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Keyword: 維持血液透析 , 終末期 , 看護師 , 実践知 , end-of-life care , nurses , clinical wisdom pp.72-80
Published Date 2010/11/15
DOI https://doi.org/10.11477/mf.7003100418

 The purpose of this study was to clarify the practice knowledge obtained from the talk about the experience for the maintenance hemodialysis patient for end-of-life of the nurse in the dialysis room and obtaining a suggestion when a nurse was associated practice in the dialysis room. The subject was 18 nurses more than dialysis nursing years of experience five years to work in dialysis room. We performed focus group interview of each group two hours and we followed the method that Vaughn, et al. proposed and performed the analysis. As a result,【The dialysis is death by the course of long duration chronically, and is there the difficulty of the making certain in the time called the end period in everyday life】, 【We are associated we die while we understand the change that is in a state of the patient and expect it whether it is near and can include the family, and to be ready】, 【We showed a better method after we had the prediction for the period to death after unpleasant dialysis cancellation about a prognosis, and having drawn the thought of the patient】, and the subject of equal 45 became clear from experience of then. The present results indicate that dialysis nurse comes to be able to have trust for a patient/a family by the relationship, and there was nursing for the end-of-life that kept the characteristic of the dialysis nursing called the observing point to find a change in interaction with the longtime patient/family and the life alive. In addition, In the process when a patient invites death to, carefully observe a timing accordingly from dialysis adoption time, and health worker draws an illness trajectory a patient/a family together, necessity the suggestion respects a dialysis patient about the process takes dialysis, and life.


Copyright © 2010, JAPAN ACADEMY OF NEPHROLOGY NURSING. All rights reserved.

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電子版ISSN 印刷版ISSN 1344-7327 日本腎不全看護学会

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