アブストラクト
Japanese
| Title | 小児集中治療室におけるEnd-of-Life Careの概念分析 |
|---|---|
| Subtitle | 資料 |
| Authors | 手塚園江, 小林京子 |
| Authors (kana) | |
| Organization | 聖路加国際大学大学院看護学研究科 |
| Journal | 日本小児看護学会誌 |
| Volume | 31 |
| Number | |
| Page | 251-261 |
| Year/Month | 2022 / |
| Article | 報告 |
| Publisher | 日本小児看護学会 |
| Abstract | 「抄録」 目的:小児集中治療室には積極的治療にもかかわらず医学的に救命の限界となりEnd-of-Lifeの転帰をたどる子どもが存在する. 小児集中治療室におけるEnd-of-Life Careの概念の極めて重要な要素をとらえ操作的定義を明らかにすることを目的に概念分析を実施した. 方法:WalkerとAvant(2018)の分析方法を用い文献57件を対象とした. 結果:定義属性は子どもへの直接ケア, 家族への直接ケア, 家族と医療従事者の関係性, 意思決定支援, 子どもとの死別, 医療従事者の能力の6つのテーマが抽出された. 結論:小児集中治療室におけるEnd-of-Life Careは多様な発達段階と病の軌跡にある子どもと家族に繰り返される意思決定のプロセスと, 子どもと家族への直接的なケアを通じ相互理解を経て構築された関係性を基盤に子どもの最善のために継続的に支援する子どもと家族を中心としたトータルケアであった. |
| Practice | 看護学 |
| Keywords | 概念分析, 小児集中治療室, 終末期ケア, concept analysis, PICU, end-of-life care |
English
| Title | End-of-life care in the pediatric intensive care unit : a concept analysis |
|---|---|
| Subtitle | |
| Authors | Sonoe Tezuka, Kyoko Kobayashi |
| Authors (kana) | |
| Organization | Graduate School of Nursing Science |
| Journal | Journal of Japanese Society of Child Health Nursing |
| Volume | 31 |
| Number | |
| Page | 251-261 |
| Year/Month | 2022 / |
| Article | Report |
| Publisher | Japanese Society of Child Health Nursing |
| Abstract | [Abstract] PURPOSE: In the pediatric intensive care unit (PICU), there are children with life-threatening conditions, which results to end-of-life (EOL) consequences despite the administration of aggressive treatment. A conceptual analysis was conducted to determine the critical elements of EOL care in the PICU and to identify operative definitions. METHODS: The analysis method of Walker & Avant (2018) was used, and the databases searched included PubMed, EMBASE, CINAHL, PsycINFO, and Icyushi Web (Japanese database). A total of 57 references were included in the analysis. RESULTS: Attribute groups were categorized based on six themes: direct care for children, direct care for families, relationships between families and health care professionals, decision support, bereavement with children, and health care professional readiness. CONCLUSIONS: EOL care in the PICU involved child- and family-centered care that continuously supported the best interests of children and families with diverse developmental stages. Additionally, disease trajectories repeated the shared decision-making process and helped in building relationships based on mutual understanding between families and health care providers. |
| Practice | Nursing |
| Keywords | concept analysis, PICU, end-of-life care |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
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残りの15件を表示する
- Butler, A. E., Hall, H., & Copnell, B. (2018). Becoming a team: The nature of the parent-healthcare provider relationship when a child is dying in the pediatric intensive care unit. Journal of Pediatric nursing, 40, e26-e32.
- Coyne, I., Hallstrom, I., & Soderback, M. (2016). Reframing the focus from a family-centred to a child-centred care approach for children's healthcare. Journal Child Health Care, 20(4), 494-502.
- Falkenburg, J. L., Tibboel, D., & Ganzevoort, R. R., et, al. (2016). Parental physical proximity in end-of-life care in the PICU. Pediatric Critical Care Medicine, 17(5), e212-e217.
- Feudtner, C., Kang, T. I., & Hexem, K. R., et, al. (2011). Pediatric palliative care patients: a prospective multicenter cohort study. Pediatrics, 127, 1094-1101.
- Gordon, C., Barton, E., & Meert, K. L., et al. (2009). Accounting for medical communication: parents' perceptions of communicative roles and responsibilities in the pediatric intensive care unit. Communication Medicine, 6(2), 177-188.
- Hawthorne, D. M., Youngblut, J. M., & Brooten, D. (2016). Parent spirituality, grief, and mental health at 1 and 3 months after their infant's/child's death in an intensive care unit. Journal of Pediatric nursing, 31(1), 73-80.
- Lamiani, G., Giannini, A., & Fossati, I., et al. (2013). Parental experience of end-of life care in the pediatric intensive care unit. Minerva Anestesiologica, 79(12), 1334-1343.
- McGraw, S. A., Truog, R. D., & Solomon, M. Z., et al. (2012). "I was able to still be her mom" -parenting at end of life in the pediatric intensive care unit. Pediatric Critical Care Medicine, 13(6), e350-e356.
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- Meert, K. L., Shear, K., & Newth, C. J., et, al. (2011). Followup study of complicated grief among parents eighteen months after a child's death in the pediatric intensive care unit. Journal of Palliative Medicine, 14(2), 207-214.
- Meyer, E. C., Ritholz, M. D., & Burns, J. P., et al. (2006). Improving the quality of end-of-life care in the pediatric intensive care unit: Parents' priorities and recommendations. Pediatrics, 117(3), 649-657.
- Michelson, K. N., Patel, R., & Haber-Barker, N., et al. (2013). End-of-life care decisions in the PICU: roles professionals play. Pediatric Critical Care Medicine, 14(1), e34-e44.
- Short, S. R., & Thienprayoon, R. (2018). Pediatric palliative care in the intensive care unit and questions of quality: a review of the determinants and mechanisms of high-quality palliative care in the pediatric intensive care unit (PICU). Translational Pediatric, 7(4), 326-343.
- Suttle, M. L., Jenkins, T. L., & Tamburro, R. F. (2017). End-of-life and bereavement care in pediatric intensive care units. Pediatric Clinin of North America, 64(5), 1167-1183.
- Walker L. O., & Avant K. C. (2018). Strategies for theory construction in nursing Six Edition. Pearson Education.
