@article{oai:niconurs.repo.nii.ac.jp:00000024,
 author = {高島,  葉子 and Takashima, Youko and 塚本,  康子 and Tsukamoto, Yasuko and 中島,  通子 and Nakashima, Michiko},
 issue = {1},
 journal = {日本助産学会誌},
 month = {Jun},
 note = {Journal Article, 目的　本研究の目的は，助産事故により深刻な状況になりながらも助産師に対して信頼感を維持している女性の体験の語りから，どのような｢分岐｣や思いが存在したのか記述し，看護への示唆を得ることである．/対象・方法　助産事故後も助産師と信頼関係を維持できていると認識している女性2名を対象としたライフストーリー研究である。データ収集は,助産所出産を希望した経過とともにどのような助産事故があり,その時の思いや考えを過去から現在に進むかたちで自由に語ってもらった．
結果
A氏は子どもに生命危機が生じた時,怖れと後遺症への不安につきまとわれ,混乱の中で周囲の言動から助産事故と認識し,助産師との向き合い方を探った。しかし,自分が助産院を選択した責任と後悔で助産師だけを責めることはできなかった。そして,事故でのかかわりを通して助産師との関係が再構築される過程で,被害者・加害者という関係の終結と助産院再開を切望し,けじめとしての補償を求めた。A氏は助産事故により生命や健康の大切さを再確認するとともに,新しい生き方を見出していた。B氏は助産師の態度から胎児が生きている可能性が少ないのではないかと察し,衝撃を受けつつ,同じ医療従事者として助産師を慮っていた。そして,決して逃げない姿勢の助産師を信頼しながら死産を委ねた。グリーフケアで子どもと十分なお別れができたことや,助産師との対話の積み重ねの中で,誰も責められないと心から思うことができた。喪失を乗り越え,新しい生命観と家族を得ていた。
結論   助産事故後も助産師との関係性を維持している女性は,一時的に助産師への信頼感は揺らぐものの,事故発生までに培われた関係性を基盤に誠意を尽くされたと感じることを契機として関係性を維持していた。看護者は,有害事象が発生した場合,信頼関係が崩壊し紛争へと「分岐」するプロセスを認識し,長期的で継続的な視野に立ったケアの提供に努めることが肝要である。, Objective
The purpose of this study is to describe, from narrative accounts of their experiences, what kinds of "turning points" there were and what went through the minds of women who maintained their sense of trust in the midwife, even while suffering through a serious situation caused by a midwifery accident, and what implications that has for nursing.
Methods
This is a life story study of two women who recognized that they were able to maintain a relationship of trust with the midwife even after a midwifery accident.
Data collection was conducted through having the women freely narrate their thoughts and feelings from the time of wanting to give birth at a midwife center, through to the present in chronological order, including the details of the midwifery accident. Following that, semi-structured interviews were conducted to investigate the mindset of the women at each step of the journey they described.
Results
When a cris is that threatened the life of her child developed, Ms.A was haunted by fear and anxiety regarding the  aftereffects of the crisis, and deducing from the surrounding behavior that there had been a midwifery accident she searched for ways to confront the midwife. However, as she was feeling regret and responsibility for choosing the midwifery owned maternity home, Ms.A could not lay all the blame upon the midwife alone. In the process of reconstructing the relationship with the midwife by continuing communication throughout the incident, and with the dispute findings having established a victim-perpetrator relationship, and the desire for the midwifery owned maternity home toresume business, Ms.A wanted a sense of closure in the form of compensation. Ms.A, having reconfirmed the importance of life and health through the midwifery accident, was searching for a new way of life. Ms.B sensed from the attitude of the midwife that there was little possibility of her fetus being alive, and even while suffering shock, she deliberated on the fact that the midwife was also a healthcare worker like herself. She entrusted the delivery of the dead baby to the midwife who showed an unfailingly supportive attitude. With grief care, Ms.B was able to say a sufficient goodbye to the baby, and as a result of many conversations with the midwife, she came to have a deep-seated conviction that there was no-one to blame. Overcoming the loss, Ms.B acquired a family and a new view on life.
Conclusion
The women　who maintained their sense of trust in the midwife even through a　midwifery accident, did so based　 upon the relationship cultivated up until the time of the incident, as despite a temporarily shaken sense of trust in the midwife, the women felt they had been dealt with in good faith.It is essential for nurses to make efforts in the event of an incident occurring to recognize the process and `turning points' that lead to coflict and the col1apse of the relationship of trust, and to provide long-term continuing care., 原著},
 pages = {26--38},
 title = {助産事故後も助産師に対する信頼感を維持している女性の体験},
 volume = {28},
 year = {2014},
 yomi = {タカシマ, ヨウコ and ナカシマ, ミチコ}
}