Japanese

Title	採血を受ける幼児の「がんばった」言動を支援する看護師のかかわり
Subtitle	資料
Authors	佐川雅世*1, 浅利剛史*2, 草薙恵*1, 田畑久江*2, 今野美紀*2
Authors (kana)
Organization	*1北海道立子ども総合医療・療育センター, *2札幌医科大学保健医療学部看護学科
Journal	日本小児看護学会誌
Volume	31
Number
Page	94-101
Year/Month	2022 /
Article	報告
Publisher	日本小児看護学会
Abstract	「抄録」 目的: 採血を受ける3歳〜7歳の幼児の「がんばった」言動を支援する看護師のかかわりを明らかにする. 方法: 3歳〜7歳の幼児の採血において幼児の「がんばった」言動とそれらがみられる前の看護師の言動を観察記録表により観察し, 質的帰納的に分析した. 結果: 対象は採血を受ける幼児20名(年齢の中央値は5歳4か月)と採血を行う看護師8名(小児看護師歴の中央値は16年). 「がんばった」言動を支援するかかわりとして【がんばれる雰囲気の醸成】, 【幼児の気持ちに寄り添った情報提供】, 【幼児の主体性を促すための提案】, 【幼児の理解を促し確認する問いかけ】, 【幼児のがんばりに対する称賛】, 【幼児の特性に合わせたディストラクション】が抽出された. 考察: 看護師は【がんばれる雰囲気の醸成】を基盤とし【幼児の主体性を促すための提案】などを行っていた. また【幼児のがんばりに対する称賛】は幼児の主体性を育む継続的な支援の可能性が示唆された.
Practice	看護学
Keywords	幼児, がんばった, 採血, 支援, 看護, young children, ganbatta, blood sampling, support, nursing

English

Title	Care performed by nurses who support the "ganbatta" behaviors of young children undergoing blood sampling
Subtitle
Authors	Masayo Sagawa*1, Tsuyoshi Asari*2, Megumi Kusanagi*1, Hisae Tabata*2, Miki Konno*2
Authors (kana)
Organization	*1Hokkaido Medical Center for Child Health and Rehabilitation, *2Sapporo Medical University, School of Health Sciences, Department of Nursing
Journal	Journal of Japanese Society of Child Health Nursing
Volume	31
Number
Page	94-101
Year/Month	2022 /
Article	Report
Publisher	Japanese Society of Child Health Nursing
Abstract	[Abstract] Objective The objective of this study was to identify the care performed by nurses who support the "ganbatta" behaviors of young children aged 3 to 7 years who were undergoing blood sampling. Method A qualitative inductive analysis was conducted after observing, through observation logs, the "ganbatta" behaviors of young children aged 3 to 7 years during blood sampling as well as the nurses' behaviors prior to observing the children's "ganbatta" behaviors. Result The subjects were 20 young children (median age: 5 years and 4 months) who were scheduled to undergo blood sampling. Blood sampling was conducted by eight nurses with a median pediatric nursing experience of 16 years. The following categories were extracted as types of care performed by nurses that supported "ganbatta" behaviors: "creating an atmosphere that encourages young children to do their best", "providing information that takes into consideration the feelings of young children", "suggestions that encourage the independence of young children", "asking questions that promote and confirm the understanding of young children", "praising the efforts of young children", and "distraction". Discussion Based on "creating an atmosphere that encourages young children to do their best", nurses efforts included making "suggestions that encourage the independence of young children". Furthermore, "praising the efforts of young children" was suggested as a possible continuous form of support that fosters the children's independence.
Practice	Nursing
Keywords	young children, ganbatta, blood sampling, support, nursing

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