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Development of Nursing skill for Terminally ill Patients

Research Project

Project/Area Number 07672532
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Nursing
Research InstitutionCollege of Nursing Art & Science, Hyogo

Principal Investigator

UCHINUNO Atsuko  College of Nursing Art & Science, Hyogo Associate Professor, 看護学部, 助教授 (20232861)

Co-Investigator(Kenkyū-buntansha) SHIBATA Shuko  College of Nursing Art & Science, Hyogo Instructor, 看護学部, 助手 (40254479)
IZUMI Shigeko  College of Nursing Art & Science, Hyogo Instructor, 看護学部, 助手 (20275316)
TAKEMOTO Akiko  College of Nursing Art & Science, Hyogo Instructor, 看護学部, 助手 (70295757)
KAWANO Ayako  College of Nursing Art & Science, Hyogo Instructor, 看護学部, 助手 (30275317)
PATRICIA J.Larson  College of Nursing Art & Science, Hyogo Professor, 看護学部, 教授 (80295766)
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1997: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1996: ¥700,000 (Direct Cost: ¥700,000)
KeywordsNursing Skill / terminal ill / verbalization / awareness / symptom management / support / 看護コンサルテーション
Research Abstract

Purpose : To identify effective nursing skills for terminally ill patients, three areas were focused on : 1)support needed by nurses to effectively care for terminally ill patients ; 2)effective approaches to nurse-patient conversations about death and dying ; and , 3)symptom menagement approaches. Methods : the research team utilized the following inductive methods to obtain data : a)interviews with nurses ; b)participant observations by the clinical researchers of nurse-patient interactions ; c)case study presentations of problems of terminally ill patients. Symptom management issues were derived from the case studies using the Integrated Model for Symptom Management. Analysis of each of the studys focus data-set was on an on-going basis using a constant-comparative approach. Consensus of findings was by agreement by the research team. Findings : 1)Support needed by nurses : Nurses must first gain an awareness of their own feelings about death and dying during planned meeting times b … More y sharing their feelings with their peers that was facilitated by an nurse experienced in terminal care. The research team assisted the nurse peer group to be supportive of each individual nurses emotional response. Case study presentations of terminally ill patients, under the direction of a nurse-researcher know ledgeable in the care of terminally ill patients, was particularly important in identifying effective nursing skills needed by terminally ill patients. 2)Nurse-patient conversations about death and dying : Nurses need to listen to patient whenever the patient indicated a need to talk about death and dying. For some patients nurses provided trigger words which would help thier verbalization about thier feelings about death and dying. For example, it was found that having patients verbalize thier perception of thier body often initaited conversations about their own dying. It was important that nurses return to useal conversations whenever thier perceived patients were becoming uncomfortable talking about death.
3 Symptom Management : Analysis of the patients symptom management conditions by the Integrated Model for symptom Management indicated that the model made clear patient's self care deficits. Less

Report

(4 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report

Research Products

(25 results)

All Other

All Publications (25 results)

  • [Publications] 和泉 成子、河野 文子、吉田 智美、内布 敦子: "症状マネジメントモデルを用いた事例検討" インターナショナルナーシングレビュー. 20巻4号. 48-56 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 内布 敦子: "Peaceful Deathを導く看護介入の一例-主に死にゆくことについての言語化を支援して-" 第12回日本がん看護学会学術集会. (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 河野 文子: "末期がん患者に関わる看護者自身の状況を理解することの意義-看護者自身の不確かさを見つめ直したことによって得られたもの-" 第12回日本がん看護学会学術集会. (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] S.Izumi, A.Uchinuno, A.Kawano: "The terminally ill patient in Japan:Talking about death and dying" International Council of Nurses 21st Quadrennial Congress. (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 内布 敦子: "末期癌患者の疼痛コントロールにおける看護治療の効果について" 千葉看護学会誌. 1巻1号. 40-43 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 内布 敦子: "終末期癌患者の看護援助について-Peaceful Deathを導く患者看護婦関係" がん看護. 1巻2号. 164-169 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 内布 敦子、他: "事例検討で現場はどう変わりつつあるか:コンサルテーションを導入した岡山・かとう内科での事例検討会" 訪問と看護. 1巻4号. 242-248 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 内布 敦子: "病院看護部の再構築:コンサルテーションの実際" Nursing Today. 11巻. 18-20 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Shigeko Izumi et al.: "Case study : using Symptom Management Model" International Nursing Review. vol.20 No.4. 48-56 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Atsuko Uchinuno: "Nursing intervention which leading patients to a more peaceful death-supprting to talk about death and dying" 12th Japan Cancer Nursing society. (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Ayako Kawano: "The meaning of awareness about nursae's situation, who is taking care the patients with terminal cancer" 12th Japan Cancer Nursing society. (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Shigeko izumi et al.: "The terminally ill patient in Japan : Talking about death and dying" international Council of Nurses 21st Quadrennial Congress. (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Atsuko Uchinuno: "The effect of therapeutic nursing intervention of pain control for patients with terminal cancer" Journal of Chiba Academy of Nursing Science. vol.1 No.2. 164-169 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Atsuko Uchinuno: "Nursing care for patients with terminal cancer : Leading patients to a more peaceful death" Japanese Journal of Cancer Care. vol.1 No.2. 160-164 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Atsuko Uchinuno: "How clinical is changing by introduce case study : Case study in Kato internal medicine hospital in Okayama" Visiting and Nursing. vol.1 No.4. 242-248 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Atsuko Uchinuno: "Restructuring of nursing department in hospital : Actuality of Consultation" Nursing Today. vol.11. 18-20 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 和泉 成子、河野 文子、吉田 智美、内布 敦子: "症状マネジメントモデルを用いた事例検討" インターナショナルナーシングレビュー. 20巻4号. 48-56 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 内布 敦子: "Peathful Death を導く看護介入の一例 ,-主に死にゆくことについての言語化を支援して-" 第12回日本がん看護学会学術集会. (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 河野 文子: "末期がん患者に関わる看護者自身の状況を理解することの意義 -看護者自身の不確かさを見つめ直したことによって得られたもの-" 第12回日本がん看護学会学術集会. (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] S.Izumi,A.Uchinuno,A.Kawano: "The terminally ill patient in Japan:Talking about death and dying" International Council of Nurses 21st Quadrennial Congress. (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 内布敦子: "末期癌患者の疼痛コントロールにおける看護治療の効果について" 千葉看護学会誌. 1巻1号. 40-43 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内布敦子: "終末期癌患者の看護援助について-Peaceful Deathを導く患者看護婦関係" がん看護. 1巻2号. 164-169 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内布敦子、他: "事例検討で現場はどう変わりつつあるか:コンサルテーションを導入した岡山・かとう内科での事例検討会" 訪問看護と介護. 1巻4号. 242-248 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] SHIGEKO IZUMI et al.: "The terminally ill patient in Japan : Talking about death and dying" International Council of Nurses 21st Quadrennial Congress. (発表予定). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内布敦子: "病院看護部の再構築:コンサルテーションの実施" Nursing Today. 11巻. 18-20 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1996-03-31   Modified: 2016-04-21  

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