クリティカルケア領域における 看護診断をめぐる課題―フォーカスグループメソッドによるアプローチからの考察

Issues of Nursing Diagnosis in the Critical Care Nursing: A Disscusion through the Method of Focus-Group Interview

　The purpose of this study is to clarify the specific task concerning nursing daiagnoses in critical care nursing. Japan Society of Nursing Diagnosis, the research committee used a method of focus-group interview of 6 expert nurses to pick out tasks. They pointed out such problems as cultural disparity in defining characteristics, incomprehensible term due to translation, and ambiguity of daignostic validity while approving the value as a common and standard nursing language. In addition, who and how to take responsibility after being diagnosed, nurses' inadequate ability to diagnoses and so on we were so pointed out. Particularly, in the critical-care settings where prompt and correct clinical judgment should be regarded as a grave concern, it was pointed out that the nurses were in a state of difficulty in differntiating and making a decision among nursing diagnoses, collaborative problem and potential complication, and that they were seeking a constructive method to solve it. A debates was conducted to develop diagnostic labels related to a delay in post-operative recovery, and syndrome nursing diagnoses. It was confirmed that although introducing an electronic nursing records must be necessary to process information, future development of some softwares was awaited since the present minimum database was not completed sufficiently at the moment.

　The purpose of this study is to clarify the specific task concerning nursing daiagnoses in critical care nursing. Japan Society of Nursing Diagnosis, the research committee used a method of focus-group interview of 6 expert nurses to pick out tasks. They pointed out such problems as cultural disparity in defining characteristics, incomprehensible term due to translation, and ambiguity of daignostic validity while approving the value as a common and standard nursing language. In addition, who and how to take responsibility after being diagnosed, nurses' inadequate ability to diagnoses and so on we were so pointed out. Particularly, in the critical-care settings where prompt and correct clinical judgment should be regarded as a grave concern, it was pointed out that the nurses were in a state of difficulty in differntiating and making a decision among nursing diagnoses, collaborative problem and potential complication, and that they were seeking a constructive method to solve it. A debates was conducted to develop diagnostic labels related to a delay in post-operative recovery, and syndrome nursing diagnoses. It was confirmed that although introducing an electronic nursing records must be necessary to process information, future development of some softwares was awaited since the present minimum database was not completed sufficiently at the moment.