アブストラクト
Japanese
| Title | 医療的ケア児の在宅移行に向けた家族支援におけるNICU看護師の実践と思考 - 1施設における調査 - |
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| Subtitle | 研究報告 |
| Authors | 後藤あゆみ1), 涌水理恵2), 小澤典子3) |
| Authors (kana) | |
| Organization | 1)元 筑波大学大学院人間総合科学研究科看護科学専攻博士前期課程, 2)筑波大学医学医療系発達支援看護学, 3)慶應義塾大学看護医療学部 |
| Journal | 家族看護学研究 |
| Volume | 30 |
| Number | |
| Page | 76-86 |
| Year/Month | 2025 / |
| Article | 報告 |
| Publisher | 日本家族看護学会 |
| Abstract | 「要旨」「目的」:本研究は, 医療的ケア児の退院に向けた家族支援の経験のある看護師の語りから, 実践した内容と, 実践した意図, 実践する上で意識している考えや工夫といった看護師の思考を明らかにすることを目的とした. 「方法」:NICUにおける看護師経験年数3年以上の看護師7名を対象に半構造化面接にてデータを収集し, 質的記述的に分析した. 「結果」:分析結果から6つのカテゴリーが生成された. NICU看護師は, 退院が決定される前から【子どもが自宅で過ごせるよう, 早期から先を見据えて準備する】ことを考え家族に関わっていた. さらに, 【在宅移行や障害受容に対し揺れ動く家族の心情に寄り添う】【医療的ケアの手技習得に臨む家族の気持ちを慮りながら指導する】ことを念頭に置き, 在宅移行に向けて【家族が主となり医療的ケアを行えるように手技習得を支える】こと, 家族全体を捉え【子どもを迎え入れた在宅生活の構築を支援する】ようにしていることが明らかとなった. 「結論」:NICU看護師は, 医療的ケア児の在宅移行に向けた家族への支援において, 子どもの障害受容や在宅移行に対する思いなど, 多様な家族の心情と生活を捉え支援していた. |
| Practice | 看護学 |
| Keywords | 医療的ケア児, 在宅移行, 家族支援, NICU, child requiring medical care, transition to home care, family support, Neonatal Intensive Care Unit |
English
| Title | Nursing Practice and Thoughts of NICU Nurses for Family Care for the Transition of Children Requiring Medical Care to Home Based Care |
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| Subtitle | |
| Authors | Ayumi Goto1), Rie Wakimizu2), Noriko Ozawa3) |
| Authors (kana) | |
| Organization | 1)Department of Nursing Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 2)Department of Child Health and Development Nursing, Institute of Medicine, University of Tsukuba, 3)Faculty of Nursing and Medical Care, Keio University |
| Journal | Japanese Journal of Research in Family Nursing |
| Volume | 30 |
| Number | |
| Page | 76-86 |
| Year/Month | 2025 / |
| Article | Report |
| Publisher | Japanese Association for Research in Family Nursing, JARFN |
| Abstract | [Purpose]: This study aimed to examine NICU nurses' perspectives on family support for the transition of children requiring medical care to home care. [Methods]: Data were collected through semi-structured interviews with seven NICU nurses with over three years of experience and analyzed using qualitative content analysis. [Results]: Before the children were discharged, the nurses "looked ahead and made preparations for their transition to home relatively early so that the children could spend time at home." In addition, the nurses' perspective of their practice was "to be considerate of the family's wavering feeling," "try not to break off family's heart for acquiring skill of medical care," "support them in acquiring skills of medical care independently," and the nurse taking into consideration a whole family, "support for build the foundation of family's life taking in their child who requires medical care." [Conclusion]: The NICU nurses' perspective is to provide support to families during the transition to home care for children who require medical care. They take into account the families' feelings and life, such as their acceptance of disabilities and their thoughts on the transition. |
| Practice | Nursing |
| Keywords | child requiring medical care, transition to home care, family support, Neonatal Intensive Care Unit |
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