{"created":"2023-07-25T10:22:43.148382+00:00","id":2173,"links":{},"metadata":{"_buckets":{"deposit":"9326b9b1-9cd7-4c39-96f0-9866404a92f6"},"_deposit":{"created_by":3,"id":"2173","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2173"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00002173","sets":["611:612:874:980"]},"author_link":["8373","8372","8374","8375"],"item_10002_alternative_title_34":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"The experience of nurses who continue nursing patients with persistent disturbance of consciousness"}]},"item_10002_biblio_info_36":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"557","bibliographicPageStart":"45","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"秋田大学大学院医学系研究科保健学専攻紀要"}]}]},"item_10002_description_29":{"attribute_name":"内容記述（抄録）","attribute_value_mlt":[{"subitem_description":"本研究では遷延性意識障害患を５年以上看護している看護師６名に半構成的インタビューを行い, 最初の頃の困難,現在はどのような状況に変化したか, 変化には何が影響したかを明らかにするために質的記述的分析を行った. その結果, 最初の頃の困難では【仕事をこなすことに精一杯】【患者の状態を捉えることが難しい】【人として親しみが湧かない】【返事や反応が無いことによる否定的感情】【患者・家族との関わり方や生死との向き合い方がわからない】【理想と現実のギャップ】の６カテゴリーが導かれた. 現在の状況では,【責任を果たす】【自分なりの観察点を持ち, 患者を見る目の幅がつく】【患者と心情的な距離の近づき】【家族と関わり, 家族の気持ちに近づく】【基本的看護の大切さを感じる】【余裕を持った関わりができる】【患者の変化から導かれた肯定的感情】【持続している困難な状況】の８カテゴリーが導かれた. 変化の影響要因には,【同僚看護師の支えと分かち合い】【家族からの評価】【患者の変化や状況の多様性に気づくことの学び】【私生活と看護実践で得られた自己の立場の明確化と視野の広がり】【人の死や尊厳に対する社会の変化】【患者と関わりを持ち続けるための自分への喚起】の６カテゴリーが導かれた.以上から, 遷延性意識障害患者を看護し続けた看護師は専門性が成熟し卓越した看護を実践する段階にあったが,現在も困難を抱えており支援の必要性が示唆された.","subitem_description_type":"Other"},{"subitem_description":"The purpose of this study was to describe the experiences, initial difficulties, present status and factors related to the changes, of the nurses who have nursed patients with persistent disturbance of consciousness for more than five years. The participants were six nurses. The data were collected through semi-structured interviews and a qualitative and inductive analysis of the results. Six categories were identified regarding the difficulties the nurses faced at the beginning of their careers : “The work can be overwhelming”, “It is difficult to determine the state of the patient”, “Friendly feelings toward the patient are difficult to develop”, “Negative feelings sometimes develop because there are not answers or reactions”, “I cannot understand the relationship between the patient and the family and do not understand how to face the life and death of the patient” and “There is a gap between the ideal work and the real experiences”. Eight categories were extracted with regard to the present status : “I have accepted my responsibilities”, “I have an independent standard point, and I can think expansively”, “I have found ways to connect with a patient”, “I associate with the family and am able to understand the feelings of the family”, “I feel the importance of the basic nursing”, “I have a sense of composure when care for patient”, “Positive feelings can arise if the patient improves”, and “The difficult situation is still continuing”. And six categories were identified related to the factors associated with the changes : “I am supported by my fellow nurses”, “The evaluation from the family”, “I have learned to notice a variety of changes and the different situations of the patient”, “I can define my position for nurse and wide vision through the experience in my private and occupational life”, “I hope to bring about social changes regarding the death and the dignity of the person” and “I arouse a feeling of responsibility to continue having a relationship with the patient”. The nurses who continued nursing patients with persistent disturbance of consciousness were specialized and had matured and the nurses practiced excellent nursing care. However, they still reported having difficulties, and the necessity of additional support was suggested.","subitem_description_type":"Other"}]},"item_10002_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"秋田大学大学院医学系研究科保健学専攻"}]},"item_10002_source_id_27":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18840167","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_35":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA12447617","subitem_source_identifier_type":"NCID"}]},"item_10002_version_type_37":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐々木, 美和子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 真紀子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAKI, Miwako","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAKI, Makiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-16"}],"displaytype":"detail","filename":"hoken22-1(45).pdf","filesize":[{"value":"970.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hoken22-1(45).pdf","url":"https://air.repo.nii.ac.jp/record/2173/files/hoken22-1(45).pdf"},"version_id":"28b2d70f-42cd-4b27-9eb6-a136e8960b4b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"遷延性意識障害患者","subitem_subject_scheme":"Other"},{"subitem_subject":"看護師の経験","subitem_subject_scheme":"Other"},{"subitem_subject":"困難さ","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"遷延性意識障害の患者を看護し続ける看護師の経験","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"遷延性意識障害の患者を看護し続ける看護師の経験"}]},"item_type_id":"10002","owner":"3","path":["980"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-04-28"},"publish_date":"2014-04-28","publish_status":"0","recid":"2173","relation_version_is_last":true,"title":["遷延性意識障害の患者を看護し続ける看護師の経験"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-25T11:42:41.185053+00:00"}