日本における尊厳を保持する看護ケアの学術的課題

Academic Challenges of a Nursing Care for Preserving People's Dignity in Japan

　本稿は，本邦における尊厳を保持する看護ケアの学術的課題を提示することを目的とし，看護領域で用いる尊厳の概念について考察した．まず，この用語の学術的解釈を概観し，次いで，看護領域における研究動向と，人間の尊厳を概念とする看護診断を確認し，最後に，本邦の看護実践の用語として検討した．看護領域の尊厳には，実体論と関係論の観方が混在し，看護の全体像，文化性，ケアとの関連に課題がある．尊厳の言説が分離すると，人々と共有できる看護ケアが消褪する恐れがあり，看護診断の使用は，ケアと尊厳のサイクルを評価できるように発展させる必要がある．特に，本邦の看護実践を活かし，看護ケアの受け手と送り手の共通の感覚をつかむ実践知の言語化が重要である．

　This study aimed to present the academic challenges of nursing care for preserving people's dignity in Japan by examining the concept of dignity as used in the nursing field. First, we reviewed the academic interpretation of the term, then confirmed research trends in the nursing field and nursing diagnoses that incorporate the concept of human dignity, and finally examined the terminology used in nursing practice in Japan. Dignity in the nursing field combines substantialism and relationalism, and there are issues with the overall picture of nursing, culture, and its relationship to care. In the discourse on concepts of dignity, there is a risk that nursing care that can be shared with people will disappear. Therefore, the use of nursing diagnoses needs to be developed to assess the cycle of care and dignity, and it is also necessary to verbalise practical wisdom to grasp a shared sense between those giving and those receiving nursing care and make full use of nursing practice in Japan.