{"_buckets": {"deposit": "8c758f2c-0715-43c2-bc49-df832ddc0946"}, "_deposit": {"id": "18186", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "18186"}, "status": "published"}, "_oai": {"id": "oai:soar-ir.repo.nii.ac.jp:00018186", "sets": []}, "author_link": ["50747", "50748", "50749", "50750", "50751", "50752", "50753", "50754", "50755"], "item_10_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2015-03", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "46", "bibliographicPageStart": "42", "bibliographicVolumeNumber": "43", "bibliographic_titles": [{"bibliographic_title": "信州大学医学部附属病院看護研究集録"}]}]}, "item_10_description_20": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "A病棟は体外式補助人工心臓(ventricular assist device :体外式VAD)を装着し,渡航心臓移植待機となった患児・家族への看護を初めて経験した。その中で小児移植看護や家族の意思決定支援の難しさを感じた為,この希少な症例を振り返り,今後の看護に活かしたいと考えた。VAD離脱評価のための検査を受けてから米国へ渡航するまでの経過を,移植決断前と決断後の二つの期間に分け,看護問題と看護師の関わりを振り返った。結果的には,家族は渡航心臓移植を受ける意思決定ができ,患児も心臓移植を受け入れることができた。その結果に対し看護師が行えたことは傾聴・支持的態度での関わりであった。しかし,患児・家族には経過の中で心臓移植という選択に対し,大きな葛藤や心理的な問題があったと考えられる。それらに対し看護師は,その葛藤の内容を理解し関わることや必要となる情報を把握しておくこと,また専門的なサポートができる職種への橋渡しや情報共有,小児が理解しやすい発達段階に合わせた関わりなどが必要であったと考える。今後の課題として看護師の移植看護に対する知識の充実や移植コーディネーターなど多職種連携が必要と考えられる。", "subitem_description_type": "Abstract"}]}, "item_10_description_30": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_10_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州大学医学部附属病院看護部 43(1):42-46(2015)", "subitem_description_type": "Other"}]}, "item_10_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州大学医学部附属病院看護部"}]}, "item_10_select_64": 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