@article{oai:kobe-c.repo.nii.ac.jp:00002571,
 author = {横田(有田), 恵子(恵子) and YOKOTA, Keiko},
 issue = {2},
 journal = {神戸女学院大学論集, KOBE COLLEGE STUDIES},
 month = {Dec},
 note = {P(論文), がん緩和医療の普及に伴い、2000年代に入ってから、がん患者遺族に対するケアの試みが看護領域で盛んになってきた。患者本人が亡くなった後も、家族は遺族として引き続き家族ケアの対象となる。その大きな理由のひとつに「残された家族が病的な悲嘆に陥らないように予防する」視点がある。さらに、遺族ケアに携わる看護師のケアも必要とされる。遺族と関わることで、看護師も自らの喪失感情や悲しみを味わうことになるからである。遺族の回想・語りの中では「後悔」のストーリーが現れることが多い。中でも「患者の生前に（家族として）行わなかったこと」に対する後悔は多く話され、看護師はその後悔の感情を共感的に理解する。本論ではまず、遺族ケアの理念や実際について先行研究に基づいた整理を行う。その後、がん認定看護師2名へのインタビューに基づき、実際に看護師が遺族と共に故人の思い出を共有し、互いに喪失の孤独感や不安を認め合う存在になっていることを明らかにする。そして最後に「家族と死別した後の生活までが医療化されること」が孕む問題、すなわちそれが「生の全人性の抑制」とも捉え得る点に言及する。, With the proliferation of palliative care in Japan, the area of nursing for bereaved families of cancer patients has become increasingly active around the turn of the century. This means that even after the patient has died, the bereaved family continues to be under the care of nurses. One of the main reasons for this is to "prevent bereaved families from developing forms of pathological grieving."  This also leads to increased demand for the psychological care of nurses who engage in this care work because in the process of establishing relationships with these bereaved families, the nurses themselves come to feel deep senses of loss and sadness as well. It is fairly common for family members to talk about themes of "regret" in their recollection narratives, and these stories often include things the families were unable to do for the patient while he or she were still alive. Nurses, too, understand and empathize with these feelings or regret.
In this paper, I will first review the philosophy of palliative care and its actual practice based on the literature. Then, based on in-depth interviews of two certified nurse specialists in cancer nursing, I will  illuminate the process in which nurses share the deceased patient's memories with the bereaved family, acknowledge each other's anxieties and loneliness from the loss, and become a presence in the life of these bereaved families as a result.
Finally, I will offer a critical perspective on how the trend toward medicalization of  the bereaved family after the patient's death is not necessarily a unilaterally positive development, and that such movement can lead to the undermining of the lived-life as a holistic entity underfined by terms of medicalization.},
 pages = {245--261},
 title = {がん患者遺族との関わりを通して生成する中堅看護師たちの卓越・固有感覚―がん認定看護師たちの語りから―},
 volume = {62},
 year = {2015},
 yomi = {ヨコタ（アリタ）, ケイコ（ケイコ）}
}