著者

川原 由佳里 守田 美奈子 田中 孝美 奥田 清子 本江 朝美 田中 晶子 五味 己寿枝

出版者

日本看護技術学会

雑誌

日本看護技術学会誌 (ISSN:13495429)

巻号頁・発行日

vol.8, no.2, pp.46-55, 2009-06-05 (Released:2016-08-25)

参考文献数

13

被引用文献数

1

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本研究の目的は, ①触れるケアをめぐる看護師の経験, ②臨床のなかでの触れるケアの位置づけ, そしてアロマセラピストの語りとの比較を通じて③看護における触れるケアの特徴を明らかにすることである. 看護師 13 名とアロマセラピスト 4 名に面接を行い, 参加者の語りを身体論的な観点から分析した. 結果, 看護師は生活援助やコミュニケーション等のさまざまな場面で, 直観的に相手のニーズを把握し, 即応的に触れるケアを行っていた. 触れている最中, 看護師は自らの手に感じられる相手の状態に集中し, 相手の心身の変化を感じとっていた. 看護師たちは触れるケアの効果を確信をもって語り, そうしたケアに看護職としての喜びを見出していたが, 治療中心, 効率性優先の臨床では, 触れるケアは特別な価値をもつものとは認識されず, その体験を誰かと共有することも少なかった. 看護師自身にも触れるケアの価値そのものが認めづらい現状が明らかになった.

著者

田中 孝美 源川 奈央子 守田 美奈子 長谷川 智子 淺川 久美子

出版者

一般社団法人 日本呼吸ケア・リハビリテーション学会

雑誌

日本呼吸ケア・リハビリテーション学会誌 (ISSN:18817319)

巻号頁・発行日

vol.26, no.1, pp.50-56, 2016

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【目的】慢性呼吸器疾患看護認定看護師の活動の現状,職務満足度,支援状況の関連を明らかにすること.【研究方法】2014年8月に日本看護協会HPで氏名公表していた慢性呼吸器疾患看護認定看護師152名に,2014年8月~9月,郵送法による無記名自記式質問紙調査を実施した.【結果】回収率84.2%.専任が3.1%と少なく,活動時間が勤務時間の10%未満の者は約4割で,時間確保に苦慮していた.所属施設内および地域社会の活動状況への満足度は低く,満足群,非満足群で有意差が認められたのは[認定看護師としての活動時間][施設内ラウンド実施][薬剤師との連携][学会発表]の4項目であった.

著者

田中 孝美

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.20, pp.166-173, 2002-11-10 (Released:2018-02-01)

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People living at home with chronic respiratory failure must struggle to live in the face of various difficulties and distress. But their experience has not been investigated up to now. This study focuses on the experience of people living with this chronic respiratory failure. It is also an experiment in practical nursing research. Four patients and their families agreed to be participants. The patients are sufferers of chronic respiratory failure undergoing long term oxygen therapy at home. The methods used fieldwork at such places as outpatient departments, patient group activity situations and the patients' homes. Several formal and informal interviews were also conducted over a period of six months. Through fieldwork and interviews, I endeavored to come into contact with their actual sense and experience of life. I have described the findings under three headings : "Breathing and Moving", "Living with Suffering", and "Devising Life Strategies". First, I describe the experience of "Breathing and Moving". The participants actually feel that each and every breath supports their life. They must concentrate their consciousness to breathe in order to make each movement, and choose every movement carefully. For those people living with chronic respiratory failure, the simple act of breathing becomes the primary action supporting their life. They cannot entrust their lives to their body's automatic breathing, but must always be conscious of their breath. Second, I describe the experience of "Living with Suffering": The participants find hope and courage for themselves from contact with other patients' lives. When they observe something, they perceive a meaning in it to apply their life. They face the inevitability of life, and make new efforts to live themselves. Thus they maintain their will, and resolve "I want to do this" or "I don't want to become that". Lastly, I looked at the concept of "Devising Life Strategies": There are produced from their earnest desires. The patients devise the strategies themselves through a long groping process. The strategies may be called a technique for living. However, it is important to emphasize that they do not talk freely about the Strategies to medical workers. In conclusion, those living with chronic respiratory failure live in a world experienced through their body. Understanding of their subjective experience is produced through contact between the lives of patients and that of the researcher. The world of meaning and emotion world cannot be approached merely from an objective perspective.