介護職員の看取りに対する認識と認識に影響する要因─混合研究法を用いた探索的研究─  [in Japanese] Recognition of End-of-life Care by Nursing Care Staff, and Factors Impacting Their Recognition: An Exploratory Research Using Mixed Methods  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

<p>【目的】高齢者施設における介護職員の看取りに対する認識とその認識に影響する要因を明らかにすること.【方法】全国の高齢者施設に勤務する介護職員500人に対しインターネットによるアンケート調査(質問調査)を行い,その中から10人の介護職員にインタビュー調査を行った.【結果】質問調査では,看取りをするために重要と考える施設・制度について,施設の方針(41%),医療職との連携(38%)などが選択され,心配なこととして利用者の容態が急に変化し亡くなること(53%)などが選択された.インタビュー調査では看取り経験にかかわらず,看取りの経過がわからず不安があり,看取りに関する体系的な学習および経験をすることで変化する看取りへの思いが述べられた.【結論】看取りに対する体系的な学習および実際に看取りを経験することが,高齢者施設で看取りを進める際に介護職員の認識に影響する重要な要因であることが示唆された.</p>

<p>Objectives: Elucidate recognition of end-of-life care by nursing care staff in elderly care facilities, and factors influencing such recognition. Methods: We conducted an internet questionnaire with 500 nursing care staff working at elderly care facilities across Japan, and an interview with 10 nursing care staff out of 500. Results: In the questionnaire, facility policies (41%) and cooperation with medical staff (38%) were selected as facilities and systems that are important for end-of-life care, and as a concern, sudden change in the condition of the patient, leading to death (53%) was selected. The interview showed that nursing care staff had a certain level of anxiety regardless of their experience with end-of-life care, with participants discussing their thoughts on how systematic learning of, and actual experience in, end-of-life care changed end-of-life care. Conclusion: Our study showed that systematic learning and experience of end-of-life care were important factors in recognition of end-of-life care by nursing care staff when providing such care in elderly care facilities.</p>

Journal

  • Palliative Care Research

    Palliative Care Research 14(1), 43-52, 2019

    Japanese Society for Palliative Medicine

Codes

  • NII Article ID (NAID)
    130007627229
  • Text Lang
    JPN
  • Article Type
    journal article
  • ISSN
    1880-5302
  • Data Source
    IR  J-STAGE 
Page Top