はしがき
米国の看護学専門誌 American Journal of Nursing（1900 年創刊）に Reflections という名称のコラム欄が誕生したのは 1983 年のことです。
「リフレクション」（reﬂection）とは，一般的には「内省，省察」と訳されますが，看護の分野では「日々の看護実践に対する客観的な振り返り」を指します。同誌のこのコラム欄に掲載される短いエッセイは，大半が看護師によるものですが，そのほかの医療従事者，患者やその家族も執筆しています。誕生と同時に大人気を博したこのコラム欄に掲載されたエッセイは，Reflections on Nursing: 80 Inspiring Stories on the Art and Science of Nursing（2017）として刊行されました。本書は，この書籍に収録された 80 編から選りすぐった 15 編のエッセイをもとに作成した，主に看護学生向けの英語学習用テキストです。
各 Unit の構成は次のようになっています。
WARM UP

Vocabulary & Pronunciation

本文に出てくる単語の意味を確認して，発音を練習します。
READING
医療・看護分野の単語・重要表現については本文右側に注が付けてあります。一般的な単語・重要表現や構文については脚注が付けてあります。

Essay【Part 1】 エッセイの出だしを読み，Check the situation で場面を確認してください。
Essay【Part 2】 エッセイの続きを読み，Reading Comprehension で本文の内容を確認してください。
EXERCISES

Dictation & Translation

音声を聴いて英文の空欄を補充し，完成した英文を日本語に直す問題です。注で取り上げた重要表現を確認してください。
EXERCISES

Word Order & Translation

日本語を参考にして英文を作る問題です。注で取り上げた重要表現や構文を確認してください。音声を聴いて英文を確認することも可能です。
Nursing Terms and Expressions
看護の分野で重要な単語や表現を確認する問題です。
Column
医療や看護の分野の「ことばと文化」を取り上げています。

収録されたエッセイが看護職者をめざすみなさんの心に響き，本書がみなさんの英語学習に少しでも役立つことを願っています。
2022 年秋
編著者

Contents
Unit 1 No Regrets

後悔はない

7

Arlene Koch, RN

Unit 2 Ordinary Things

ありふれたこと

13

Cindy McCoy, PhD, MSN, RN-BC

Unit 3 Making It Fit

馴染ませること

19

Meredith Bailey, MSN, BSN, RN, PMH-NP

Unit 4 Promises to Keep

守るべき約束

25

Judy Morse, ASN, RN

Unit 5 The Eyes of a Pediatric Nurse

小児科看護師としての目

31

Beverly Rossiter, MSN, CRNP, CPNP

Unit 6 Bed Bath清拭

37Kathleen Hughes, MSN, RN, PNP-BC

Unit 7 A Nurse’s Mother’s Nurses
Donna Diers, PhD, RN, FAAN

看護師の母親を担当した看護師たち

43

Unit 8 A Place for Palliative Care

緩和ケアにふさわしい機会

49

Carrie A. Bennett, MS, CNS-BC

Unit 9 My Turn

私の順番

55

Michael M. Bloomfield, MD

Unit 10 Big Love

大いなる愛

61

Marcia Gardner, MA, RN, CPNP, CPN

Unit 11 Socks and All ...

ソックスもすべて……

67

Bryanne Hickey Harrington, BSN, RN, CNOR

Unit 12 The Dirtiest House in Town

町でいちばん汚れた家

73

Alice C. Facente, MSN, RN-BC

Unit 13 Hiding a Tender Soul

思いやりのある心を隠すこと

79

Cheryl Kane, MEd, BSN, RN

Unit 14 Keeping Secrets

秘密を守ること85

Elena Schwolsky, MPH, RNUnit 15 A Man of Few Words
Kathryn Mason, MSN, RN, PCCN

寡黙な男91

資格・略称一覧

以下はエッセイを記した米国の看護師たちの資格・略称です。

ASN

Associate of Science in Nursing

BSN

Bachelor of Science in Nursing

CNOR

Certiﬁed Nurse Operating Room

CNS-BCClinical Nurse Specialist-Board Certiﬁed

CPN

Certiﬁed Pediatric Nurse

CPNP

Certiﬁed Pediatric Nurse Practitioner

CRNP

Certiﬁed Registered Nurse Practitioner

FAAN

Fellow of the American Academy of Nursing

MA

Master of ArtsMD

Doctor of Medicine

MEd

Master of Education

MPH

Master of Public HealthMS

Master of ScienceMSN

Master of Science in Nursing

PCCNProgressive Care Certiﬁed Nurse

PhD

Doctor of Philosophy

PMH-NP

Psychiatric Mental Health-Nurse Practitioner

PNP-BC

Pediatric Nurse Practitioner-Board Certiﬁed

RN

Registered Nurse

RN-BC

Registered Nurse-Board CertiﬁedUnit 1No Regrets

There is such a thing as a good death.
Arlene Koch, RN

Unit 1 No Regrets

7

WARM UP

Vocabulary & Pronunciation

CD 1-01▶

01

CD 1-02▶

02

次の英語の意味に合う日本語を下から選びなさい。また，音声を聴いて発音しなさい。

1. bowel

2. abdomen

3. guarantee

4. anticipate

5. deteriorate
保証する，腹部，衰える，予想する，腸READING

Essay【Part 1】

エッセイの出だしを読んでみましょう。

Ray Troyan was curled in the fetal position, rocking backand forth. A severely perforated bowel caused him so much pain

Medical and Nursing Notes
fetal position 胎児型姿勢
perforated 穿孔した，穴のあるthat on a 1-to-10 scale, he rated it a 20. He was 87 years old andhad been admitted 48 hours earlier with chest pain, but now the5pain was localized in his abdomen. His daughter, Kathryn, hadadmit 入院させる
chest pain 胸痛
localized 局部的なbeen called in during the night. Neither of them had slept.
Ray had to make a choice. If he chose surgery, it wouldsurgery 手術

have to be done immediately. Not having surgery would mean
death. Ray’s age and the magnitude of the surgery were two
10Notesfactors working against him. The surgeons couldn’t guarantee asurgeon 外科医

good outcome.

outcome 結果，転帰(l. 1) be curled からだを丸くする，丸くなって寝る(l. 1) back and forth 前後に，左右に(l. 2) so ~ that ... 非常に～なので …
(l. 3) on a 1-to-10 scale 1 からの 10 の 10 段階で(l. 8) immediately 直ちに(l. 9) magnitude 大きさ(l. 10) work against ~ ～に不利に働く

Check the situation
Q1 レイ・トロイアンの激痛の原因は？
Q2 レイ・トロイアンの手術を困難にしている 2 つの要因は？

8

Essay【Part 2】エッセイの続きを読んでみましょう。 CD 1-03▶

03

After Ray’s pain was under better control, he lay stretchedout on the bed, holding Kathryn’s hand. They were deep in

Medical and Nursing Notes
under control 管理されて，抑制されてconversation, as if no one else in the world existed. There wasno other family member to help them make this decision. I5

left them alone while I checked on my other patients; whencheck on ~ ～の様子を確認する

I returned to Ray’s room, he told me that he and Kathryn
decided there would be no surgery.
He said it was an easy decision, and he was at peacewith God. He’d lived a great life surrounded by the people he10

loved, and he had no regrets. If it was his time, it was his time.
Kathryn appeared calm, strong, and remarkably comfortablewith this decision. Whenever I asked if either of them needed
anything, she always declined, saying, “No, I’m fine, thanks.”
Once I shooed her out to take a short walk to stretch her legs.

15

She reluctantly went only after I promised to stay with Ray until
she returned. I worried about her. I wasn’t sure she understood
what the next 24 hours would be like for her father.
The most valuable care I could give him was comfort.
These would be his last hours on earth, and I wanted to make20

sure they were peaceful ones. I knew that as long as I kept
his pain under control, Kathryn would be able to withstandthe ending. After a few hours, Ray remained sleepy but alert.

alert 頭が冴えて，機敏なHis condition worsened much faster than I’d anticipated, andalthough I was glad he wouldn’t linger and suffer, I felt sad for25

the short time he and Kathryn had left.
When my 12-hour shift ended, I was asked to stay an
additional four hours. Tired from such a busy day, I knew
there was no one else to fill in. Ray deteriorated quickly; hisNotes(l. 1) stretched out 手足を伸ばして(l. 2) be deep in conversation 話し込んでいる(l. 3) as if ~ まるで～であるかのように(l. 8) at peace 心が安らいで(l. 11) remarkably 著しく(l. 13) decline 断る(l. 9) live a great life 素晴らしい人生を送る(l. 15) reluctantly しぶしぶ
(l. 19) on earth この世で
(l. 14) shoo 追い立てる(l. 20) as long as ~ ～する限りは(l. 19) make sure ~ 間違いなく～するようにする(l. 21) withstand 耐える，持ちこたえる(l. 21) be able to ~ ～することができる(l. 27) additional 追加の(l. 28) fill in 代役を務める(l. 24) linger 生きながらえる

Unit 1 No Regrets

9vital signs fell, and his extremities became cold and mottled. He
didn’t respond to voice or touch. His lung sounds were coarse
and audible without a stethoscope. He showed no outward signsof pain.
5vital sign （複数形で）バイタルサ
イン（呼吸数，脈拍数，体温，血圧など）
extremity （複数形で）両手両足lung 肺
stethoscope 聴診器

It had been just Ray and Kathryn for years now. Ray’s wife,Wilma, had died from cancer three years before. It was a long,harrowing illness. They’d been married 57 years. By evening I

die from ~ ～が原因で死ぬ
cancer がん

felt close to Ray and Kathryn, like they were becoming a partof my own family. I told Kathryn I would be her father’s nurse
10

until 11:30 PM. She seemed relieved.
Shortly after 11 PM, Ray took his final breaths and wasgone. Kathryn was there, telling him it was all right to go. He

take oneʼs final breath 息を引き取る

didn’t fight his death; he let it consume him peacefully. It was
only then that Kathryn cried. We stood at his bedside hugging.
15

I left Kathryn alone with her father. It was important that
she have the time with him to say good-bye. When she wasready to go, she thanked me for all that I had done for herfather, even though I had played such a small part in this oncevital man’s last days. When I got home that night, I was at20

Notes

peace with how that long day turned out. I, too, had no regrets.

(l. 1) mottled まだらの(l. 2) coarse 粗い(l. 3) audible 聞き取れる(l. 3) outward 外側から見た(l. 7) harrowing 痛ましい(l. 10) relieved ほっとした(l. 13) consume 使い尽くす(l. 13) It is only then that ~ その時になって初めて～(l. 16) be ready to ~ ～する準備ができている(l. 18) even though ~ ではあるが(l. 18) once-vital かつて生き生きしていた(l. 20) turn out ~ 結局～となるReading Comprehension
次の英文が，本文の内容と一致する場合は T，一致しない場合は F を選びなさい。

1. ( T / F ) Ray and Wilma decided not to have the surgery.
2. ( T / F ) Arlene (the writer) stayed with Ray while Kathryn was taking a short walk.
3. ( T / F ) Arlene tried to keep Ray’s pain under control.
4. ( T / F ) Ray’s wife died from cancer when she was 57 years old.
5. ( T / F ) When Ray died, Kathryn didn’t cry at all.

10

EXERCISES

Dictation & Translation

CD 1-04▶

04

音声を聴いて英文の空欄に適語を記入しなさい。また，完成した英文を日本語に直しなさい。

1. She was walking

in the room.

2. It was difficult to keep my feelings.

3. Could you

for Mary while she’s sick?

4. Are you

go yet?

5. I still look fat,EXERCISES

I’ve been exercising regularly.

Word Order & Translation

日本文の意味に合うように，（CD 1-05▶

05）内の語句を並べかえて英文を作りなさい。

1. 我が家の子どもたちはとても疲れていたので，車の中で眠り込んでしまった。
(were / they / the car / that / our children / asleep / so / in / fell / tired).

2. 私たちは健康的で幸せな暮らしを送る方法を学んだ。
(life / and / live / learned / happy / to / healthy / how / we / a).

3. 問題点がない限りは，私たちはその仕事を金曜日までに終えられるはずだ。
(we / Friday / are / should finish / long / by / as / no problems / there / as / the work).

Unit 1 No Regrets

11

LEARN MORE

Nursing Terms and Expressions

次の日本文の空欄に入る語を下から選びなさい。

うつ病， 関節炎， 心臓発作， 喘息， 糖尿病， 認知症， 脳卒中， 肺炎

1. My grandfather has arthritis in his knees.
私の祖父は膝のを抱えている。

2. My sister suffers from asthma and must use an inhaler.
私の妹はに苦しんでいるので，吸入器を使わなければならない。

3. He has had diabetes since childhood but controls it with insulin.
彼は子どもの時からだったが，インシュリンでコントロールしている。

4. The most common form of dementia is Alzheimer’s disease.
最もよくある種類のは，アルツハイマー病だ。

5. She suffered from depression after losing her job.
仕事を失った後，彼女はに苦しんだ。

6. She had a mild heart attack but won’t need an operation.
彼女は軽いを起こしたが，手術は必要ないだろう。

7. My grandmother nearly died of pneumonia.
私の祖母はで死ぬところだった。

8. I looked after my mother after she had a stroke.
母がを起こした後，私は母の世話をした。

Column
世界的な糖尿病の脅威に対して 1991 年に制定されたのが World Diabetes Day（世界糖尿病デー）です。2006 年には国連によって正式に認められました。インスリン（insulin）を発見した Sir
Frederick Banting の誕生日である 11 月 14 日が，この World Diabetes Day となっています。
さて，この diabetes という語をまだ知らない，小児糖尿病で入院中の女の子が，自分の余命が長くないと勘違いしてしまったというエピソードがあります。その子の耳には，diabetes が “die ofbeeties”（「beeties が原因で死ぬ」）と聞こえていたのです。もちろん，“beeties” という名前の病気はありません。

12