Departmental Bulletin Paper 保健医療福祉チームにおける「看護師の役割」とは : 臨床看護師が自覚する役割の内容分析
"Nurses' roles" in multi-professional health, medical care and welfare teams : Content analysis of the roles that clinical nurses perceived

原本, 久美子

(17)  , pp.119 - 131 , 2016-03-31 , 関西国際大学
ISSN:13455311
NCID:AA11544811
Description
A self-report questionnaire survey on the situations and settings in which “one felt that one had been able to fulfil the nurses’ roles” in multi-professional health, medical care and welfare teams was conducted on 238 nurses with at least 5 years of clinical experience, and 148 responses were obtained. The descriptive contents for 94 nurses for whom the situations and settings in which “one felt that one had been able to fulfil the nurses’ roles” were clarified were analyzed. A total of 100 codes were elicited after organizing the contexts that described the nurses’ roles, and these codes were inductively classified and categorized based on similarities in content. As a result, 15 subcategories and 5 categories were formed. The 5 “nurses’ roles” in multi-professional health, medical care and welfare teams were as follows:“1) The role of conveying the wishes of patients and families to the medical team”, “2) The role of providing mental and physical support to patients when they are undergoing intense and invasive medical treatment and procedures”, “3) The role of communicating the views of other nurses and ensuring that the appropriate set of directions is given to patients”, “4) The role as a pivotal person directing patients’ attention during the transition from a medical environment back to normal daily life in order to prepare them for discharge from the hospital, and “5) The role in supporting patients and families to live their lives in their own way”.
臨床経験5年以上の看護師238名を対象に、保健医療福祉チームにおいて「看護師の役割を発揮できたと実感したとき」の状況や場面について、自記式質問紙による調査を実施し、148名から回答を得た。「看護師の役割を発揮できたと実感したとき」の状況や場面が把握できる94名の記述内容を分析対象とし、看護師の役割を述べている文脈を整理した結果、100のコードが抽出でき、コード内容の類似するものを帰納的に分類しカテゴリー化したところ、15のサブカテゴリーと、5つのカテゴリーが形成された。形成された保健医療福祉チームにおける「看護師の役割」は、【Ⅰ患者・家族の思いを医療チームへ繋げる役割】、【Ⅱ侵襲の強い治療や処置に対応し、患者のこころとからだを支える役割】、【Ⅲ看護師の見解を伝え、患者に適正な指示がでるよう図る役割】、【Ⅳ入院から退院に向け、医療の場から生活の場へ向かわしめる要の役割】、【Ⅴその人らしい人生を全うできるよう、患者と家族を支援する役割】の5つであった。
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