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 1996 2012 3 10 795 Certified Nurse SpecialistCNSCNS 327 1 CNS 2 CNS 3 4 5 6 CNS CNS 方法 Walker Avant 7 2012 8 1 2013 2 27 連絡先 1080071 2277509 PhoneFax0332801992E-mailmumeda2002@kanwacarep.com 27 2 2013 47
表 参照文献 ( 文献 ). 185, 19221995 Expert Nurse. 1211, 92971996 50suppl, 54561998 96, 4204221999 CNS 2000, 34139 13 2001 34, 4744792001 64, 3053072001 85, 4194232003 194, 46492004 CNS 102, 1631652005 33suppl 2, 3453472006 211, 10162006 22213, 116011652007 12264, 35432007 187, 5485522008 633, 1711752009 8 CNS Ver.4 19962009 321 CNS 10 CNS 10 3 CNS 3 1 15 1 1 17 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 1 1940 Caplan 2 9 1954 Clinical Nurse Specialist 10 1968 11 Hamric Caplan 12 Clinical Nurse Specialist 13 1990 Clinical Nurse Specialist Nurse Practitioner 1314 Advanced Practice Nursing Advanced Practice Registered NurseAPRN 48 27 2 2013
15 Hamric 7 16 Barron White 17 1997 18 2 1973 19 20 1990 Underwood Lippitt Lippitt 21 22 CNS Caplan Lippitt Lippitt 5 ) 辞書的 事典的な使用 consultation 23 24 25 ) コンサルテーション の類似概念 referral supervision 26 27 referral referral 28 29 supervision 27 2 2013 49
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 63 2 3 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 50 27 2 2013
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 12 0.5 A CNS CNS A K K A CNS CNS A K 27 2 2013 51
CNS A K K CNS CNS A A CNS A K A A CNS A ) 反対ケース A H 12 0.5 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 31 32 CNS 52 27 2 2013
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 27 2 2013 53
文献 1 http://www.nurse.or.jp/nursing/qualification/index.html 20120307 2 http://www.nurse.or.jp/nursing/qualification/howto/pdf/sensaisoku.pdf 20110910 3Barron AM, White PA. Consultation. Advanced Nursing Practice. Hamric AB, Spross JA, Hanson CM eds. 4th edition. Philadelphia, Saunders Elsevier, 2009, 191216 4Lewandowski W, Adamle K. Substantive areas of clinical nurse specialist practicea comprehensive review of the literature. Clin Nurse Spec. 232, 73902009 5 2004207221 6 2112, 2006, 115 7Walker L, Avant K. Strategies for Theory Construction in Nursing. 4th edition. Upper Saddle River, Pearson Education, 2005, 6384 8 7, 65 9Caplan G. The theory and Practice of Mental Health Consultation. New York, Basic Book, 1970, 318 10Arlene 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, 332 11MurphyEnde KM. Advanced practice nursingreflections on the past, issues for the future. Oncol Nurs Forum. 291, 106 1122002 12 919 13Hamric 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, 3 18 14International Council of Nurses. Definition and characteristics of the role. 2002 http://www.icnapnetwork.org/ 2011 0904 15American Nurses Credentialing Center. Consensus Model for APRN Regulation. 2008 http://www.nursecredentialing.org/ APRNConsensusModelReport.aspx 20120201 16Hamric AB. A definition of advanced practice nursing. Advanced Nursing Practice. Hamric AB, Spross JA, Hanson CM eds. 4th edition. Philadelphia, Saunders Elsevier, 2009, 7594 17 3, 193 18Oncology Nursing Society. Statement on the Scope and Standards of Advanced Practice in Oncology Nursing. Oncology Nursing Press, 1997, 11 19 2513, 1973, 5260 20486, 1996, 3440 21Lippitt GL, Lippitt R. The Consulting Process in Action. Hoboken, John Wiley Sons, 1986, 110 22Underwood PR. 18 5, 4121995 23http://ejje.weblio.jp/content/consultation 20120307 24http://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 8 20120307 25 5 2002780 26http://dic.search.yahoo.co.jp/search?p=%E7%9B%B8% E8%AB%87&aq=-1&oq=&dic_id=all&ei=UTF8 201203 07 27http://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=utf8 20120307 28 3, 193 29 198687137 30 3, 193195 31 3, 197 32McFadden EA, Miller MA. Clinical nurse specialist practicefacilitators and barriers. Clin Nurse Spec. 81, 27331994 54 27 2 2013
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 1080071, JAPAN PhoneFax0332801992E-mailmumeda2002@kanwacarep.com 27 2 2013 55