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Japanese
Title :
造血器腫瘍患者・家族をケアする看護師が感じる困難と対処〜中堅看護師のインタビューから〜
Subtitle :
原著
Authors :
村田香織1), 城丸瑞恵2), 仲田みぎわ2)
Authors (kana) :
Organization :
1)北海道看護協会, 2)札幌医科大学保健医療学部看護学科
Journal :
北日本看護学会誌
Volume :
20
Number :
1
Page :
1-11
Year/Month :
2017 / 9
Article :
原著
Publisher :
北日本看護学会
Abstract :
「要旨」本研究の目的は, 造血器腫瘍の患者・家族にケアする看護師 (以下看護師) が, どのような困難を感じ, その困難に対してどのような対処をしているかを明らかにすることである. 血液内科病棟での経験年数が3年以上の中堅レベルの看護師7名に対し, 半構造化面接を実施し, 質的記述的研究手法を用いて分析した. その結果, 看護師が感じる『困難』として, 【血液疾患・治療上の難しさ】【医師との協働の難しさ】【患者との関係性の難しさ】【家族への対応の難しさ】【移植治療に希望を託す患者への看護師の苦悩】【看護師自身の負担】の6つのカテゴリーが見いだされた. また, これらの『困難』への『対処』としては, 【スタッフ間での問題解決】【患者への積極的な関わり】【柔軟なケアの工夫】【血液内科の看護の魅力の発見】【自分自身の努力】【自己消化】の6つのカテゴリーが見いだされた.
Practice :
看護学
Keywords :
造血器腫瘍, 看護師, 困難, 対処, Hematologic malignancies, Nurse, Difficulties, Coping
  
English
Title :
Difficulties and coping methods of nurses with hematological malignancy patients and their families 〜From mid-career nurse interviews〜
Subtitle :
Authors :
Kaori Murata1), Mizue Shiromaru2), Migiwa Nakada2)
Authors (kana) :
Organization :
1)Hokkaido Nursing Association, 2)Department of Nursing, School of Health Sciences, Sapporo Medical University
Journal :
Journal of North Japan Academy of Nursing Science
Volume :
20
Number :
1
Page :
1-11
Year/Month :
2017 / 9
Article :
Original article
Publisher :
North Japan Academy of Nursing Science
Abstract :
[ABSTRACT] This study aimed to identify difficulties faced by nurses in caring for patients with hematological malignancies and their families and suggest appropriate methods for coping with the difficulties. Semi-structured interviews of 7 nurses with experience working in hematology wards for 3 years or longer were conducted, and the obtained data were qualitatively and descriptively analyzed. The following 6 categories were extracted as "difficulties" faced by the nurses : <hematological disorder- and treatment-related difficulties>, <difficulties experienced in cooperating with physicians>, <difficulties in establishing favorable relationships with patients>, <difficulties in dealing with the families of patients>, <nurse distress at patients who invests hopes in hematopoietic stem cell transplantation>, and <the overall burden on nurses>. Six categories of coping methods were extracted for dealing with these difficulties : <staff approaches to problem-solving>, <an active commitment to the patients>, <development of flexible methods of caring>, <development of positive attitudes towards hematology nursing>, <individual effort>, and <problem-solving skills>.
Practice :
Nursing
Keywords :
Hematologic malignancies, Nurse, Difficulties, Coping
  

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