Japanese

Title	外国人患者への救急看護師の実践
Subtitle	研究報告
Authors	田中陽子1), 吉村惠美子2)
Authors (kana)
Organization	1)下関市立大学看護学部看護学科, 2)国際医療福祉大学大学院医療福祉学研究科保健医療学専攻看護学分野
Journal	日本救急看護学会雑誌
Volume	27
Number
Page	90-100
Year/Month	2025 /
Article	報告
Publisher	日本救急看護学会
Abstract	「要旨」「目的:」外国人患者への救急看護師の実践を記述することである. 「研究方法:」質的記述的研究デザインで, 救急外来や救命救急センターに勤務し, 過去に外国人患者の対応の経験を有している看護師10名を対象に, 半構造的インタビューを行った. 「結果:」救急看護師は, 外国人患者への対応において〔意思伝達手段の準備〕など【意思伝達に配慮した実践】を行い, 〔緊急性や重症度の判断〕など【救急時に配慮した実践】を行っていた. また〔共感と思いやりからくる支援〕など【文化, 身体的特徴の違いを意識した実践】を行う一方で, 〔言語的意思疎通が不足するなかでの看護実践〕など【外国人患者対応へのジレンマを意識した実践】を行っていた. カテゴリは4, サブカテゴリは16が抽出された. 「考察:」救急看護師は, 外国人患者へ配慮し, 母国の文化に寄り添った看護を実践しており, 異国で救急搬送された外国人患者の思いに共感し, 心情を慮って, 少しでも寄り添うことで, 安心感を与えようとしていると考えられる. 一方で救急看護師は, 意思伝達に配慮しつつも, 外国人患者対応へのジレンマを抱えていた. 通訳デバイスの使用や医療通訳者との協働, さらには非言語的コミュニケーションを用いて, 外国人患者に安心感を与えることができるような言葉かけや情報収集のための教育支援を検討する必要性が示唆された.
Practice	看護学
Keywords	外国人患者, 外国人, 救急看護, コミュニケーション, 看護教育, foreign patients, foreigner, emergency nursing, communication, nursing education

English

Title	Emergency nurses' practices for foreign patients
Subtitle
Authors	Yoko Tanaka, Emiko Yoshimura
Authors (kana)
Organization
Journal	Journal of Japanese Association for Emergency Nursing
Volume	27
Number
Page	90-100
Year/Month	2025 /
Article	Report
Publisher	Japanese Association for Emergency Nursing
Abstract	[ABSTRACT][Aims:] To explore nurses' perspectives on providing emergency nursing services to foreign patients. [Method:] Semi-structured interviews were conducted with 10 nurses with experience in caring for foreign patients in emergency departments or critical care centers. [Results:] Four categories and 16 subcategories were extracted: "Practices with consideration for communication," "Practices with consideration for emergency situations," "Practices with awareness of differences in culture and physical characteristics," and "Practices with awareness of dilemmas in dealing with foreign patients." Emergency nurses, when dealing with non-Japanese patients, practiced "Practices with consideration for communication" such as "preparation of communication tools," and "Practices with consideration for emergency situations" such as "judgment of urgency and severity of illness." They also practiced with awareness of cultural and physical differences, including "support based on empathy and compassion," while at the same time facing "Practices with awareness of dilemmas in dealing with foreign patients," such as "nursing practice in the face of insufficient linguistic communication." [Discussion:] The emergency nurses were considerate of foreign patients and attempted to treat them according to the culture of their home countries. They appeared to empathize with foreign patients and tried to provide them with a sense of security by responding to their needs. On the other hand, emergency nurses attempted to communicate clearly but faced dilemmas in dealing with foreign patients. It was suggested that there is a need to consider the use of interpreting devices and collaboration with medical interpreters, as well as non-verbal communication, to provide educational support for language and information gathering that can help foreign patients feel more comfortable.
Practice	Nursing
Keywords	foreign patients, foreigner, emergency nursing, communication, nursing education

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