| Project/Area Number |
15K15876
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Lifelong developmental nursing
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| Research Institution | Hiroshima University (2018)
Prefectural University of Hiroshima (2016-2017)
Hiroshima International University (2015) |
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Principal Investigator |
UENO YOKO 広島大学, 医歯薬保健学研究科(保), 助教 (00637192)
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| Co-Investigator(Kenkyū-buntansha) |
大平 光子 広島大学, 医歯薬保健学研究科(保), 教授 (90249607)
柏木 恭典 千葉経済大学短期大学部, その他部局等, 准教授 (80461771)
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 妊娠葛藤 / 意志決定支援 / 意志決定の共有 / ガイドライン / 思いがけない妊娠 / 意思決定の共有 |
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| Outline of Final Research Achievements |
The purpose of this study is to develop guidelines (proposed plans) to support women's decision making in the face of pregnancy conflict. In order to develop the guidelines, interviews were conducted with 12 care providers who are conducting pregnancy counseling pioneering in the country. In addition, in order to find specific care in decision support based on the concept of shared decision making (hereinafter referred to as SDM) in decision support for women in pregnancy conflict, we collect and refer to prior documents of those concepts Research progressed while The overseas survey was conducted in Germany. We conducted an interview survey on the care for women who faced pregnancy conflict at four centers, targeting the local pregnancy consultation center and pregnancy conflict consultation center. We were able to obtain data as the basic data of the guidelines from domestic and foreign countries.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究の結果より、妊娠葛藤に直面した女性に対してShared decision making（意思決定の共有；以後SDM）を基盤とした支援を行うためには、女性との対話によって真のニーズを顕在化させ，自分らしい答えを見出せるよう寄り添う支援を提供していることが明らかになった．また，SDMの概念に女性特有の意思決定の視点も取り入れ看護ケア実践に適用できる可能性があることが示唆された．これらの結果より、本研究はSDMを基盤とした支援体制およびガイドラインが有効なケアとして、女性にとって質の高いケアを受ける支援体制の整備を担うことが期待できる基礎資料を得られたと考える。
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