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1 研究報告 がん看護専門看護師のコンサルテーション * についての概念分析 要旨 Walker Avant2005 CNS Key words はじめに Certified Nurse SpecialistCNSCNS CNS 2 CNS CNS CNS 方法 Walker Avant 連絡先 PhoneFax mumeda2002@kanwacarep.com

2 表 参照文献 ( 文献 ). 185, Expert Nurse. 1211, suppl, , CNS 2000, , , , , CNS 102, suppl 2, , , , , , CNS Ver CNS 10 CNS 10 3 CNS 表 結果 コンサルテーション 概念の使用の概観 ) コンサルテーション 概念の使用の歴史 Caplan Clinical Nurse Specialist Hamric Caplan 12 Clinical Nurse Specialist Clinical Nurse Specialist Nurse Practitioner 1314 Advanced Practice Nursing Advanced Practice Registered NurseAPRN

3 15 Hamric 7 16 Barron White Underwood Lippitt Lippitt CNS Caplan Lippitt Lippitt 5 ) 辞書的 事典的な使用 consultation ) コンサルテーション の類似概念 referral supervision referral referral supervision

4 supervision 30 がん看護 のコンサルテーション の属性 CNS 6 17 CNS 表 CNS CNS CNS CNS QOL がん看護 のコンサルテーション の再定義 CNS CNS CNS がん看護 のコンサルテーション のケース CNS CNS 3 A A ) モデルケース A M 6 3 A CNS A M A A CNS M M A CNS A M CNS M CNS A M A A M CNS M A

5 表 がん看護専門看護師のコンサルテーション の属性 1 CNS CNS CNS CNS CNS IC CNS CNS QOL ) 関連ケース A K A CNS CNS A K K A CNS CNS A K

6 CNS A K K CNS CNS A A CNS A K A A CNS A ) 反対ケース A H A CNS CNS A H H A CNS CNS A CNS A A CNS A CNS H A H A CNS A CNS A A A がん看護 のコンサルテーション の先行要件と帰結 表 CNS CNS CNS CNS 考察 CNS CNS CNS CNS CNS Barron White CNS

7 表 がん看護専門看護師のコンサルテーション の先行要件と帰結 1 CNS CNS 結論 CNS 1 CNS CNS CNS 2 3 CNS

8 文献 Barron AM, White PA. Consultation. Advanced Nursing Practice. Hamric AB, Spross JA, Hanson CM eds. 4th edition. Philadelphia, Saunders Elsevier, 2009, Lewandowski W, Adamle K. Substantive areas of clinical nurse specialist practicea comprehensive review of the literature. Clin Nurse Spec. 232, , 2006, 115 7Walker L, Avant K. Strategies for Theory Construction in Nursing. 4th edition. Upper Saddle River, Pearson Education, 2005, , 65 9Caplan G. The theory and Practice of Mental Health Consultation. New York, Basic Book, 1970, Arlene WK. A brief history of advanced practice nursing in the United State. Advanced Nursing Practice. Hamric AB, Spross JA, Hanson CM eds. 4th edition. Philadelphia, Saunders Elsevier, 2009, MurphyEnde KM. Advanced practice nursingreflections on the past, issues for the future. Oncol Nurs Forum. 291, Hamric AB. History and overview of the CNS role. The Clinical Nurse Specialist in Theory and Practice. Hamric AB Spross JA ed. 2nd edition. Philadelphia, WB Sanders, 1989, International Council of Nurses. Definition and characteristics of the role American Nurses Credentialing Center. Consensus Model for APRN Regulation APRNConsensusModelReport.aspx Hamric AB. A definition of advanced practice nursing. Advanced Nursing Practice. Hamric AB, Spross JA, Hanson CM eds. 4th edition. Philadelphia, Saunders Elsevier, 2009, , Oncology Nursing Society. Statement on the Scope and Standards of Advanced Practice in Oncology Nursing. Oncology Nursing Press, 1997, , 1973, , 1996, Lippitt GL, Lippitt R. The Consulting Process in Action. Hoboken, John Wiley Sons, 1986, Underwood PR. 18 5, http://ejje.weblio.jp/content/consultation http://dic.search.yahoo.co.jp/search?p=%E3%82%B3% E3%83%B3%E3%82%B5%E3%83%AB%E3%83%86%E3%83%BC%E3% 82%B7%E3%83%A7%E3%83%B3&aq=-1&oq=&dic_id=all&ei=UTF http://dic.search.yahoo.co.jp/search?p=%E7%9B%B8% E8%AB%87&aq=-1&oq=&dic_id=all&ei=UTF http://dic.search.yahoo.co.jp/search?p=%E3%82%A2% E3%83%89%E3%83%90%E3%82%A4%E3%82%B9&aq=-1&oq=&dic_ id=all&ei=utf , , , McFadden EA, Miller MA. Clinical nurse specialist practicefacilitators and barriers. Clin Nurse Spec. 81,

9 Abstract Consultation of the Certified Nurse Specialist in Cancer Concept Analysis by Megumi Umeda from Palliative Care Partners Co., ltd. Consultation of Certified Nurse Specialists in cancer is the introduction to their advanced practice, and it is an essential function requiring the spread of uniformly highquality cancer nursing. However, comprehension of the meaning of consultation in the nursing field is ambiguous. Therefore, concept analysis of consultation of Certified Nurse Specialists in cancer was conducted using the method of Walker Avant 2005in order to promote the utilization, evaluation, and education of consultation. As a result, Certified Nurse Specialists in cancer, General nurses, Issues of consultation, Process of relationship and Outcomes were extracted as attributes, Increasing complexity of life of cancer patients and their families and Management system were extracted as antecedents, and Improvement of system was extracted as a consequence. There is a need to recognize the existence of a gap among nurses in the use of the consultation concept and to explore the relationship of these attributes. Key words certified nurse specialist in cancer, advanced practice nursing, consultation, concept analysis Address reprint requests to : Megumi Umeda. Palliative Care Partners Co., ltd. 509, 2277 Shiroganedai, Minatoku, Tokyo , JAPAN PhoneFax mumeda2002@kanwacarep.com

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