がんリハビリテーションにおける看護師とセラピストとの協働に関する思い—セラピストの思いに着目して

Thoughts Regarding Interprofessional Work between Nurses and Therapists in Cancer Rehabilitation: Focusing on the Thoughts of Therapists

要旨

目的：がんリハビリテーション（以下，がんリハ）をとりまく専門職連携（Interprofessional Work：以下，IPW）の現状において，理学療法士，作業療法士及び言語聴覚士（以下，セラピスト）の側面から，看護師との協働に関する思いを明らかにすること．

方法：がんリハにおいて看護師との協働の実践経験を有するセラピストを対象に半構成的面接を実施した．語りは逐語録に起こしデータ化した後，コード化し抽象度を順次上げ，カテゴリー化を行う質的因子探索的分析とした．

結果：がんリハにおける看護師とセラピストとの協働に関する思いから，両職種は【看護師の情報支援と意見提案関係】にある現状であった．【両職種の専門性の追求】を踏まえ，両職種間の【IPW推進による質向上の希求】をがんリハの実践の中で，重要視している思いが明らかとなった．

結論：がん患者のその人らしさへの看護を実践する上で，がんリハへの理解を深化させ，看護実践能力の向上とIPWのコンピテンシーの更なる育成が今後の課題である．

Purpose: The goal of this paper was to clarify the thought regarding the collaboration with the nurses involved in cancer rehabilitation from the perspective of the physical therapists, occupational therapists and speech-language-hearing therapists (therapists) under the present conditions of the Interprofessional Work (IPW) surrounding cancer rehabilitation.

Method: I carried out a semi-structured interview for therapists having practical experience collaborating with nurses in cancer rehabilitation. The contents of the interview were transcribed and converted to data, and the data was encoded and categorized with sequentially increasing degrees of abstraction, followed by a qualitative explorative factor analysis of the data.

Results: It became clear that the present condition was that of a [Relationship of information support and opinion suggestion for the nurse], and the thinking aimed at [Pursuing the specialty of both types of jobs] and [Hoping of quality improvement based on IPW promotion] became clear.

Discussion: When practicing nursing while respecting the identity of the cancer patient, the nurse needs to deepen his/her understanding of cancer rehabilitation. Moreover, future issues to be researched would be the improvement of practical nursing ability and the further cultivation of IPW competency.