アブストラクト
Japanese
| Title | 救急・集中治療領域における看護師の代理意思決定支援と終末期ケアに対する困難度ならびに態度の関連 |
|---|---|
| Subtitle | 原著 |
| Authors | 松岡加純1), 河野あゆみ2) |
| Authors (kana) | |
| Organization | 1)堺市立総合医療センター, 2)大阪市立大学大学院看護学研究科 |
| Journal | 日本看護科学会誌 |
| Volume | 42 |
| Number | |
| Page | 40-47 |
| Year/Month | 2022 / |
| Article | 原著 |
| Publisher | 日本看護科学学会 |
| Abstract | 「要旨」目的: 地域医療支援病院の救急・集中治療領域における看護師の代理意思決定支援と終末期ケアに対する困難度と態度の関連を明らかにする. 方法: 救急・集中治療領域の看護師を対象に無記名自記式質問紙調査を行い, 看護師の代理意思決定支援, 終末期ケアに対する困難度(DFINE), 終末期ケアに対する態度(FATCOD-BJ)を把握した. 結果: 分析対象者120名のうち, 代理意思決定支援の高実践群(60名)は低実践群(60名)に比べ, 救急・集中治療領域の臨床経験が6年以上の者が多かった. 終末期ケアに対する困難度の得点では, 代理意思決定支援の高実践群は低実践群より低く, 共分散分析においても有意な差がみられた. 終末期ケアに対する態度に関しては, 代理意思決定支援の高実践群と低実践群では, t検定ならび共分散分析において有意な差はみられなかった. 結論: 救急・集中治療領において代理意思決定支援を積極的に行っている看護師は, 終末期ケアに対する困難感が低いことが示された. |
| Practice | 看護学 |
| Keywords | 代理意思決定支援, 救急・集中治療領域, 終末期ケア, surrogate decision-making, emergency and intensive care area, end-of-life care |
English
| Title | Associations of Surrogate Decision-making Support with the Difficulties and Attitudes of Nurses Providing End-of-life Care in Emergency or Intensive Care Settings |
|---|---|
| Subtitle | |
| Authors | Kazumi Matsuoka1), Ayumi Kono2) |
| Authors (kana) | |
| Organization | 1)Sakai City Medical Center, 2)Osaka City University |
| Journal | Journal of Japan Academy of Nursing Science |
| Volume | 42 |
| Number | |
| Page | 40-47 |
| Year/Month | 2022 / |
| Article | Original article |
| Publisher | Japan Academy of Nursing Science |
| Abstract | [Abstract] Objective: To clarify the relationship between nurses' surrogate decision-making support and difficulties faced by and attitudes of end-of-life care in emergency or intensive care area of community medical support hospitals. Method: A survey was conducted using a self-administered questionnaire, and nurses in emergency or intensive care units responded anonymously to the questionnaire. Nursing practice of surrogate decision-making was assessed using a nursing practice scale for measuring support for surrogate decision-makers of terminal care. Difficulties of nurses providing end-of-life-care were measured using the Scale for DFINE, and attitudes of nurses providing end-of life care were measured using The FATCOD-BJ. Results: Of the 120 respondents, 60 nurses practicing surrogate decision-making with more support were more likely to have clinical practice in emergency or intensive care units of over 6 years as compared to the remaining 60 nurses practicing surrogate decision-making with less support. The DFINE scores of nurses practicing surrogate decision-making with more support were significantly lower than those of nurses practicing surrogate decision-making with less support under Student's t-test as well as under analyses of covariance adjusting. The FATCOD-BJ score of nurses practicing surrogate decision-making with more support was almost the same as the score of those of nurses practicing surrogate decision-making with less support under Student's t-test as well as under analyses of covariance adjusting. Conclusion: The results suggested that nurses in emergency or intensive care units involved in surrogate decision-making with more support had less difficulty providing end-of-life care as compared to nurses involved in surrogate decision-making with less support. |
| Practice | Nursing |
| Keywords | surrogate decision-making, emergency and intensive care area, end-of-life care |
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残りの17件を表示する
- 厚生労働省(2018) : 人生の最終段階における医療の決定プロセスに関するガイドライン, Retrieved from: https://www.mhlw.go.jp/file/04-Houdouhappyou-10802000-Iseikyoku-Shidouka/0000197701.pdf.
- 宮岡里衣, 宇都宮明美(2018) : 代理意思決定場面において看護師の感じる困難への急性・重症患者看護専門看護師が行う支援とその能力, 日CNS看会誌, 3, 7-14.
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- 西開地由美, 吉本照子(2019) : 救急・集中治療領域の看護師が終末期患者の家族支援に関して困難を感じる状況に関する文献研究, 千葉看会誌, 24(2), 1-9.
- 佐竹陽子, 荒尾晴惠(2018) : 救急領域で終末期ケアを実践する看護師が抱く葛藤, Palliat. Care Res., 13(2), 201-208.
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- 下地智之, 豊里竹彦, 眞榮城千夏子, 他(2017) : 救急・集中治療領域の終末期治療における代理意思決定支援実践尺度の開発, 日看科会誌, 37, 437-445.
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