Japanese
English
- 販売していません
- Abstract 文献概要
- 参考文献 Reference
要旨
本研究では,特別養護老人ホーム(以下特養)における看取りに対する職員の精神的負担について看護管理者の対応を明らかにした.対象者は,全国老祉協に登録された看取りを実施する特養に勤務する130名の看護管理者である.郵送法調査で看取りへの職員の精神的負担について自由記述を求め,計量テキスト分析を行った.その結果,9グループに分類され,グループ内の記述の意味内容に沿って,『精神的負担の把握と共有』,『夜勤介護職への的確な状態予測の連絡』,『今後起こりうることを申し送る』,『多職種連携とカンファレンスの活用』,『安心のために声をかけ合う』,『できたという気持ちを大切に』,『人の死を受け入れるための教育』,『医師による看取りの理解と本人の意思確認』,『家族の意向にも沿った最期を看取る説明と協働』と命名した.結果は先行研究を支持し,看取りに取り組む全国の特養の看護管理者に職員の精神的負担の軽減策を示唆した.
This study was conducted to clarify management recognition of mental burdens on staff regarding end-of-life nursing-home care and related correspondence. It involved a free-response self-reported questionnaire survey in which 130 administrators of nursing homes registered as National Council for Elderly Welfare Facilities were invited to participate. The free responses were converted to data and subjected to weighed text analysis. The results were classified into nine groups based on semantic content: 1) understanding and sharing of mental burdens; 2) contact for accurate state prediction for night shift care worker; 3) expression of future possibilities; 4) utilization of multi-occupation collaboration and conferencing; 5) discussion for peace of mind; 6) appreciation of a feeling of achievement; 7) education to accept human death; 8) understanding of medical care and checking of doctors' instructions ; and 9) explain and collaborate with the end to follow the intention of the family. The results supported those of previous research, and are expected to support managers of nationwide facilities in the promotion of nursing care.
Copyright © 2017, Japan Academy of Nursing Science. All rights reserved.