訪問看護師の「寄り添う」

Visiting Nurse Being with the Patients

要旨

　目的：訪問看護師の「寄り添う」を明らかにする．

　方法：訪問看護師6名に半構造化面接を行い，質的記述的に分析した．

　結果：訪問看護師の「寄り添う」は，【人と家の雰囲気を捉え共感する】，【人として近づき信頼を深める】，【在宅療養の青写真を共に描き共に成長する】，【本人・家族の覚悟を見通し支える】，【暮らしの中で共に歴史を積み重ねる】，【安心して落ち着く場と日常を保障する】の6カテゴリーと14サブカテゴリーから構成された．

　結論：訪問看護師の「寄り添う」は，訪問看護師自身が利用者や家族にとって安心できる存在として認められ，積み重ねてきた信頼関係を基盤に成り立っていた．多様な背景を持つ療養者とその家族との暮らしの中での関わりは，訪問看護師自身の成長の機会にもなり，訪問看護の価値，やりがいや自らの看護観の醸成につながっていることが示された．

　Objective: To clarify visiting nurses' “being with patients”

　Methods: Semi structured interviews with six visiting nurses were conducted and analyzed qualitatively and descriptively.

　Results: Visiting nurses' “being with patients” consisted of six categories and 14 subcategories; the categories were sympathizing by perceiving the atmosphere of the patient and home with all five senses; approaching patients and their families as a person and deepen trust with them; realizing a blueprint for home care together; supporting the bracing of the patient and family for what is expected to happen in the future; building up a shared history with the patient in their day-to-day life; and ensuring that the patient has a place to relax and a sense of security in daily life.

　Conclusion: The findings of this study suggest that visiting nurses' being with patients can be an opportunity for visiting nurses themselves to grow through forming relationships with patients of diverse backgrounds and their families. Morever, there are rfacilitating the formation of visiting nurses' sense of values, motivation, and the development of their own view of nursing.