医療・福祉現場のクライエントに化粧ケアを行う看護師の行動と意図—化粧ケア関連の教育を受けた看護師の語りから

The Behaviors and Intentions Nurses Provide Cosmetic Care for Clients in the Medical and Welfare Fields: From the Stories of Educated Nurses Related to Cosmetic Care

要旨

　目的：医療・福祉現場における化粧ケア関連の研修を受けた看護師による化粧ケアの行動と意図を明らかにする．

　方法：様々な化粧ケアの経験をもつ看護師10名を対象に半構成的面接を行い，質的帰納的に分析した．

　結果：化粧ケアの行動と意図は10のカテゴリに集約された．それらは，化粧前・中・後のプロセスに沿った行動と意図，さらに，プロセス全体を通しての行動と意図のカテゴリに分類できた．看護師は事前に現場スタッフと連携を取り，個別の介入方法により，クライエントと真摯に向き合いながら外見全体を整えていた．単発のケアではなく，評価を組み入れ，繰り返し行い，クライエントが自己を表現し成長できるよう支援していた．

　結論：看護師が行う化粧ケアの行動と意図は，全人的なアセスメントを通じて，生きる力を引き出し，相手の成長を促す看護として実施されていたことが示唆された．

　Purpose: To clarify the behaviors and intentions of cosmetic care performed by nurses who have undergone cosmetic care training for clients in medical and welfare settings.

　Methods: Semi-structured interviews were conducted with 10 nurses with various cosmetic care experiences, and the results were qualitatively and inductively analyzed.

　Results: Behaviors and intentions during cosmetic care were classified into 10 categories. These were classified into behaviors and intentions aligned with the pre, during, and post-makeup processes, and further categorized based on actions and intentions throughout the entire process. Nurses collaborated with on-site staff beforehand, employed individualized intervention methods, and earnestly engaged with clients, enhancing their overall appearance. Rather than providing isolated care, they incorporated assessment, repeated interventions, and support, aiming to help clients express themselves and foster personal growth.

　Conclusion: It was suggested that the behaviors and intentions of the cosmetic care performed by the nurses were carried out as nursing care that drew out the zest for life and encouraged the growth of the other person through a holistic assessment.