Japanese

Title	後期高齢者の看取り支援において訪問看護師にネガティブな気持ちをもたらす要因
Subtitle	研究
Authors	鈴木陽子1), 高村祐子2), 鶴見三代子2)
Authors (kana)
Organization	1)茨城キリスト教大学, 2)茨城県立医療大学保健医療学部看護学科
Journal	日本在宅看護学会誌
Volume	10
Number	2
Page	20-29
Year/Month	2022 / 2
Article	報告
Publisher	日本在宅看護学会
Abstract	「要旨」「目的」 : 後期高齢者の看取りケアをする訪問看護師にネガティブな気持ちをもたらす要因を明らかにする. 「方法」 : 訪問看護師として5年以上の経験をもつ訪問看護師6名に対し半構造化インタビューを行い, 質的帰納的に分析した. 「結果」 : ネガティブな気持ちをもたらす要因として3カテゴリーが抽出された. 訪問看護師は【療養者の意思が尊重されない】, 【療養者のニーズに応じた看護ケアが提供できない】, 【看取りのための多職種による支援ができない】といった看護の停滞状態にあるために, 看取りケアの中でネガティブな気持ちを生じやすいことが明らかになった. 「結論」 : 看護の停滞状態を回避, 改善するためには, 倫理的課題を解決するためのアプローチの方法を修得し倫理原則を用いた事例検討をすること, 自宅で看取るための看護技術を学ぶこと, 相談し合える職場環境を整備すること, 地域で看取りを支援する多職種協働の強化が必要である.
Practice	看護学
Keywords	高齢者看護, 看取り, 訪問看護師, geriatric nursing, End-of-life care, visiting nurses

English

Title	Factors in the Frustrations of Visiting Nurses Providing End-of-Life Care for Late-Stage Elderly
Subtitle
Authors	Yoko Suzuki1), Yuko Takamura2), Miyoko Tsurumi2)
Authors (kana)
Organization	1)Ibaraki Christian University, 2)Department of Nursing, Ibaraki Prefectural University of Health Sciences
Journal	Journal of Japan Academy of Nursing for Home Care
Volume	10
Number	2
Page	20-29
Year/Month	2022 / 2
Article	Report
Publisher	Japan Academy of Nursing for Home Care
Abstract	[Abstract] [Purpose] : We aimed to identify the frustrations caused by ethical dilemmas among visiting nurses who provide end-of-life care to people aged 75 or older (late-stage elderly). [Method] : Data were collected through semi-structured interviews with six visiting nurses who had over 5 years of experience in their field and then analyzed qualitatively and inductively. [Results] : The following frustrations among visiting nurses were found : although they wish to practice end-of-life care that respect the preferences of late-stage elderly patients, "the preferences of the patients themselves are not respected," "patients are not provided with nursing care that meets their needs" (including end-of-life nursing care for patients and their families), and although multidisciplinary collaboration is necessary, "patients are not provided with end-of-life support by multidisciplinary health professionals." [Conclusion] : Three categories of frustrations experienced by visiting nurses in end-of-life care for the late-stage elderly were extracted. To avoid or alleviate these frustrations, visiting nurses may need to learn ethical principles and approaches for resolving ethical issues, and to study cases by applying these ethical principles. Strengthening of community-based support systems for end-of-life care may also be necessary.
Practice	Nursing
Keywords	geriatric nursing, End-of-life care, visiting nurses

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