Research into the Changing Conceptualization of "Anraku" within Nursing in the Japanese Context: Parsing the concept of "Anraku" among practicing nurses

日本背景下护理中“安乐”概念的变化研究：解析执业护士中的“安乐”概念

• 批准号: 18592335
• 负责人: YAMAMOTO Yumiko
• 金额: $ 1.6万
• 依托单位: Tokyo Women's Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2006
• 资助国家: 日本
• 起止时间: 2006 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18592335/
• 关键词: Japanese Culture; Concept of "Anraku"; clinical nursing professionals; 臨床看護者; 安楽; 自己決定; セルフケアの自律; 楽; 心が穏やか; 概念; らく; 穏やか; 自律と生活の再構成; 生活の拡大

Within Japanese Culture Anraku is being re-evaluated and from the perspective of care it was thought that giving clarity to this concept would be beneficial to the quality of nursing. The ethical considerations were undergone by an examination of Tokyo Women's Medical College.From the qualitative research of the interviews of clinical nursing professionals, comprise Anraku include "bodily Anraku", "serenity," "increase of the range of self-determination", and "autonomy of self-care." In order to verify this, 2.832 people participated in research from November 2007 through January 2008 which had 65 carefully selected items which were rated through a four step process by which the factor analysis was done.Results and considerations: The result of investigation: the valid response of 1,376 participants was 48.6%. Both the reliability and the validity of the conclusions are supported by the reliability of the questionnaire which had an a factor >0.80 and the validity of the sample which is seen both through the results of Bartlett spherical characteristic and the KMO (Kaiser-Meyer-Olkin) value of over 0.9. The average of subordinate factor was between 2.16-3.55. The result of doing a factor of analysis of the four elements "bodily Anraku", "serenity," "increase of the range of self-determination", and "autonomy of self-care" was that they could be classified into the following:1.) "Bodily Anraku" -- Assistance in daily living and relief of pain.2.) "Serenity" -- Engendering both serenity in daily life and sense of security, and adapting the hospital environment.3.) "Increase of the range of self-determination" - Disclosure of diagnosis and procedures to create a greater ability for autonomy of patient choice.4.) "Autonomy of self-care" -- The rehabilitation of daily function, support of increased capabilities in daily life and assistance in self autonomy.These are the elements by which practicing nursing professionals define Anraku.

在日本文化中，安乐正在被重新评估，从护理的角度来看，人们认为澄清这一概念将有利于护理质量。伦理考虑是通过东京女子医学院的审查进行的。通过对临床护理专业人员的访谈进行定性研究，安乐包括“身体安乐”、“平静”、“增加自决范围”和“自我照顾的自主权”。为了验证这一点，从 2007 年 11 月到 2008 年 1 月，共有 2,832 人参与了研究，其中有 65 个精心挑选的项目，通过因子分析的四步过程进行评级。 结果和考虑： 调查结果：有效1,376 名参与者的回应率为 48.6%。结论的信度和效度都得到了问卷信度的支持（系数>0.80）和样本的效度，这通过巴特利特球形特征和KMO（Kaiser-Meyer-Olkin）的结果看出。 ）值超过0.9。次要因素平均值在2.16-3.55之间。对“身体安乐”、“平静”、“自我决定范围的扩大”、“自我保健的自主性”这四个要素进行因素分析的结果是，它们可以分为以下几类： 1.)“身体安乐”——日常生活协助和缓解疼痛。2.)“宁静”——在日常生活中产生宁静和安全感，并适应医院3.)“扩大自决范围”--公开诊断和程序，以增强患者选择的自主权。4.)“自我护理的自主性”--日常功能的康复，支持提高日常生活能力和帮助自我自治。这些是执业护理专业人员定义 Anraku 的要素。

项目成果

日本文化及び看護における安楽の概念ーA病院の看護者が考える安楽の概念

日本文化和护理中的安乐概念 - A医院护士所思考的安乐概念

• 发表时间: 2007
• 作者: 山元由美子