The construction of the nurse educational program to promote family communication among end-stage cancer patients

• Project/Area Number: 15K11615
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Hokkaido University
• Principal Investigator: Aoyanagi Michiko 北海道大学, 保健科学研究院, 講師 (30405675)
• Co-Investigator(Kenkyū-buntansha): 進藤 ゆかり 日本医療大学, 保健医療学部, 教授 (70433141)
• Project Period (FY): 2015-04-01 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000); Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
• Keywords: がん患者 / 終末期 / 家族看護 / コミュニケーション / がん看護

Outline of Final Research Achievements

The purpose of this study was to clarify the actual conditions of nursing interventions for end-stage cancer patients and their families and related factors, in order to construct a nurse education program to promote communication between end-stage cancer patients and their families. We focused our studies on a nursing intervention in communication of decision-making between patients and their families regarding the place of treatment for terminal cancer patients. The study's findings suggest that nurses need communication skills so that they can assert themselves, a background in ethics that allows them to step in and relate to patients and their families, and knowledge so that they can explain homecare services. It is necessary to construct educational programs including those.

Academic Significance and Societal Importance of the Research Achievements

終末期におけるコミュニケーションでは，受容，共感などが重要だとされてきたが，本研究では，看護師には主張できるようなコミュニケーション力が必要であることが明らかとなった．また，終末期がん患者と家族に対して，看護師がどのようにコミュニケーションを促進する行動を取っているかという介入実態やその関連要因が明らかになり，その内容は教育プログラムや看護実践に活用でき，終末期がん患者と家族が療養の場を決定する際の看護の質を向上できる．

Research Products

• [Presentation] Factors influencing ward nurses’ discharge planning for terminal cancer patients (2020)
  • Author(s): Michiko Aoyanagi
  • Organizer: The 6th International Nursing Research Conference of world academy of Nursing Sciences
  • Int'l Joint Research
• [Presentation] 終末期がん患者に対する在宅移行支援実践尺度の開発 (2020)
  • Author(s): 青柳道子
  • Organizer: 第34回日本がん看護学会学術集会
• [Presentation] Communication skills training for nurses in palliative care: A literature review (2018)
  • Author(s): Michiko Aoyanagi
  • Organizer: 8th Hong Kong International Nursing Forum
  • Int'l Joint Research
• [Presentation] Situation patterns that require nursing intervention in the relationships among patients with terminal cancer, their immediate families, and relatives (2017)
  • Author(s): Michiko Aoyanagi ,Yukari Shindo
  • Organizer: 7th Hong Kong International Nursing Forum
  • Int'l Joint Research