{"created":"2024-11-15T01:27:33.006985+00:00","id":2000073,"links":{},"metadata":{"_buckets":{"deposit":"c26dd924-3759-42a6-83ca-a6bf47da7da8"},"_deposit":{"created_by":17,"id":"2000073","owner":"17","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"2000073"},"status":"published"},"_oai":{"id":"oai:ncn.repo.nii.ac.jp:02000073","sets":["1:1731633302240"]},"author_link":["69","58","450","423","35","46"],"control_number":"2000073","item_10002_biblio_info_7":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"14","bibliographicPageStart":"1","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"長野県看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin Nagano College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究の目的は，訪問看護師と訪問介護員の終末期療養者支援における連携について，訪問看護師の 視点から明らかにすることである．B県A地域の訪問看護師7名を対象に，半構造化面接を実施し，終末期療養者 に対して訪問介護員と連携した内容と課題を聞き取りカテゴリー化した．その結果，連携として【徐々にできな くなる日常生活を維持するためのケアの役割分担】，【急激な状態悪化を防ぐための観察と援助の依頼】，【臨死期 の状態変化の共有と速やかな対応】，【療養者の意思を踏まえた関わりをともに検討】，【療養者を看取る家族の介 護負担と不安の軽減】，【常時連絡がとれる体制と関係の構築】の6カテゴリーが抽出された．また，連携におけ る課題として【療養者の状態の変化や思いの迅速で詳細な共有の困難】，【看取りに向かう療養者・家族に対する ケア方針のずれ】，【訪問介護員に認められている医療行為が増えない現状】，【療養者・家族に対する看護と介護 の役割の周知不足】の4カテゴリーが抽出された．今後，訪問看護師は，訪問介護員との迅速できめ細やかな情 報共有と具体的な協働に向けて検討する必要がある．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"This study aims to identify the collaboration activities of visiting nurses and visiting caregivers in the support of terminally ill clients, and the issues related to the collaboration from the perspectives of visiting nurses. Semistructured interviews were conducted with seven visiting nurses in Region A of Prefecture B in Japan. The interview data about the collaboration and its issues among these two professions in supporting terminally ill clients were categorized. For collaboration activities the following six categories were identified: “Sharing roles of care to maintain a daily routine that they are gradually becoming unable to have,” “Request observation and assistance to prevent condition from rapid worsening,” “Sharing and prompt response to changes in near-death conditions,” “Considering support together based on the client's wishes,” “Reduce the burden of care and anxiety of families who provide the end-of-life care,” and “Building a contact framework and relationship enabling making contact at any time.” For the issues, the following four categories were identified: “Difficulties in promptly and in-depth sharing of changes in the condition and thoughts of the clients,” “Differences in care policy for the clients and families facing end-of-life care,” “Current situation with no increase in the number of approved medical procedures allowed for visiting caregivers,” “Lack of understanding of nursing and caregiving roles for the clients and families.” The findings suggest visiting nurses need to be considered these issues to share information promptly and in-depth with visiting caregivers and to specific collaboration for the future.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"長野県看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_9":{"attribute_name":"item_10002_source_id_9","attribute_value_mlt":[{"subitem_source_identifier":"1345-1782","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"出版タイプ","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":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"長野県看護大学","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"小野塚, 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Kumiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"酒井","familyNameLang":"ja"},{"familyName":"サカイ","familyNameLang":"ja-Kana"},{"familyName":"SAKAI","familyNameLang":"en"}],"givenNames":[{"givenName":"久美子","givenNameLang":"ja"},{"givenName":"クミコ","givenNameLang":"ja-Kana"},{"givenName":"Kumiko","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"58","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"90347378","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90347378"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"安田, 貴恵子","creatorNameLang":"ja"},{"creatorName":"ヤスダ, キエコ","creatorNameLang":"ja-Kana"},{"creatorName":"YASUDA, 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caregivers","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"collaboration","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"訪問看護師の終末期療養者への支援における 訪問介護員との連携","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"訪問看護師の終末期療養者への支援における 訪問介護員との連携","subitem_title_language":"ja"},{"subitem_title":"Collaboration between visiting nurses and visiting caregivers in the support of terminally ill clients at home","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"17","path":["1731633302240"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-11-15"},"publish_date":"2024-11-15","publish_status":"0","recid":"2000073","relation_version_is_last":true,"title":["訪問看護師の終末期療養者への支援における 訪問介護員との連携"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2024-11-25T01:04:57.409817+00:00"}