fieldwork, and we evaluated the education effect by categorizing, analyzing, and assessing the reports on each coursework using KJ method. The evaluation was carried out about 4 points : 1) Selection of coursework, 2) Learning situation : categorized into 10 iterms in term's of needs assessment, 3) Acquisition of affective domain : categorized into 3 items, 4) Self-disciplining coursework : categorized into 3 areas. As a results of the early exposure in the field, we found the following tendency : 1) The students learned about self-realization of people, necessity of mental assistance, and the detail of relevant institutions or social resources. This gave the students opportunities to learn the people's needs required to be met in local nursing care. 2) The student's learned much about the diversity of value senses. This improved the education effect on affective domain. 3) The self-discipline coursework the students selected was generally divided into 3 domains: the cognitive, psychomotor and affective domain, It is evident that through the early exposure intended for the students to acquire the affecive domain, they recognized the necessity of self-discipline in the other domains, too. Therefore, it can be said that early exposure is an effective learning method for student nurses to nurture self-discipline ability in community health nursing education.
