Japanese

Title	緩和ケア病棟においてがん患者を看取る看護師の予期悲嘆と影響要因
Subtitle	調査報告
Authors	松浦有沙, 城丸瑞恵, 仲田みぎわ
Authors (kana)
Organization	中村記念病院, 札幌医科大学保健医療学部看護学科, 札幌医科大学保健医療学部看護学科
Journal	死の臨床
Volume	43
Number	1
Page	204-209
Year/Month	2020 / 8
Article	報告
Publisher	日本死の臨床研究会
Abstract	「I. 緒言」 悲嘆は大切な人を失う全ての人に起こり得る反応と言われているため, 患者のことを大切に思い, ケアする看護師にも悲嘆反応が起こり, 看護師の悲嘆が適切に解決されない場合には, 集中力の低下などから医療事故が生じる可能性や, 精神的負担の蓄積からバーンアウトにつながる可能性が示唆されている. 宮崎は患者を亡くした家族に関する研究を行い, 予期悲嘆からの継続的なサポートがその後の悲嘆反応へ影響を与え, 適切に悲嘆が解決されることを報告している. このことから, 看護師の悲嘆を適切に解決するために, 予期悲嘆からの継続的な支援も重要であると考えられるが, 看護師がどのような予期悲嘆を抱えているかについて明らかにした研究は, 筆者が探索する限り見られなかった. 以上の事から, 看護師の悲嘆や予期悲嘆に対する支援への示唆を得るために, 看護師の予期悲嘆の様相とその影響要因について明らかにする必要があると考える.
Practice	臨床医学：一般
Keywords	Nurses, End-of-Life Care, Anticipatory Grief, Palliative Care Unit, 看護師, 看取り, 予期悲嘆, 緩和ケア病棟

English

Title	Anticipatory grief and effect factor among nurses who care for terminal cancer patients in a palliative care unit
Subtitle
Authors	Arisa Matsuura1), Mizue Shiromaru2), Migiwa Nakada2)
Authors (kana)
Organization	1)Sapporo Medical University Graduate School of Health Sciences, 2)Sapporo Medical University School of Health Sciences
Journal	The Japanese Journal of Clinical Research on Death and Dying
Volume	43
Number	1
Page	204-209
Year/Month	2020 / 8
Article	Report
Publisher	The Japanese Association for Clinical Research on Death and Dying
Abstract	[Abstract] [Purpose] To identify anticipatory grief and effect factor of nurses who care for terminal cancer patients in a palliative care unit. [Methods] The study was conducted using a qualitative and inductive approach. Interview data were transcribed verbatim and summarized, and they were classified into categories. [Results] The following categories were extracted: 3 categories concerning anticipatory grief and 3 categories as influencing factors. As anticipatory grief, [sorrow and pain that change with time], [Sorrow and pain shared with a family], and [an image of a patient in their minds] were identified. As factors influencing anticipatory grief, [the loss of physical functioning that results in death], [pain that is not relieved as expected by a nurse], and [established relationships] were identified. [Discussion] The results revealed that the nurses experienced anticipatory grief in clinical settings by being influenced by the changes in patients' physical functioning that can cause death and unfavorable situations regarding pain management. Also, [An image of a patient in their minds] was extracted as anticipatory grief experienced by the nurses in private settings, indicating that nurse-patient relationships had an impact on the private lives of the nurses.
Practice	Clinical medicine
Keywords	Nurses, End-of-Life Care, Anticipatory Grief, Palliative Care Unit

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