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Practical Nursing Knowledge about Patients with the Risk of Delirium: Ethnographic Study in General Hospitals Masumi Hasegawa 1 , Tomoko Aohda 2 , Ryoko Michinobu 3 , Terumi Kijima 1 , Megumi Toriya 1 1Department of Nursing, School of Health Sciences, Sapporo Medical University 2School of Nursing, Faculty of Health & Medical Care, Saitama Medical University 3Center for Medical Education, Sapporo Medical University Keyword: せん妄 , 安楽 , 実践知 , エスノグラフィ , 急性期ケア , delirium , comfort , practical wisdom , ethnography , acute care pp.69-78
Published Date 2021/7/31
  • Abstract
  • Reference

 The aim of this study was to describe practical nursing knowledge about patients with the risk of delirium that is applied regularly by a cultural group of nurses, and to identify cultural themes that serve as the basis for delirium care, using ethnographic methods.

 The study participants were nine nurses working in two general hospitals. Participant observation of practical nursing for patients with the risk of delirium was performed, after which semi-structured interviews were conducted. Verbatim records of the participant observation field notes and interviews were analyzed with the Spradley's framework for ethnographic data analysis.

 From the results of the analysis, seven elements were identified and structured as nursing practices for patients with the risk of delirium. A cultural theme that synthesized nursing practices for delirium care was “to predict things that are stressful for patients and help them to spend their time comfortably.”

 The present findings suggest the possibility that, based on the delirium care structure and cultural themes identified in this study, perceiving patients as individual, holistic human beings, assessing patients' stress and basic needs in the hospital treatment environment, and providing assistance to promote comfort based on interactions with patients are important as essential qualities of delirium care.


Copyright © 2021, Japan Academy of Gerontological Nursing All rights reserved.

基本情報

電子版ISSN 2432-0811 印刷版ISSN 1346-9665 日本老年看護学会

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