Nursing practice of visiting nurses in supporting elderly caregivers dealing with medical treatment
| Jazyk: | japonština |
|---|---|
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | 岡山県立大学保健福祉学部紀要 = BULLETIN OF FACULTY OF HEALTH AND WELFARE SCIENCE, OKAYAMA PREFECTURAL UNIVERSITY. 26:49-59 |
| ISSN: | 1341-2531 |
| Popis: | 目的： 介護に困難さが見え始めた時期にある高齢療養者の医療処置を担う高齢介護者の、介護継続を支える訪問看護師の看護実践を明らかにする。方法： 看護師経験5 年以上訪問看護経験3 年以上の訪問看護師10 名に、半構造化面接を実施し、内容分析を行った。結果：【 生活に合わせた医療処置習得の指導【】生活に根ざしたリスクマネジメント【】医療処置に対応できる資源の調整】【コミュニケーションを通した癒し】【在宅介護の限界の見極め】【介護者の価値観を尊重した接近】【在宅療養継続を支える訪問看護師の信条】の7 カテゴリーが抽出された。結論： 訪問看護師の看護実践は、［在宅における価値観の尊重］を基盤とし、［安定した状況の維持］や［負担の軽減］で可能な限り在宅介護継続を支援しながら、介護の最終段階の［限界の見極め］を中核として統合的に判断していく構造であった。 Objectives: The nursing practice of visiting nurses in supporting elderly caregivers that are dealing with medical treatment for elderly patients during a difficult stage of caring was examined.Methods: Semi-structured interviews were conducted with visiting nurses (N=10) with over five years of nursing experience and three years of experience as a visiting nurse. content analysis was conducted with the interview data.Results: Seven categories were extracted: “Teaching treatment skills based on his or her life, “Risk management based on his or her life,” “Adjusting resources to deal with treatment,” “Healing through communication,” “Recognizing the limits of home care,” “Approach of respecting each caregiver’s values,”and “The principles of visiting nurses in supporting elderly caregivers to continue home care.”Conclusions: The nursing practice of visiting nurses was based on respecting the values at home. They supported caregivers to continue home care as much as possible by maintaining stability and reducing the burden. Furthermore, they comprehensively judged the limits of home care during the final stages of care. |
| Databáze: | OpenAIRE |
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