「がん看護専門看護師のコンサルテーション」についての概念分析

Consultation of the Certified Nurse Specialist in Cancer : Concept Analysis

要旨

　がん看護専門看護師にとってコンサルテーションは高度実践の導入となり，質の高いがん看護の普及や均てん化において不可欠な機能である．しかし，看護界におけるコンサルテーションの用語活用は，明確になっていない．そこで，コンサルテーションの活用や評価，教育が促進されるよう，「がん看護専門看護師のコンサルテーション」について，Walker ＆ Avant（2005）の方法に基づき概念分析を行った．結果，【がん看護CNS】【一般看護師】【コンサルテーションの課題】【関係性のプロセス】【患者と一般看護師の成果】が属性として，【がん患者家族の療養の複雑化】【組織体制】が先行要件として，【組織の発展】が帰結として抽出された．この概念を使用する看護師間での認識のギャップや，これらの属性間の関係性について探求していくことの必要性が示唆された．

Abstract

　Consultation of Certified Nurse Specialists in cancer is the introduction to their advanced practice, and it is an essential function requiring the spread of uniformly high.quality cancer nursing. However, comprehension of the meaning of consultation in the nursing field is ambiguous. Therefore, concept analysis of "consultation of Certified Nurse Specialists in cancer" was conducted using the method of Walker ＆ Avant(2005)in order to promote the utilization, evaluation, and education of consultation. As a result, 'Certified Nurse Specialists in cancer', 'General nurses', 'Issues of consultation', 'Process of relationship' and 'Outcomes' were extracted as attributes, 'Increasing complexity of life of cancer patients and their families' and 'Management system' were extracted as antecedents, and 'Improvement of system' was extracted as a consequence. There is a need to recognize the existence of a gap among nurses in the use of the consultation concept and to explore the relationship of these attributes.