はざまの人をケアする : Light sedation 中の人工呼吸器装着患者をケアするICU 看護師の実践の現象学的分析

野口, 綾子

臨床実践の現象学研究会

Critical care nursing

This study aimed to describe the practice of a nurse who cares for lightly sedated, mechanically ventilated patients who have an endotracheal intubation. We conducted a phenomenological analysis of study data related to nurses’ experiences of caring for these types of patients. Four themes were identified using field notes and interviews with one nurse: (1) ‘nurses need to be conscious of calling out to patients even when the patients are awake’, (2) ‘being concerned about “now” and “tomorrow” for the patients who have no memory of the deeply sedated period’, (3) ‘being patient and keeping an eye on people with indefinite boundaries, so they can live their daily lives’, and (4) ‘determining the meanings associated with patients’ behaviours and gestures’. The overarching theme from our findings was care aimed at maintaining humanity and reestablishing functioning for patients as they transition between confusion and lucidity. This was formed by thoroughly watching beside the patient and from the patients’ perspective. There needs to be an environment where nurses can beside the lightly sedated patients for engaging in patient-centred nursing.