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Support for siblings visiting children hospitalized in the PICU

Research Project

Project/Area Number 16K20803
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Lifelong developmental nursing
Research InstitutionKeio University

Principal Investigator

Nishina Ryohei  慶應義塾大学, 看護医療学部(信濃町), 助教 (70770577)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2019: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
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: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords小児集中治療室 / きょうだい支援 / 家族支援 / グラウンデッド・セオリー・アプローチ / 家族への援助 / きょうだい / 面会 / PICU / きょうだいへの支援
Outline of Final Research Achievements

Purpose: To identify the processes by whitch medical staffs can support siblings and parents visiting children hospitalized in the pediatric intensive care unit(PICU), and what kind of change occurred in the sibling's experience through the visits.
Method: We performed semi-structured interview with 15 medical staffs(9 nurses and 5 child life specialists) and one childcare worker, and observed sibling's visitation 15 times. The interview and observation data were analyzed using a graounded theory approach.
Results: We extracted a phenomenon consisting of 14 concepts centered on the concept of [creating a place for the siblings] .

Academic Significance and Societal Importance of the Research Achievements

本研究結果から,医療者が,きょうだいだけでなく,両親の心情や両親の意向も推し量りながら【きょうだいの居場所をつくり】,きょうだいの言動に合わせて適切にきょうだいと両親に働きかけることで,PICUという特殊な場であっても,《きょうだいと患児を含めた家族に一体感》のある時間をもつことにつながることがわかった。
子どもがPICUに入院するという家族にとって重大な出来事の中,きょうだいが家族の一員としてその出来事に参加できることは重要であり,本研究結果は,面会の場という限られた場面ではあるが,PICU入院児のきょうだいへのひとつの支援として,具体的な知見を提示し得るものであると考えている。

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

    (2 results)

All 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (1 results)

  • [Journal Article] Bringing Siblings to the Center: Support for Siblings Visiting Children Hospitalized in the PICU2017

    • Author(s)
      西名諒平、戈木クレイグヒル滋子
    • Journal Title

      Journal of Japan Academy of Nursing Science

      Volume: 37 Issue: 0 Pages: 244-253

    • DOI

      10.5630/jans.37.244

    • NAID

      130006262633

    • ISSN
      0287-5330, 2185-8888
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] なごやかな家族の時間-早期からきょうだいの面会を重ねて看取りを迎えた1事例に関する検討2016

    • Author(s)
      西名諒平
    • Organizer
      第24回小児集中治療ワークショップ
    • Place of Presentation
      聖路加臨床学術センター(東京都中央区)
    • Year and Date
      2016-11-06
    • Related Report
      2016 Research-status Report

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

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