集中治療室での終末期介護における看護師の経験:広範囲のレビュー
Y Dodi Setyawan1, Indah Ayu Susanti1, Cecep Eli Kosasih2
1Master of Nursing Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang 45363, West Java, Indonesia.
Healthcare (Basel, Switzerland)
|February 13, 2026
まとめ
集中治療室 (ICU) の看護師は,終末期ケア (EoLC) を提供する際に,感情的,道徳的,コミュニケーション上の課題に直面します. 集中治療看護の強化には,より良い訓練,組織的支援,文化的に敏感な政策が必要です.
科学分野:
- 介護看護 介護看護とは
- 緩和ケアとは,緩和ケアです.
- クリティカルケア・メディシン
背景:
- ほとんどのICU患者は,複雑な緩和治療および終末期ケア (EoLC) を必要とします.
- 看護師は,症状管理,感情的サポート,そしてEoLCでの意思決定において極めて重要です.
- 看護師のEoLC経験に関する既存の証拠は断片化されています.
研究 の 目的:
- 集中治療室の看護師がEoLCを施す経験に関する世界的な証拠を統合する.
- 課題,対処戦略,および重症ケア看護の実践への影響を特定する.
- 終末期介護における看護師の役割をマッピングし,レビューする.
主な方法:
- ArkseyとO'MalleyのフレームワークとPRISMA-ScRのガイドラインに従ってスコーピングのレビュー.
- PubMed,Scopus,およびEBSCOhost (2015-2025) での体系的な検索について
- 定性的な研究のテーマ分析.
主要な成果:
- 様々な国からの12の質的研究が含まれていました.
- 5つの主要なテーマが浮上した:感情的/道徳的な課題,文化的/精神的な影響,コミュニケーション/協力,専門的な開発/サポート,およびリソースの制約.
- ICUの看護師のEoLCの経験は多次元的で,文化や政策によって影響を受けます.
結論:
- ICUの看護師のEoLC体験には,複雑な倫理的,感情的,組織的要因が含まれています.
- EoLCの質を向上させるには,構造的なトレーニングと組織的なサポートが必要です.
- 文化に敏感な政策は,重症病棟看護の実践を強化するために不可欠です.
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