physician's desired communication skill at most difficult situation for a patient and family members

• Project/Area Number: 15K15172
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Medical sociology
• Research Institution: Nagoya City University
• Principal Investigator: Akechi Tatsuo 名古屋市立大学, 大学院医学研究科, 教授 (80281682)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000); Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
• Keywords: インフォームドコンセント / 患者-医師関係 / コミュニケーション / せん妄 / 終末期鎮静 / 意思決定 / 終末期せん妄 / 意思決定支援 / 倫理 / がん / 終末期 / 医師患者関係

Outline of Final Research Achievements

The aim of the study was to clarify desirable communication required for doctors when informing terminal sedation to families of patients with terminal delirium. We created videos expressing two different patient and doctor relationship (1.Paternalistic style, 2.autonomy style). We asked doctors and nurses to watch this video and they evaluated which style is preferred and the reason why. Available data were obtained from 251 subject, and those who preferred autonomy style were significantly more, and many participants answered the reason that their families could decide the preferred treatment.