九州大学 研究者情報
論文一覧
藤田 紋佳(ふじた あやか) データ更新日:2019.12.24

助教 /  医学研究院 保健学部門 医学研究院保健学部門看護学専攻 


原著論文
1. Ayaka Fujita, Yuko Hamada, Bereavement care in Japanese pediatrics
Pediatrician awareness in practice, Pediatrics International, 10.1111/ped.13891, 61, 7, 658-663, 2019.07, [URL], Background: A child's death affects not only family members but also the health-care professionals involved in patient care. The education system for bereavement care in Japan, however, is not set up in a systematic way, and the care provided is based on the individual experience of the health-care professional. The aim of this study was to investigate pediatrician awareness of and actual circumstances involved in bereavement care in Japan. Methods: A qualitative descriptive study was conducted at four facilities in Japan. Data collected using semi-structured interviews of 11 pediatricians were assessed using inductive qualitative analysis. Results: Pediatrician recognition of the elements of bereavement care was categorized as follows: (i) developing relationships with families before a child's death is important in bereavement care; (ii) after the child dies, family involvement is left to the doctor's discretion; (iii) coping with a child's death myself through past experience is essential; (iv) doctors involved in a child's death also experience mental burden; and (v) a system for the family's bereavement care must be established. Two categories were established according to actual circumstances involved in bereavement care: (i) attention must be given to the emotions of the families who lost a child; and (ii) doctor involvement with bereaved families depends on doctor awareness and expertise. Conclusion: Japanese pediatricians provided bereavement care to families who lost their children in a non-systematic manner. This is necessitates improvement of the self-care of health-care professionals with regard to grief by improving bereavement care-related education. Additionally, health-care professionals must be trained, and a national-level provision system must be established to provide high-quality bereavement care to families who lose a child..
2. 青野広子、濵田裕子、藤田紋佳, 血友病をもつ子どもの病気に伴う体験, 日本小児看護学会誌, 23, 2, 2019.11.
3. 土井紗世、濵田裕子、藤田紋佳, 新生児医療施設に長期入院している子どもを持つ親の体験ーエスノナーシングの研究方法を用いてー, 家族看護学研究, 23, 2, 2018.02.
4. 藤田 紋佳, 生体肝移植後の学童後期から思春期の子どもと親のQOL向上のための看護援助モデルの考案, 千葉看護学会, 21, 2, 2016.02.
5. Ayaka Fujita, Daily lives of pre-adolescents/adolescents and their parents after liver transplant, Japan Journal of Nursing Science, 2015.04.
6. 藤田 紋佳, 林田 真, 田口 智章, 生体肝移植後の学童後期・思春期の小児の療養生活の実態と生活の満足, 日本移植学会, 49, 2・3, 2014.06.

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