Changes in Pediatric End-of-Life Care Perspectives of Nursing University Students Before and After Attending the Lecture hearing the Experiences of the Parents Who Have Lost their Children.

Abstract

目的：本研究は，子どもを亡くした親の体験を聴講する授業前後での，学生の小児エンドオブライフケア観の変化を明らかにする． 方法：子どもを病気で亡くした親から話を聴く授業前後で，学生の死生観尺度，および小児エンドオブライフケアの実践を想定した時の感情や信念をWilcoxonの符号付順位検定で分析し，「エンドオブライフケアに対する思い」の自由記述を質的に分析した． 結果：授業前後結果で有意差が認められたのは「死に逝く患者は自分にないものを教えてくれる」「死に逝く子どもとその家族と関わることは，辛くて耐えられない」「死の差し迫った子どもの家族には，声を掛けないほうがよい」「死の差し迫った子どもの家族にとって，看護師の影響は大きい」であった． 結論：子どもを亡くした親の体験を聴く授業により，学生は「子どもが精一杯生きることを助けたい」という思いに至り，小児エンドオブライフケアを具体化できることが示唆された．Purpose: This study will clarify the changes in pediatric end-of-life care perspectives of students of the nursing university before and after attending the lecture hearing the experience of the parents who have lost their children because of illness. Method: Analysis of the survey and the free writing of the students was performed after the lecture and compared it with those of before the lecture. Result: There were statistically significant differences in the student’s view on the following points after the lecture. “Care of the dying children and their families is unbearable to nurses”, “It is best to have nothing to say to the family of the dying child”, “Nurses can play essential roles in the terminal care of the children and their families”. Conclusion: The students suggests that students have got the clear vision on the pediatric end-of life care by hearing experiences of the parents who have lost their children.departmental bulletin pape