Journal of Japan Academy of Critical Care Nursing最新文献_第10页

Family Needs of Cardiopulmonary Arrest Patients that Nurses Recognized as Important but were Unable to Practice to Meet, and the Examination of Related Factors 护士认为重要但无法实践满足的心肺骤停患者家庭需求及相关因素的调查

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.6.1_42

Mikiko Nakaya, Y. Kuroda

{"title":"Family Needs of Cardiopulmonary Arrest Patients that Nurses Recognized as Important but were Unable to Practice to Meet, and the Examination of Related Factors","authors":"Mikiko Nakaya, Y. Kuroda","doi":"10.11153/JACCN.6.1_42","DOIUrl":"https://doi.org/10.11153/JACCN.6.1_42","url":null,"abstract":"心肺機能が低下あるいは停止した患者は,救命救急センターに搬送され心肺蘇生(cardiopulmonary resuscitation;以下 CPRと略す)を受ける.このような患者の家族は,患者が生命の危機に瀕しているのと同様,状況的危機に陥る場合がある.したがって,家族の危機的状態を回避し家族の適応を促すためにも, ニーズを満たすケアが重要である.ここ最近の救急看護領域では,家族ニーズが注目され,クリティカルケア看護領域で開発されてきた家族ニーズアセスメントツールを用いて調査されている.The Critical Care Family Needs Inventory(以下 CCFNIと略す)が世界的に広く活用されているが,文化的な違いや救急部門での適用に対する疑問が指摘されている.また, 日本では,山勢らの家族アセスメントツールをはじめ,いくつか測定尺度が開発されている.これらを用いて救急領域における家族ニーズに対する重要性と看護実践を扱った研究によると,重要性と実践度は必ずしも一致しないことが明らかとなっている.しかし,これらの研究はいずれもクリティカルケアユニットに「入院した」患者の家族を対象にした尺度を用いており,心肺停止状態で搬送後ほとんどが死に至る患者の家族ニーズに置き換えるには疑問が残る.また,救急治療室における終末期ケアに関する研究によって, 看護師が重要と認識しながらニーズを満たすケア実践ができない心肺停止状態にある患者の家族ニーズと関連要因の探索","PeriodicalId":414997,"journal":{"name":"Journal of Japan Academy of Critical Care Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134615213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Phenomenological Approach to the Critical Care Nursing 危重病护理的现象学研究

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/jaccn.11.1_9

T. Sakakibara

引用次数: 0

Difficulties of Nurses who are Involved in Family's Surrogate Decision-Making for an Emergency Patient and Their Reasons 急诊病人家属代理决策中护士参与的困难及原因分析

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.9.6

Hiromi Uesawa, Misuzu Nakamura

{"title":"Difficulties of Nurses who are Involved in Family's Surrogate Decision-Making for an Emergency Patient and Their Reasons","authors":"Hiromi Uesawa, Misuzu Nakamura","doi":"10.11153/JACCN.9.6","DOIUrl":"https://doi.org/10.11153/JACCN.9.6","url":null,"abstract":"This study aimed to identify difficulties of nurses who are involved in families performing surrogate decision-making for an emergency patient and their reasons. Semi-structured interviews were conducted involving 8 subjects. The obtained data were categorized based on Berelson, B content analysis, and an agreement rate of more than 70%, which was calculated based on the formula of Scott W.A., was used as criteria to ensure the reliability of the categories. As a result, 302 descriptions and expressions were extracted and classified into 13 categories, including [Nurses become suffer, being unable to accept decision-making by family members in a positive manner] and [Nurses become suffer because physicians often make decisions regarding treatment], and 698 were extracted regarding the reasons and grouped into 14 categories, such as [Due to their sense of ethics, views on nursing, and values, some nurses cannot positively accept decisions made by family members] and [Nurses have no means of evaluating their own approaches]. The agreement rate was 82.9% for difficulties and 93.2% for reasons, showing that the reliability was confirmed in both difficulties and reasons. The results suggest the need to conduct regular emergency case conferences among different professions to help nurses to reconfirm their individual responsibility and involvement with families, and provide an environment for nurses to review their practices to reduce their nursing ethical conflict.","PeriodicalId":414997,"journal":{"name":"Journal of Japan Academy of Critical Care Nursing","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127867640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Feelings of Nurses Related to the Effects of BGM on Patients and Nurses in the ICU 护士对BGM对ICU患者及护士影响的感受

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.13.3_61

Erika Goda, Mizue Shiromaru, M. Nakada

引用次数: 0

The Study of the Nurses' Emotions and the Related Factors in the Critical Care Nursing for Aids 艾滋病重症护理中护士情绪及相关因素研究

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.13.3_29

M. Arisawa

引用次数: 0

Basic Study on Circadian Changes of Rectal Temperature in Patients in the ICU ICU患者直肠温度昼夜变化的基础研究

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.3.2_67

T. Taguchi, Y. Hiramatsu, E. Koyama

引用次数: 0

For Development of a Guideline for Post-operative Delirium Care 术后谵妄护理指南的制定

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.10.1_51

Y. Sasaki, Miyoko Hayashi, Koji Egawa, Y. Koga, Eriko Kato, Y. Kinoshita, Akemi Utsunomiya, J. Onishi, Y. Kuroda

引用次数: 1

Review of Nursing Research on Acute Sedation in Japan 日本急性镇静护理研究综述

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.13.3_21

T. Miki, Ai Igarashi

引用次数: 0

Experience of Patients with Acute Aortic Dissection Receiving Antihypertensive-complete Bed Rest Treatment and Nursing Support 急性主动脉夹层患者接受降压卧床治疗及护理支持的体会

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.9.19

Y. Yamaguchi, Tomoko Inoue

{"title":"Experience of Patients with Acute Aortic Dissection Receiving Antihypertensive-complete Bed Rest Treatment and Nursing Support","authors":"Y. Yamaguchi, Tomoko Inoue","doi":"10.11153/JACCN.9.19","DOIUrl":"https://doi.org/10.11153/JACCN.9.19","url":null,"abstract":"The aim of this study was to clarify the experiences of patients who developed acute aortic dissection and received the treatment of antihypertensive–complete bed rest, to consider the necessary nursing support. Data were collected using semistructured interviews with 20 patients and were analyzed using a Grounded Theory Approach. The results suggested that the patients took the same course from the onset to the hearing of the disease accounts from the doctor. In analyzing the patients’ experiences of the treatment of antihypertensive-complete bed rest at the CCU,four patterns of experiences were identified. First pattern was in which patients “could keep the complete bed rest” because they tried to understand the disease and the treatment and eventually came to understanding. Second pattern was in which patients “could keep the complete bed rest by coming to terms with this situation” even though they were puzzled and anxious about the uncertainty of the future. They remembered the disease accounts by the doctor only in fragments and could not see the need for the hospital care. Third pattern was in which patients “could not keep the complete bed rest.” They were confused because they had little memory of the disease accounts by the doctor and could not understand their situation. Fourth pattern was in which patients “were placed on a ventilator” for they became severely ill. The results of this study indicate that acknowledgment of disease and treatment and self-efficacy may influence the patients’ adherence on keeping the complete bed rest. Therefore, patients need the support that would enhance their understanding of the disease and treatment and promote their self-efficacy.","PeriodicalId":414997,"journal":{"name":"Journal of Japan Academy of Critical Care Nursing","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130227434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influences of the Experience and Learning about Pain on the Nurses' Practice of Postoperative Pain Management 疼痛经验与学习对护士术后疼痛管理实践的影响

Journal of Japan Academy of Critical Care Nursing Pub Date : 1900-01-01 DOI: 10.11153/JACCN.9.24

Y. Igawa, M. Endo, Nao Yamamoto

引用次数: 0