重建和引导护理社区:长期护理环境中临终护理实践的扎根理论

Katsumi Nasu, Kana Sato, Hiroki Fukahori

研究成果: Article査読

2 被引用数 (Scopus)

抄録

Aims: To investigate the end-of-life (EOL) nursing care practice process in long-term care (LTC) settings for older adults in Japan. Design: A qualitative study based on grounded theory developed by Corbin and Strauss. Methods: Sampling, interviewing, and analysis were performed cyclically, with results for each stage used as the basis for data collection and next-stage analysis decisions. Semi-structured interviews were conducted from March 2015-March 2019 with 22 nurses from eight LTC settings. Analysis was performed using coding, constant comparison, and emerging categories. Results: The core category, “guiding the rebuilt care community to assist the dying resident” comprised five categories: “assessing the resident's stage,” “harmonizing care with the dying process,” “rebuilding a care community,“ “helping community members care for the resident,” and “encouraging community members to give meaning.” The participants were described as “traditional village elders“ who were the integral members of the care community, as well as guides who helped and encouraged the community. Conclusion: Results revealed the holistic process of EOL nursing-care practice in Japan. Nurses aimed to allow LTC residents to die as social human beings, surrounded by people, and not just responding physical and psychological distress. Such practice requires nursing expertise, healthcare skills, and leadership qualities to build and serve care communities. Nurses must also consider residents’ uncertainties and vulnerabilities as well as their cultural backgrounds. Impact: This study showed that the nurses hold unique roles in providing dying people with care from a community. These findings can potentially be applied for developing a universal model for LTC nurses in many aging populations, to modify their EOL care practice, educate new LTC nurses, and collaborate with other healthcare professionals.

寄稿の翻訳タイトルRebuilding and guiding a care community: A grounded theory of end-of-life nursing care practice in long-term care settings
本文言語!!
ページ(範囲)1009-1018
ページ数10
ジャーナルJournal of Advanced Nursing
76
4
DOI
出版ステータスPublished - 2020 4 1

ASJC Scopus subject areas

  • 看護学(全般)

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