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Constructing a support program to cultivate an organizational climate that respects end-of-life care in general wards

Research Project

Project/Area Number 16K12087
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Clinical nursing
Research InstitutionNational Defense Medical College

Principal Investigator

Ban Keiko  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 准教授 (80726498)

Co-Investigator(Kenkyū-buntansha) 安酸 史子  関西医科大学, 看護学部, 教授 (10254559)
餘目 千史  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 講師 (80588856)
椙田 広明  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 助教 (00758740)
小森 直美  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 准教授 (70438307)
藤本 肇  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 緩和ケア室, 講師 (60772811)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords終末期ケア / 組織風土 / 一般病院 / 看護師 / 一般病棟 / がん患者
Outline of Final Research Achievements

The purpose of this study was to construct a support program to cultivate an organizational climate that respects end-of-life care for cancer patients in the general ward. We consolidated findings on how an organizational climate that respects end-of-life care is formed and maintained, and constructed a support program. In order to cultivate an organizational climate that respects end-of-life care for cancer patients in general wards, it is essential to present a specific end-of-life care vision and create an organization centered on nurses who are familiar with end-of-life care.

Academic Significance and Societal Importance of the Research Achievements

本研究の学術的意義は、個々の看護師ではなく病棟単位に介入することにより一般病棟の組織風土を変革して終末期ケアの質を向上させるという点にある。社会的意義は、一般病棟の終末期ケアの質の向上が終末期患者と家族のQOLを向上させ、患者・家族の望む看取りを実現させる点にある。また、終末期の点滴や救命処置、在宅移行など終末期医療の見直しにも繋がり医療費の削減が期待できる。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (4 results)

All 2019 2018 2017

All Presentation (4 results) (of which Int'l Joint Research: 3 results)

  • [Presentation] Issues on End-of-life Care recognized by palliative care link nurses in general hospital in japan2019

    • Author(s)
      Keiko Ban, Naomi Komori, Haruna Takahashi
    • Organizer
      The 22st EAFONS (East Asian Forum of Nursing Scholars)
    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Cultivating an organizational climate that respects end-of-life care in surgery wards in Japan2018

    • Author(s)
      Keiko Ban; Tatsuyo Iwasaki;Kyoko Miyakawa;Etsuko Aoyagi; Hiroaki Sugita;Naomi Komori ; Hiromi Yamato *
    • Organizer
      International Conference on Cancer Nursing (ICCN) 2018
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 一般病院看護師に対する緩和ケア知識教育の効果2018

    • Author(s)
      宮川京子、伴佳子、菅原恵子、池尻操、 是木文絵、濱田彩、寺内千佳子、岩崎多津代
    • Organizer
      第32回日本がん看護学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Guidance of oncology clinical nurse specialist changed end-of-life care in the general surgery ward2017

    • Author(s)
      Keiko Ban
    • Organizer
      International Conference on Cancer Nursing (ICCN) 2017
    • Place of Presentation
      Anaheim, California, USA
    • Year and Date
      2017-07-10
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2021-02-19  

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