@article{oai:kuins.repo.nii.ac.jp:00000542,
 author = {清水, 玲子 and 中村, 美鈴 and 平山, 美紀 and 水野, 照美 and 山本, 洋子 and 内海, 香子 and 村上, 礼子},
 issue = {19},
 journal = {研究紀要},
 month = {Mar},
 note = {40021513209, Objectives: To explore experiences and investigate nursing support among family members who make decisions for critically ill patients regarding life-sustaining treatment.
Methods: We conducted and qualitatively analyzed unstructured interviews targeting the experiences of four family members who made decisions for critically ill patients regarding life-sustaining treatment.
Results: Nine categories were apparent in the experiences of the target group: “decisionmaking being left to one family member in a time of shock and confusion,” “believing in miraculous recovery and continual searching for vital signs,” “inferring the patient’s medical condition and progress from doctors’ explanations and staffs’ actions and expressions,” “questioning the meaning of life when faced with a family member being kept alive by a machine,” “self-questioning about the morality of a life and death decision,”“worrying about being blamed for the decision,” “attributing positive meaning to the moment of death,” “not being able to face family members who share the grief,” and “support and comfort from family and others.”
Conclusions: Our results suggest that family members who make decisions for critically ill patients regarding life-sustaining treatment require nursing support to 1) immediately understand and interpret the condition and symptoms of the patient, 2) facilitate communication with medical staff, 3) encourage family members’ cooperation and participation in the decision making process, 4) protect the dignity and closeness of the patient and their family in a time of crisis, and 5) promote sharing and reflection of experiences among people who have made decisions about life-sustaining treatment.},
 pages = {45--55},
 title = {救急医療において延命治療の代理意思決定を行った家族の体験},
 year = {2018}
}