特別養護老人ホームのターミナルケアにおける看護アドボカシー実践に関する研究 : 看護師に対する面接調査から

概要

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This study was conducted to clarify the practice of nursing advocacy in the terminal care division of a specialized nursing home. Interviews were conducted with 18 nurses employed at a specialized nursing home and were analyzed using the KJ method. Analyses classified the practice of nursing advocacy into five domains. To solve the "nursing dilemmas of terminal care treatment decision-making with a person other than the resident," a nurse would "continue close observation of the resident and provide information to the family and/or physician." Also while trying to "encourage the understanding of a resident's intentions and feelings so that they are reflected in the decision-making," nurses, in the terminal care division, attempted to "encourage the ability for residents to live peacefully until the end of their lives." The fundament for these four domains was "to respect dignity as a person." These findings suggest that in order to protect the rights of nursing home residents in the terminal care division of specialized nursing homes, nurses need to collaborate with other professionals, and also need to propose a policy of rights protection for residents who have difficulty with the maintenance of their environment and with seld-determination in relation to terminal care.
2007-03-30