The Process of Changes in the Recognition and Practices towards Parents by the Nurses Who Work at the Facilities for Patients with Profound Multiple disabilities; A Qualitative Study

  • Kakumoto Kyoko
    Akitsu Facility
  • Ochiai Ryota
    Department of Adult Nursing, Schoool of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo
  • Tanaka Makoto
    Department of Adult Nursing, Schoool of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo
  • Kazuma Keiko
    Department of Adult Nursing, Schoool of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo

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Other Title
  • 重症心身障害児施設で働く看護師が経験を基盤に親への関わりにおける認識と実践を変化させていくプロセスに関する質的研究
  • ジュウショウ シンシン ショウガイジ シセツ デ ハタラク カンゴシ ガ ケイケン オ キバン ニ オヤ エ ノ カカワリ ニ オケル ニンシキ ト ジッセン オ ヘンカ サセテ イク プロセス ニ カンスル シツテキ ケンキュウ

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Abstract

To improve the quality of nursing care for patients with profound multiple disabilities, the present study was conducted in order to investigate the process of changes in the recognition and practices towards parents by nurses who work at the facilities for patients with profound multiple disabilities. Semi-structured interviews were conducted on 20 nurses working at the facilities for patients with profound multiple disabilities, and interview data were analyzed in accordance with the grounded theory approach. The nurses' recognition and practices towards the parents changed with their experience as follows: ‹Taking good care of the patient› ‹Understanding parents' need› ‹Trying to reach a consensus with parents and nurses› and ‹Seeking the equality of nursing care›. Although nurses' recognition and practices were different at each stage, all the participants held a common view on the purpose of nursing care «Providing good care so that parents can leave their children without worry». This view promoted the change of their recognition and practices.

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