地域に根付く米国ホスピスのフィールドワーク：ボランティアとの協働からみた本邦の看護教育についての考察

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  • United States Hospice Fieldwork Rooted in the Community: Consideration of Nursing Education in Japan from the Viewpoint of collaboration with Volunteers
  • チイキ ニ ネズク ベイコク ホスピス ノ フィールドワーク : ボランティア ト ノ キョウドウ カラ ミタ ホンポウ ノ カンゴ キョウイク ニ ツイテ ノ コウサツ

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Portland, Oregon, has attracted attention in Japan as the “most desirable city to live in the United States” and “a model of urban development.” The purpose of this study was to examine nursing education in Japan through care that supports people who live and die in the community by visiting the Hopewell House Hospice in Portland. The hospice is run by approximately 70 volunteers and facility staff who provide facility care for 11 beds and about 150 home care patients. From fieldwork conducted at the facility and from an interview with the volunteer staff manager who was a former midwife and nursing manager, we found that the users and the staff themselves have “a special place called a bed,” a “record of their personality and health,” and “prayer and hope”. In addition, the nurses relied on their ingenuity to manage their environment and provide continuous care in order to reach the end stage while keeping the patient connected to the community, which facilitated feelings of joy. Nursing practice in the Hopewell House Hospice was influenced by the climate of the region and the culture of the local residents, so there was an overlap between life and death, which we believe should be incorporated into nursing education in Japan.

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