Japanese

Title	日本の救急・集中治療領域におけるエンドオブライフケア研究の動向 : マッピングレビュー
Subtitle	総説
Authors	依田智未, 田代理沙, 小西美ゆき, 萩谷翔太, 水流添秀行, 増島麻里子
Authors (kana)
Organization	千葉大学大学院看護学研究科, 千葉大学大学院看護学研究科, 千葉大学大学院看護学研究科, 千葉大学大学院看護学研究科, 千葉大学大学院看護学研究科, 千葉大学大学院看護学研究院
Journal	千葉看護学会会誌
Volume	28
Number	2
Page	9-17
Year/Month	2023 / 2
Article	報告
Publisher	千葉看護学会
Abstract	目的:日本の救急・集中治療領域でのエンドオブライフケア(以下, EOLC)研究のマッピングレビューを実施し, 研究の概要や今後の研究課題を検討すること. 方法:医中誌Web・PubMedにて, 「エンドオブライフ」, 「救急」, 「集中治療」等をキーワードとし, 2008年から2021年に公表された原著論文・文献レビューを検索した. 選定基準は「救急・集中治療領域でのEOLCに着目している」等, 除外基準は「研究対象に小児を含む」等とした. 結果:1,635件を抽出し, 46件を対象とした. 原著論文は43件(93.5%), 筆頭著者の専門領域は看護学34件(73.9%)であった. 研究デザインは質的研究と量的研究がほぼ同数であり, 研究対象は看護師25件(54.3%)等であった. 研究目的を類型化すると, 「患者・家族への看護支援」, 「医療者のEOLCへの認識や態度・困難・葛藤」等8つに大別された. 著者が明示した今後の研究課題は, 原著論文は「対象地域や対象者の拡大」や「エンドオブライフ期の患者・家族への介入・評価」等, 文献レビューも「エンドオブライフ期の家族の心理状況の把握・介入」等であった. 結論:救急・集中治療領域でのEOLC研究は, 看護学を主体として実施されていた. 今後は「患者・家族を対象とした研究」, 「看護師の感情疲労に関する研究」等, 対象者・ケア提供者双方のWell-beingを目指す研究が重要と考える.
Practice	看護学
Keywords	end-of-life care, emergency and intensive care fields, mapping review

English

Title	TRENDS IN RESEARCH ON END-OF-LIFE CARE IN THE FIELD OF EMERGENCY AND INTENSIVE CARE IN JAPAN : A MAPPING REVIEW
Subtitle	Review Articles
Authors	Satomi Yoda, Risa Tashiro, Miyuki Konishi, Shota Hagiya, Hideyuki Tsuruzoe, Mariko Masujima
Authors (kana)
Organization	Graduate School of Nursing, Chiba University
Journal	Journal of Chiba Academy of Nursing Science
Volume	28
Number	2
Page	9-17
Year/Month	2023 / 2
Article	Report
Publisher	Chiba Academy of Nursing Science
Abstract	Objectives: This study aims to conduct a mapping review of studies on end-of-life care (EOLC) in the field ofemergency and intensive care in Japan and to provide an overview of extant literature and future research directionsrequired. Methods: Ichushi-Web and PubMed were searched for original studies and literature reviews published between 2008 and 2021 by combining the search terms "end of life, " "emergency, " and "intensive care." The selection criterion was "focus on EOLC in the field of emergency and intensive care, " and the exclusion criterion was "pediatric subjects." Results: In total, 1,635 articles were screened, out of which 46 articles were included in the review. Forty-three of them(93.5%) were original studies, and 34(73.9%) articles were written by first authors whose area of expertise was nursing. Qualitative and quantitative research methodologies were employed in approximately equal numbers. In 25(54.3%) studies, the research participants were nurses. The research objectives could be categorized into eight types, some of which were "Nursing support for end-of-life patients and their families, " "Medical personnel's perceptions, attitudes, difficulties, and conflicts toward EOLC." Future research was required to address topics, such as "Expansion of target areas and subjects, " and "Intervention and evaluation of end-of-life patients and their families" in the original studies and "Understanding and intervention of the psychological status of families of end-of-life patients" in the literature reviews. Conclusion: EOLC studies in the field of emergency and intensive care have been conducted mainly in nursing. Research aimed at the well-being of both end-of-life patients and EOLC providers, focused on topics such as "Patients and families as research participants" and "nurses' emotional exhaustion" will be essential in the future.
Practice	Nursing
Keywords	end-of-life care, emergency and intensive care fields, mapping review

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