Japanese

Title	救命救急センターで予期せぬ死別を体験した家族の悲嘆に対する看護実践
Subtitle	研究ノート
Authors	森島加奈子1)
Authors (kana)
Organization	1)聖泉大学看護学部
Journal	聖泉看護学研究
Volume	11
Number
Page	33-42
Year/Month	2022 /
Article	報告
Publisher	聖泉大学
Abstract	「抄録」「目的」救命救急センターで患者の予期せぬ死により死別を体験した家族の悲嘆に対する看護実践を明らかにする. 「方法」救命救急センターにおける5年以上の臨床経験を有し, 患者の予期せぬ死により死別を体験した家族への看護実践の経験を有する看護師を対象とし, 半構成的面接によりデータを収集した. 語られた内容を質的記述的に分析した. 「結果」家族の悲嘆に対する看護実践は, 【今の状況を捉えて家族に配慮しながら事実を伝える】【最期の様子を伝える】【家族の感情の表出を見守り受け止める】【患者の状況が家族に衝撃を与えると判断して離れてもらう】【衝撃を受けている家族をひとりにしない】【家族の様子をみながらタイミングを見極めて声をかける】【亡くなった患者と家族が一緒に過ごせる時間と場所を提供する】【家族が生前の思い出を語れるようにする】【患者と家族にできる限り誠実に対応する】であった. 「考察」看護師は, 救命救急センターという特殊な環境と短く限られた時間の中で, 家族の悲嘆の変化を捉えながら意図的に関わっていることが示唆された.
Practice	看護学
Keywords	救命救急センター, 予期せぬ死, 家族の悲嘆, 看護実践, critical care center, unexpected death, grieving family member, nursing practice

English

Title	Nursing Practice at a Critical Care Center for a Grieving Family Member Unexpectedly Bereaved
Subtitle	Reports
Authors	Kanako Morishima1)
Authors (kana)
Organization	1)Faculty of Nursing, Seisen University
Journal	Seisen Journal of Nursing Studies
Volume	11
Number
Page	33-42
Year/Month	2022 /
Article	Report
Publisher	SEISEN UNIVERSITY
Abstract	[Abstract] [Purpose] To examine nursing practices toward people experiencing grief due to a family member's unexpected death at a medical emergency center. [Method] Semi formal interviews were conducted with nurses having over 5 years of experience of providing support to bereaved families at a medical emergency center. The collected data were qualitatively and descriptively analyzed. [Results] Nursing practices for grief included "grasping the current situation and statinge the facts while considering the family," "telling the family about the patient's last moments," "observing and understanding the family's expression of emotions" "understanding that the current state of the patient will shock the family and givinge them space," "not leavinge shocked family members to be by themselves," "observinge the family's body language and providinge condolence when the timing is right," "providinge the family time and space with the deceased patient," "allowing the family to talk about their memories," and "interacting with the patient and family as sincerely as possible." [Discussion] Amidst the specialized environment of a medical emergency center and limited time, nurses showed signs of grasping changes in the families' grief and strategically interacted with them.
Practice	Nursing
Keywords	critical care center, unexpected death, grieving family member, nursing practice

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