Characteristics of Nursing Practices at Hospital A: Insights from Case Reports

This study aimed to elucidate the practice of nurses at Hospital A. We qualitatively analyzed 13 case reports published over the past 5 years. The nurses perceived refusal of treatment and care as distressing. They actively sought treatment options and methods to minimize discomfort and attempted to...

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Published inKOBE CITY HOSPITAL BULLETIN Vol. 62; pp. 9 - 16
Main Authors Araki, Norio, Yamamoto, Kazuyo, Beppu, Kiyoka, Sugihara, Yoko, Nitta, Kazuko
Format Journal Article
LanguageJapanese
Published Kobe City Hospital Organization 2024
地方独立行政法人 神戸市民病院機構
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Online AccessGet full text
ISSN0286-455X
2434-7590
DOI10.32301/kobecityhospital.62.0_9

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Abstract This study aimed to elucidate the practice of nurses at Hospital A. We qualitatively analyzed 13 case reports published over the past 5 years. The nurses perceived refusal of treatment and care as distressing. They actively sought treatment options and methods to minimize discomfort and attempted to alleviate symptoms. In cases where recovery was a prolonged process, they encouraged a mindset of viewing the patient's situation positively as a process of achieving goals, emphasizing not lowering the level of self-care. The nurses accepted the honest feelings and continued to find out what they could do for the patients and their families. Additionally, they focused on the patient's characteristics and background, (deciding between what is important in life and continuing treatment) and provided individualized nursing care. It was suggested that these characteristics are highly versatile, as nursing care is tailored to each patient's uniqueness in Hospital A.
AbstractList This study aimed to elucidate the practice of nurses at Hospital A. We qualitatively analyzed 13 case reports published over the past 5 years. The nurses perceived refusal of treatment and care as distressing. They actively sought treatment options and methods to minimize discomfort and attempted to alleviate symptoms. In cases where recovery was a prolonged process, they encouraged a mindset of viewing the patient's situation positively as a process of achieving goals, emphasizing not lowering the level of self-care. The nurses accepted the honest feelings and continued to find out what they could do for the patients and their families. Additionally, they focused on the patient's characteristics and background, (deciding between what is important in life and continuing treatment) and provided individualized nursing care. It was suggested that these characteristics are highly versatile, as nursing care is tailored to each patient's uniqueness in Hospital A. 本研究は、A病院の看護師が著している看護を明らかにすることを目的にした。過去5年のケースレポートのうち13本を対象とし、質的に分析した。結果、看護師は【治療やケアへの拒否を患者の苦痛として捉え(る)】、【苦痛の少ない処置や方法を探求(する)】し、症状の軽減を図っていた。回復に時間を要する患者の場合は【患者の状況を目標達成過程であると肯定的に捉え(る)】、【セルフケアレベルを下げないことを重視する】ようにしていた。患者、家族の【素直な気持ちを受け止め(る)】、【患者のできることを見つけ続け(る)】ていた。そして、患者の特徴や背景に注目し【生活で大切にしていることと治療を継続することの折り合いを図(る)】り、個別性のある看護を行っていた。これらの特徴は、A病院の患者の特徴に合わせた看護として汎用性が高いことが示唆された。
This study aimed to elucidate the practice of nurses at Hospital A. We qualitatively analyzed 13 case reports published over the past 5 years. The nurses perceived refusal of treatment and care as distressing. They actively sought treatment options and methods to minimize discomfort and attempted to alleviate symptoms. In cases where recovery was a prolonged process, they encouraged a mindset of viewing the patient's situation positively as a process of achieving goals, emphasizing not lowering the level of self-care. The nurses accepted the honest feelings and continued to find out what they could do for the patients and their families. Additionally, they focused on the patient's characteristics and background, (deciding between what is important in life and continuing treatment) and provided individualized nursing care. It was suggested that these characteristics are highly versatile, as nursing care is tailored to each patient's uniqueness in Hospital A.
Author Yamamoto, Kazuyo
Nitta, Kazuko
Sugihara, Yoko
Beppu, Kiyoka
Araki, Norio
Author_FL 杉原 陽子
新田 和子
別府 清香
荒木 敬雄
山本 和代
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  fullname: Araki, Norio
  organization: Nursing Department, Kobe City Medical Center West Hospital
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  fullname: Yamamoto, Kazuyo
  organization: Nursing Department, Kobe City Medical Center West Hospital
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  fullname: Beppu, Kiyoka
  organization: Kobe City College of Nursing Career Development Support Office
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  fullname: Sugihara, Yoko
  organization: Nursing Department, Kobe City Medical Center West Hospital
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  fullname: Nitta, Kazuko
  organization: Faculty of Nursing, Osaka Medical and Pharmaceutical University
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References 公益社団法人日本看護協会:2025年に向けた看護の挑戦 看護の将来ビジョンいのち・暮らし・尊厳をまもり支える看護,公益社団法人日本看護協会:2015, https://www.nurse.or.jp/home/about/vision/pdf/vision-4C.pdf
山口晃樹,平瀬達哉,小泉徹児,他:急性期病院におけるフレイルを有する高齢入院患者の特徴.日本老年医学会雑誌 55(1):124-130,2018
上田貴子,亀岡智美,舟島なをみ:病院に就業する看護師が展開する卓越した看護に関する研究.看護教育学研究14(1):37-50,2005
漆畑里美:「個別性のある看護」に関する概念分析.日本看護技術学会誌 8(3):74-83,2009
フローレンス・ナイチンゲール:看護覚え書,改訂第6版,現代社,東京,2000
References_xml – reference: 上田貴子,亀岡智美,舟島なをみ:病院に就業する看護師が展開する卓越した看護に関する研究.看護教育学研究14(1):37-50,2005
– reference: 公益社団法人日本看護協会:2025年に向けた看護の挑戦 看護の将来ビジョンいのち・暮らし・尊厳をまもり支える看護,公益社団法人日本看護協会:2015, https://www.nurse.or.jp/home/about/vision/pdf/vision-4C.pdf
– reference: フローレンス・ナイチンゲール:看護覚え書,改訂第6版,現代社,東京,2000
– reference: 山口晃樹,平瀬達哉,小泉徹児,他:急性期病院におけるフレイルを有する高齢入院患者の特徴.日本老年医学会雑誌 55(1):124-130,2018
– reference: 漆畑里美:「個別性のある看護」に関する概念分析.日本看護技術学会誌 8(3):74-83,2009
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Snippet This study aimed to elucidate the practice of nurses at Hospital A. We qualitatively analyzed 13 case reports published over the past 5 years. The nurses...
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SubjectTerms case report
individuality
nursing
ケースレポート
個別性
看護
Title Characteristics of Nursing Practices at Hospital A: Insights from Case Reports
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