{"created":"2023-06-20T16:01:32.150861+00:00","id":1115,"links":{},"metadata":{"_buckets":{"deposit":"49fdcd19-75e4-40b8-a048-1fd536c88c37"},"_deposit":{"created_by":14,"id":"1115","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"1115"},"status":"published"},"_oai":{"id":"oai:kuins.repo.nii.ac.jp:00001115","sets":["7:192"]},"author_link":["1186","2064"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"24","bibliographicPageEnd":"164","bibliographicPageStart":"151","bibliographic_titles":[{"bibliographic_title":"研究紀要"},{"bibliographic_title":"The bulletin of Kansai University of International Studies","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"PURPOSE: This study aims to clarify how nurses determine the need for additional sedation for children with congenital heart disease in a pediatric cardiac intensive care unit.\nMETHODS: We conducted semi-constructive interviews with seven nurses and analyzed the results qualitatively descriptively.\nRESULTS: Based on their knowledge and experience, the nurses had developed a disposition that guided their decision-making process to “care for the child with a prepared mind.” The nurses then assessed the children’s reaction to continuous sedation and “made an immediate decision for additional sedation based on the predicted physical effects on the child,” such as cardiac load and probable safety issues (e.g., unscheduled extubation and removal of infusion). For children who did not require immediate additional sedation, the nurses attempted to interpret their cries and comfort them. At the same time, the nurses were making a wide range of predictions about the children’s well-being. Then, they chose to \"do what was best for the child.” These were influenced by the characteristics of children with congenital heart disease, for whom crying is a cardiac load.\n","subitem_description_type":"Abstract"},{"subitem_description":"小児循環器集中治療室において先天性心疾患の子どもへの追加鎮静の必要性を看護師がどのように判断しているのかを明らかにすることを目的として，看護師7名へ半構成的面接を行い、質的記述的に分析した。その結果、看護師はこれまでに培った知識や経験をもとに，【あらかじめ心構えをもって子どもを看る】ための判断の基盤となる考え方をもっていた。その心構えをもとに、看護師は子どもの反応を捉え，心負荷や安全といった【子どもへの身体的影響の予測から即時に追加鎮静を判断】していた。即時の追加鎮静が必要ない子どもへは，看護師は泣くことが心負荷につながる先天性心疾患の子どもの特徴を踏まえ，子どもの泣きの意味を読み取り，落ち着かせるために試行錯誤しながら，子どもの安寧の視点で幅広く先を予測し，最終的に【子どもにとっての最善を選択】する判断を行っていた。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"関西国際大学"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11544811","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13455311","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"本田, 真也"}],"nameIdentifiers":[{"nameIdentifier":"1186","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"坂本, 佳津子"}],"nameIdentifiers":[{"nameIdentifier":"2064","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-05-31"}],"displaytype":"detail","filename":"24-11.pdf","filesize":[{"value":"834.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"24-11","url":"https://kuins.repo.nii.ac.jp/record/1115/files/24-11.pdf"},"version_id":"11787462-8e93-426a-a592-c18922ea078d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児｜集中治療室｜先天性心疾患｜鎮静｜臨床判断","subitem_subject_scheme":"Other"},{"subitem_subject":"children｜intensive care unit｜congenital heart disease｜sedation｜clinical judgment","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"小児循環器集中治療室において看護師が行う追加鎮静の判断","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"小児循環器集中治療室において看護師が行う追加鎮静の判断"},{"subitem_title":"Nurses' Judgment about Additional Sedation in the Pediatric Cardiovascular Intensive Care Unit","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"14","path":["192"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-05-31"},"publish_date":"2023-05-31","publish_status":"0","recid":"1115","relation_version_is_last":true,"title":["小児循環器集中治療室において看護師が行う追加鎮静の判断"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-06-20T16:11:00.955274+00:00"}