Research of the Actual State of the Advocacy of Nurses Involved in Cancer Nursing and Establishment of the Counseling System

护士参与癌症护理宣传现状研究及咨询体系建立

• 批准号: 15592228
• 负责人: OKAMOTO Eri
• 金额: $ 1.15万
• 依托单位: Gifu University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592228/
• 关键词: Advocacy; Cancer Nursing; ethical dilemmas; 看護倫理

This study aims to carry out research of the actual situation of the advocacy (help to patients) of nurses involved in cancer nursing, and to find out issues towards the establishment of a counseling system for nurses who are distressed at clinical situations. In this fiscal year, we carried out semi-constructive interviews with clinical nurses having (more than 5 year) experience in cancer nursing that are deemed to have superior nursing practices by the head of the hospital ward, and also a qualitative inductive analysis by extracting contents of awareness, experience and issues of the advocacy of nurses involved in cancer nursing. The result revealed that nurses who carry out practices for cancer nursing suffered from a lot of stress and had emotional problems. Nurses experienced sorrow in looking after the death of patients, and in addition, there were especially many problems arising from the traditional superior/inferior relationship between doctors and nurses, and there were man … More y cases where nurses were in dilemma due to disagreement in opinions concerning treatment among patients, their families and doctors. Furthermore, it has been clarified that nurses had emotional problems that they cannot perform the role of an advocate for patients. Because of that, nurses experienced "burn out" or took "defensive actions" such as complaining or not thinking deeply. In addition, they have a tendency to blame themselves by raising "being too busy with working", "shortage of their own efforts" and "the low level of their problem solution ability" as reasons why logical problems are not solved". Furthermore, although there are some nurses who are aware of the necessity of improving the systems in their workplaces and nursing practices in order to solve their own problems, the present situation is that they have not yet started to take action. From the above, it can be seen that the necessity to support the mental health care of nurses was indicated by performing the role as an advocate to nurses involved in cancer patients and constructing systems of "self-care" by individual nurses themselves, "care by line" by superior officers and "care by experts outside the hospital" through counseling by an external consultant in order to carry out higher quality practical nursing. Less

本研究旨在对参与癌症护理的护士宣传（帮助患者）的实际情况进行研究，找出针对临床困境护士的咨询体系建立的问题。本财年，我们对被病房负责人认为具有较高护理水平的具有（5年以上）癌症护理经验的临床护士进行了半建设性访谈，并提取了护士参与癌症护理宣传的认知、经验和问题等内容，进行了定性归纳分析。结果显示，从事癌症护理实践的护士压力较大，存在情绪问题。护士在照顾病人的过程中经历着悲伤，此外，传统的医护上下级关系所产生的问题尤其多，因病人、家属和医生对治疗意见不一致而使护士陷入困境的案例不时发生。此外，已澄清护士存在情绪问题，无法履行患者倡导者的角色。因此，护士会经历“倦怠”或采取“防御行动”，例如抱怨或不深入思考。此外，他们还倾向于把“工作太忙”、“自己努力不够”、“解决问题的能力低”等归咎于自己，成为逻辑问题没有得到解决的原因。此外，虽然也有部分护士意识到有必要改善工作场所的制度和护理实践，以解决自身的问题，但目前的情况是还没有开始采取行动。从上述情况可以看出， 为了进行更高质量的实践护理，需要支持护士的心理健康护理，发挥癌症患者护理倡导者的作用，并构建护士自己的"自我护理"、上级主管的"一线护理"和通过外部顾问咨询的"院外专家护理"系统。少

项目成果

DETERMINANTS OF THE COPING BEHAVIORS OF NURSES EXPERIENCING ETHICAL DILEMMAS

经历道德困境的护士应对行为的决定因素

• 发表时间: 2004
• 期刊: INTERNATIONAL CONFERENCE Health Promotion : Evidence, Practice and Policy
• 作者: Okamoto;Eri et al.
• 通讯作者: Eri et al.

Okamoto, Eri et al.: "DETERMINANTS OF THE COPING BEHAVIORS OF NURSES EXPERIENCING ETHICAL DILEMMAS"INTERNATIONAL CONFERENCE Health Promotion : Evidence, Practice and Policy. (2004)

Okamoto, Eri 等人：“经历道德困境的护士应对行为的决定因素”国际会议健康促进：证据、实践和政策。