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The emotional labor of nurses who care for terminally ill cancer patients in Japan

日本护理绝症癌症患者的护士的情感劳动

基本信息

批准号：
14572218
负责人：
TOYODA Kumiko
金额：
$ 1.73万
依托单位：
The University of Shiga Prefecture (2003-2004)Shiga University of Medical Science (2002)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572218/
关键词：
Emotioanl labour Nurse Terminally ill cancer patients Care Japanese culture がん告知

项目摘要

The field observation and interviews were conducted with Japanese nurses who cared for terminally ill cancer patients in a general ward and a palliative care ward. It was found that nurses in both settings had emotional rules that they had to understand and feel empathy for the feelings of patients, and feel sorry for their death. Nurses could get the different feelings depending on whether patients were told the truth ; however, it was also revealed that nurses in both settings did not want to get used to patients' death, and wondered why when they could not feel sorry for patents' death. It was presumed from the findings that nurses who cared for dying patients were likely to feel powerless, angry and regret, and that they could get burn out as the care they provided was hard to be evaluated.In Australia as well, nurses have the emotional rules that they need to feel empathy for dying patients. But patients are usually told the truth, participate in their decision making process, and discuss their treatment options openly with health care professionals including nurses and doctors. Moreover, the staff support each other when someone in a palliative care team gets distress, and they can also utilize counseling services if needed. It is presumed that these situations mentioned above may be one of the reasons why there are differences between Japanese and Australian nurses' emotional labor.It is required to educate nursing students regarding nurses' emotional labor and its meaning, and make support and education systems for nurses who care for dying patients, in order to prevent their distress and burn out.

本研究以在普通病房与缓和医疗病房照顾末期癌症病患的日本护士为对象，进行实地观察与访谈。结果发现，在这两种情况下的护士有情感规则，他们必须理解和同情病人的感受，并为他们的死亡感到难过。护士对病人的感受会因病人是否被告知真相而有所不同;然而，研究也发现，两种情况下的护士都不想习惯病人的死亡，并想知道为什么当他们不能为病人的死亡感到遗憾时。根据调查结果推测，护理垂死病人的护士可能会感到无能为力、愤怒和后悔，而且由于他们提供的护理很难得到评估，他们可能会感到精疲力竭。在澳大利亚，护士也有一种情感规则，那就是他们需要对垂死病人产生同情心。但患者通常被告知真相，参与他们的决策过程，并与包括护士和医生在内的医疗保健专业人员公开讨论他们的治疗方案。此外，当姑息治疗团队中有人感到痛苦时，工作人员相互支持，如果需要，他们也可以利用咨询服务。据推测，上述情况可能是日本和澳大利亚护士的情绪劳动存在差异的原因之一。为了防止护士的痛苦和倦怠，需要对护理学生进行有关护士情绪劳动及其意义的教育，并为护理临终患者的护士制定支持和教育制度。