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KAKEN_22592415seika.pdf
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| Title |
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中堅看護師の「倫理的悩み」に関する実態および倫理支援システムの構築
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| Kana |
チュウケン カンゴシ ノ 「リンリテキ ナヤミ」 ニ カンスル ジッタイ オヨビ リンリ シエン システム ノ コウチク
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Chuken kangoshi no "rinriteki nayami" ni kansuru jittai oyobi rinri shien shisutemu no kochiku
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Moral distress experienced by proficient nurses and available ethical support systems in the clinical setting
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宮脇, 美保子
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ミヤワキ, ミホコ
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Miyawaki, Mihoko
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慶應義塾大学・看護医療学部・教授
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Research team head
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科研費研究者番号 : 10263493
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宮林, 郁子
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ミヤバヤシ, イクコ
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Miyabayashi, Ikuko
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福岡大学・医学部・教授
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Research team member
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科研費研究者番号 : 40294334
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谷垣, 静子
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タニガキ, シズコ
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Tanigaki, Shizuko
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岡山大学・医学部・教授
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Research team member
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科研費研究者番号 : 80263143
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酒見, 隆信
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サケミ, タカノブ
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Sakemi, Takanobu
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佐賀大学・医学部・教授
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Research team member
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科研費研究者番号 : 30150410
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2014
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科学研究費補助金研究成果報告書
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2013
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| Abstract |
看護師がとるべき倫理的行動について判断できているにもかかわらず、その判断に従って行動できないことにより生じる「倫理的悩み」についてのインビューを中堅看護師を対象に行った。データをM-GTAを用いて分析した結果、【患者の尊厳を傷つけること】【看護師の都合を優先すること】【必要なケアを省略すること】【ケアの公平さを欠くこと】【患者に対して誠実さを欠くこと】【組織から行動を制約されること】の6つがカテゴリー化された。「倫理的悩み」は看護師に<後ろめたさ><あきらめ><無力感><感情の平坦化>といった心理的ダメージを与え、看護の質に影響を及ぼしており、倫理的支援システム構築の重要性が明らかとなった。
The present study was conducted to illustrate clearly the distinctive moral distress experienced by proficient nurses. Qualitative research was conducted using study design and semi-structured interviews. The study revealed that nurses experienced moral distress as they made ethical decisions. Six categories were extracted from the data of the experience that causes moral distress by proficient nurses. These were: an impaired dignity of patients, acting for nurse's self-interests, an administrative control and constraints, an omission of care for patients, not fair or equitable, and acting in bad faith. These experiences are given to nurse the psychological damage such as "guilty" "give up" "helplessness" and "flattening of emotions"; it had the decline in nurse's work motivation. The study results suggest that these experienced nurses suffered moral distress as they made ethical decisions. It is important to available ethical support systems for the nurses.
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研究種目 : 基盤研究(C)
研究期間 : 2010～2013
課題番号 : 22592415
研究分野 : 医歯薬学
科研費の分科・細目 : 看護学・基礎看護学
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