@article{oai:kuins.repo.nii.ac.jp:00000574,
 author = {原本, 久美子 and 岸川, 亜矢},
 issue = {20},
 journal = {研究紀要},
 month = {Mar},
 note = {40021849242, Purpose: This study was conducted to clarify how clinical nurses truly sense nursing care based on their open-ended descriptive answers to questions about situations and scenarios in which they truly sensed they had successfully provided nursing care. This study also clarified how this experience of nursing was related to the content of nursing practice.
Methods: A questionnaire survey with open-ended descriptive questions was conducted on 238 nurses with at least five years of clinical experience. Situations and scenarios in which nurses truly sensed they had successfully provided nursing care were extracted as contextual units and were then encoded and categorized to examine the relationship between the content of nursing practice and categories.
Results: One hundred five nurses responded to the survey (44.1 % recovery rate,) and 124 codes and 18 sub-categories were extracted. The following six categories were formed through categorization: “Times when they received smiles and words of thanks and gratitude from patients and families,” “Times
when they were able to provide assistance in accordance with the wishes of patients and families,”“Times when they interacted with a patient and were able to perceive recovery,” “Times when they devised care and sensed its effects,” “Times when they were able to support a normal lifestyle for a patient,” and “Times when they were able to provide care that allowed a person to live properly.”
Discussion: From the categories, it was inferred that nurses perceived and recognized nursing care when they sensed patients’ reactions or outcomes of the care they provided, and were able to support patients’ lifestyles and living, which is the purpose of nursing. It can be said that it is important for clinical nursing professionals to describe their own nursing care to developing an awareness of nursing care and to perceive expertise., 本研究は、臨床看護師が「看護ができた」と実感した状況や場面の自由記述から,彼らがとのように看護を実感し認知するのか、実践内容との関連から明らかにする。【方法】5年以上の臨床経験がある看護師238名に、自由記述式質問紙調査を実施し「看護ができた」と記述した状況や場面を、文脈単位で抽出し、コード化、カテゴリ化し、実践内容やカテゴリ間の関連を検討した。【結果】105名が回答し回収率44,1％、124のコードと、18のサブカテゴリか抽出され、カテゴリ化により「患者・家族からの笑顔、感謝やお礼の言葉を貰えたとき」、「患者・家族の希望に沿う援助ができたとき」、「患者と関わり回復を実感できたとき」、「ケアを工夫し効果を感じたとき」、「その人らしい普通の生活への援助ができたとき」、「その人が生きるためのケアをきちんとできたとき」の6カテゴリが形成された。【考察】カテゴリからは、患者の反応やケアの効果、看護の目的である生活や生きることへの援助ができたとき、看護を実感し認知していたことが推察された。臨床の看護専門職が、自身の看護を記述することは看護を意識化し専門性を捉える上で重要といえる。},
 pages = {93--107},
 title = {臨床看護師が「看護ができた」と実感する状況や場面 : 自由記述から捉えた看護の内容分析(1)},
 year = {2019}
}