Japanese

Title	手術室看護師の術前外来に対する認識の変化から術前外来の意義を考える
Subtitle	研究報告
Authors	三淵未央, 青井良太
Authors (kana)
Organization	地方独立行政法人 堺病院機構 堺市立総合医療センター 手術センター
Journal	日本手術医学会誌
Volume	43
Number	1
Page	112-121
Year/Month	2022 / 2
Article	報告
Publisher	日本手術医学会
Abstract	要旨:【目的】術前外来を実践する過程で手術室看護師に起こる認識の変化を明らかにする. 【方法】手術室に勤務する看護師10名を対象にした質的記述的研究方法. 【結果】半構造化面接により10サブカテゴリー, 4つのカテゴリー《不慣れな役割に対する煩わしさ》《知識不足に対する不安と戸惑い》《患者中心の看護》《周術期看護の質の向上に対する取り組み》を抽出した. 【考察】手術室看護師は, 術前外来の重要性を認識するまでは《不慣れな役割に対する煩わしさ》《知識不足に対する不安と戸惑い》により術前外来に対し消極的であることが明らかになった. しかしながら, 術前外来を体験した後には, 彼らは《患者中心の看護の提供》《周術期看護の質の向上に対する取り組み》を示し, 術前外来で患者の思いを知り寄り添う経験が患者支援の大切さの気づきをもたらしただけでなく, 患者中心の看護を提供する場として術前外来を認識するように変化していた. 加えて, 術前外来の重要性を認識した手術室看護師は, 周術期合併症の予防のために多職種と連携し, 個別性に応じた看護介入を実施していた. また, 手術室看護師の経験や知識に基づいた術前外来の実践は, 二次障害や合併症の予防に繋がっていた. これらのことから手術室看護師が術前外来の重要性を認識することは, 安全な周術期看護の提供に繋がると示唆された.
Practice	臨床医学：外科系
Keywords	手術室看護師, 術前外来, 周術期看護

English

Title	Consider the significance of preoperative outpatients from changes in the perception of surgical nurses regarding preoperative outpatients.
Subtitle
Authors	Mio Mibuchi, Ryouta Aoi
Authors (kana)
Organization	Sakai City Medical Center Nursing Bureau Operating room
Journal	Journal of Japanese Association for Operating Room Technology
Volume	43
Number	1
Page	112-121
Year/Month	2022 / 2
Article	Report
Publisher	Japanese Association for Operative Medicine
Abstract	[Abstract] [Purpose] Elucidating the changes in recognition among operative medical assistants in the process of practicing the preoperative nursing conference. [Method] A qualitative study of 10 operative medical assistants. [Result] Using semi-structured interviews, we obtained 10 sub-categories and 4 categories :"Worry about inexperienced tasks," "Anxiety and puzzlement for absence of knowledge, "Patient-oriented nursing," and "Improvement of quality of perioperative nursing." [Discussion] Before obtaining the recognition of the significance of the preoperative nursing conference, medical assistants were hesitant to conduct the preoperative nursing conference due to "Worry about inexperienced tasks" and "Anxiety and puzzlement for absence of knowledge." After experiencing preoperative nursing conferences, however, it was observed that the medical assistants were presenting "Patient-oriented nursing" and "Improvement of quality of perioperative nursing." Not only had they learned that it is significant for patient support to know how patients are feeling and to share it with them, but also they came to identify the preoperative nursing conference as an occasion for "Patient-oriented nursing." In addition, operative medical assistants who recognized the significance of preoperative nursing conferences are recognized to be practicing multi-disciplinary collaboration in order to prevent patients' perioperative complications, and offering individual nursing and patient care. Their practice of preoperative nursing conferences was noticed to be leading towards the prevention of secondary lesions and complications. Accordingly, we could conclude that the recognition of the significance of preoperative nursing conferences among medical assistants will lead to offering safe perioperative nursing.
Practice	Clinical surgery
Keywords

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参考文献