@article{oai:gchs.repo.nii.ac.jp:00000119,
 author = {山路, 聡子 and 飯田, 苗恵 and 齋藤, 基 and Yamazi, Satoko and Iida, Mitsue and Saito, Motoi},
 journal = {群馬県立県民健康科学大学紀要},
 month = {Mar},
 note = {Article, 目的：サービス付き高齢者向け住宅（以下，サ高住）における訪問看護師のアドバンス・ケア・プランニング（Advance Care Planning：以下，ACP）に関する看護実践を明らかにする．
方法：サ高住で高齢者を看取った訪問看護師11 人を対象にACP に関する看護実践について半構造化面接を実施した．面接内容をデータとし，Berelson,B. を参考に内容分析を行った．
結果：ACP に関する看護実践として，93 サブカテゴリ，44 カテゴリ，16 コアカテゴリが抽出された．16コアカテゴリは，【状態が悪化したタイミングでの療養者・家族・多職種との医療・ケア・看取りの方針の話し合い】【療養者の意思を汲み取った対象理解】【療養者・家族・多職種との情報共有と連携】等であった．
結論：療養者の家族が身近にいないサ高住では，訪問看護師が洞察や多職種との連携を通して，意図的にタイミングを捉え，看護実践に繋げていることが示唆された．, Objective: To clarify the nursing practices of visiting nurses related to advanced-care planning (ACP) in housing establishments for the elderly with home-care services, also known as service homes.
Methods: Semi-structured interviews with eleven visiting nurses who were present at the time of an elderly patient's passing at service homes were conducted. The interview data were analyzed with reference to Berelson.
Results: With regard to nursing practices related to ACP, 93 subcategories, 44 categories, and 16 core categories were extracted. The 16 core categories included: discussion of medical care, nursing care, and end-of-life care policies with caregivers, family members, and other professionals at the time of deterioration; understanding the target patient by understanding the intention of the patient; and, information-sharing and collaboration with patients and their families, as well as among different medical professionals.
Conclusion: In service homes, where the families of persons receiving medical treatment are not nearby, visiting nurses intentionally grasp the timing of the discussion by gaining necessary insight into the situation, and cooperating with other professionals in order to improve their nursing practices., 原著, 群馬県立県民健康科学大学紀要16,3-17(2021)},
 pages = {3--17},
 title = {サービス付き高齢者向け住宅における訪問看護師の アドバンス・ケア・プランニングに関する看護実践},
 volume = {16},
 year = {2021}
}