救急部門で働く看護師の自殺企図患者に対する認知形成のプロセス  [in Japanese] The Process of Recognizing Patients with Suicide Attempt by Nurses Working in the Emergency Room  [in Japanese]

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Author(s)

    • 上野 恭子 Ueno Kyoko
    • 順天堂大学大学院医療看護学研究科 Graduate School of Health Care and Nursing, Juntendo University

Abstract

本研究は,救急部門で働く看護師の,自殺企図患者に対する認知形成のプロセスを明らかにすることを目的とした.対象者は,救急部門で勤務し,自殺企図患者の看護経験がある看護師12名とした.データは半構造化面接を用いて収集し,修正版グラウンデッド・セオリー・アプローチを用いて分析した.救急部門の看護師は,自殺企図患者という刺激によって《生きたい人を助けたい》という信念が活性化され,《自殺企図患者は別世界の人》と認知した.その患者を自分が看護するとき,《患者に対する憤りや恐怖》を抱き,《心を込められない看護をする自分》で行動していた.このプロセスは,《自殺企図患者を批判することが許容される風土》によって支持されていた.しかし,患者やその近親者に《感情移入した出来事》を経験した看護師の認知は,《自殺企図患者も自分と同じ世界の人》と変化し,《冷静に自分を振り返った出来事》を経験できた看護師の認知は,《自殺企図患者も看護の対象》と変化していた.救急部門で働く看護師の自殺企図患者に対する認知形成のプロセスは,看護師が自身の価値観が危ぶまれるのを防ごうとしているプロセスであった.

This study aimed to clarify the process of recognizing patients with suicide attempt by nurses working in the emergency room (ER). The subjects comprised 12 nurses working in the ER with experience in providing nursing care for patients with suicide attempt. Data were collected through a semistructured interview and analyzed by the modified grounded theory approach. Some nurses in the ER had their belief of "wanting to help people who wanted to live" activated by the stimulus of treating patients with suicide attempt and recognized that "patients with suicide attempt were living in another world." When they provided nursing care for such patients, they had "anger and fear towards the patients" and behaved as "nurses who failed to provide sincere care." This process was supported by "an environment that allowed criticizing patients with suicide attempt." However, nurses who had experienced "emotionally involved events" with patients and their relatives recognized that "patients with suicide attempt were living in the same world as theirs" and nurses who had experienced "events where the nurses reflected on themselves calmly" recognized that "patients with suicide attempt deserved nursing care." The process of recognizing patients with suicide attempt by nurses working in the ER was to prevent their own values from being at risk.

Journal

  • Journal of Japan Academy of Psychiatric and Mental Health Nursing

    Journal of Japan Academy of Psychiatric and Mental Health Nursing 23(1), 101-111, 2014

    The Japan Academy of Psychiatric and Mental Health Nursing

Codes

  • NII Article ID (NAID)
    110009818788
  • NII NACSIS-CAT ID (NCID)
    AN10478677
  • Text Lang
    JPN
  • ISSN
    0918-0621
  • NDL Article ID
    025618093
  • NDL Call No.
    Z19-3804
  • Data Source
    NDL  NII-ELS  J-STAGE 
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