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Usefulness Evaluation/Utilization of Clinical Pathway/Care Management Method for Elderly Clients Hnspice Carp at, Home

Research Project

Project/Area Number 17406031
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section海外学術
Research Field Community health/Gerontological nurisng
Research InstitutionInternational University of Health and Welfare (2006-2007)
Tokyo Medical and Dental University (2005)

Principal Investigator

SHIMANOUCHI Setsu  International University of Health and Welfare, School of Health Sciences, Professor (70124401)

Co-Investigator(Kenkyū-buntansha) YAMADA Hiroko  Yamagata Prefectural University of Health Sciences, School of Health Sciences, Professor (00261678)
TAMAKA Hiroshi  Tokyo Medical and Dental University, Medical Research Institute, Professor (60155158)
NAKATANI Hisae  Shirnane Univerty, Faculty of Medine, Professor (90280130)
UCHIDA Yoko  Gunma University, Faculty of Medicine, Associate Professor (30375539)
MURAKAMI Mitsuko  International University of Health and Welfare, School of Health Sciences, Lecturer (50403663)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥14,490,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥990,000)
Fiscal Year 2007: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2006: ¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 2005: ¥6,500,000 (Direct Cost: ¥6,500,000)
KeywordsHome Care / Hospice Care / Elderly / Clinical Pathway / Care management / ホスピス / エビデンス / 評価
Research Abstract

From fiscal 2005 to fiscal 2007, case studies had been conducted annually in Japan and usefulness of the clinical pathway was evaluated in foreign cases, also. The subjects were terminally elderly clients at home and the case study groups were divided into two groups, non-cancer clients (with cancer and clients with diseases other than cancer). The items of clinical pathway were selected carefully in order to be utilized by family members of clients and professionals. The duration of care at home is classified into four care stages (Introductory stage, Stability stage, Near death stage and After death stage) and common care needs and difference of care needs in each care stages were revealed. In addition, it examined that what hospice care should be to encourage clients, clients' family members and professionals to participate them in home care. About 800 case studies had been analyzed and the End of Life Care Program was accomplished based on the results of analysis. It is difficult to estimate a process of dying for clients and clients' family members therefore health professionals tend to take the initiative in terminal care. Clients, their family members and professionals should choose methods together to provide good quality of care. This care program was developed to find clients and their family members' needs in early stages in order to improve quality of End of Life Care at home. The validity of care methods and details of care was identified from the attainment of outcome of clients' family members. Clients' family members and health care professionals used same items of clinical pathway and the items which corresponded with two groups are verified. In addition, appropriate care management methods in four care stages are identified. We have held twice training for nurses, doctors and social workers (Participants 90 and 125) using the care program. We are going to publish the care program book in August, 2008 with Initia publisher.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (40 results)

All 2008 2007 2006 2005 Other

All Journal Article (5 results) (of which Peer Reviewed: 1 results) Presentation (32 results) Remarks (1 results) Patent(Industrial Property Rights) (2 results)

  • [Journal Article] 家族看護をめぐる手帖 在宅ターミナルケアにおける本人、家族の捉え方と看護師のアセスメントの相違2007

    • Author(s)
      島内 節
    • Journal Title

      家族看護 5巻1号

      Pages: 142-142

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 家族看護をめぐる手帖在宅ターミナルケアにおける本人家族の捉え方と看護師のアセスメントの相違2007

    • Author(s)
      島内, 節
    • Journal Title

      家族看護 5巻 1号

      Pages: 142-142

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 在宅ターミナルにおけるアウトカムに関する家族介護者と看護師の評価比較2005

    • Author(s)
      島内節, 村上満子, 大木正隆
    • Journal Title

      第25回日本看護科学学会学術集会

      Pages: 68-68

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Effects of Management to Home Care in Transition Period for Terminally Cancer Elderly2005

    • Author(s)
      大木正隆, 島内節, 遠山寛子, 中村香織
    • Journal Title

      3^<rd> International Conference on Community Health Nursing

      Pages: 135-135

    • Related Report
      2005 Annual Research Report
  • [Journal Article] The Study of Grief Care for the Family Who Was a Care-Giver in Elderly Die2005

    • Author(s)
      遠山寛子, 島内節, 大木正隆, 中村香織
    • Journal Title

      3^<rd> International Conference on Community Health Nursing

      Pages: 136-136

    • Related Report
      2005 Annual Research Report
  • [Presentation] 在宅終末期ケアのニーズの判断に関する訪問看護師と家族のデスマネジメント2008

    • Author(s)
      中谷 久恵、島内 節、薬袋 淳子、富田 真佐子、内田 陽子
    • Organizer
      第12回日本在宅ケア学会学術集会志説発表
    • Place of Presentation
      学術総合センター一ツ橋記念講堂
    • Year and Date
      2008-03-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅終末期ケアにおける家族介護者によるケア効果評価と満足度2008

    • Author(s)
      富田 真佐子、島内 節、中谷 久恵、薬袋 淳子
    • Organizer
      第12回日本在宅ケア学会学術集会 口演発表
    • Place of Presentation
      学術総合センター一ツ橋記念講堂
    • Year and Date
      2008-03-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅終末期ケアのニーズの判断に関する訪問看護師と家族のデスマネジメント2008

    • Author(s)
      中谷, 久恵, 島内, 節, 薬袋, 淳子, 富田, 真佐子, 内田, 陽子
    • Organizer
      第12回日本在宅ケア学会学術集会示説発表
    • Place of Presentation
      学術総合センター一ッ橋記念講堂
    • Year and Date
      2008-03-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅終末期ケアにおける家族介護者によるケア効果評価と満足度2008

    • Author(s)
      富田, 真佐子, 島内, 節, 中谷, 久恵, 薬袋, 淳子
    • Organizer
      第12回日本在宅ケア学会学術集会口演発表
    • Place of Presentation
      学術総合センタ一ッ橋記念講堂
    • Year and Date
      2008-03-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅終末期ケアのニーズの判断に関する訪問看護師と家族のデスマネジメント2008

    • Author(s)
      中谷 久恵・島内 節・薬袋 淳子・富田 真佐子・内田 陽子
    • Organizer
      第12回日本在宅ケア学会学術集会示説発表
    • Place of Presentation
      学術総合センター一ツ橋記念講堂
    • Year and Date
      2008-03-15
    • Related Report
      2007 Annual Research Report
  • [Presentation] 在宅終末期ケアにおける家族介護者によるケア効果評価と満足度2008

    • Author(s)
      富田 真佐子・島内 節・中谷 久恵・薬袋 淳子
    • Organizer
      第12回日本在宅ケア学会学術集会口演発表
    • Place of Presentation
      学術総合センター一ツ橋記念講堂
    • Year and Date
      2008-03-15
    • Related Report
      2007 Annual Research Report
  • [Presentation] 在宅End of Life Careのアウトカム到達度評価からみた課題(第一報)-看護師が重要度、困難度が高いとしたケア内容-2007

    • Author(s)
      島内 節、薬袋 淳子
    • Organizer
      第27回日本看護科学学会学術集会 口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅End of Life Careのアウトカム到達度からみた課題(第二報)-看護師と遺族の相違点からケア項目を検討-2007

    • Author(s)
      島内 節、薬袋 淳子
    • Organizer
      第27回日本看護科学学会学術集会 口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅End of Life Careのアウトカム到達度評価からみた課題(第一報)-看護師が重要度・困難度が高いとしたケア内容-2007

    • Author(s)
      島内, 節, 薬袋, 淳子
    • Organizer
      第27回日本看護科学学会学術集会口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅End of Life Careのアウトカム到達度からみた課題(第二報)-看護師と遺族の相違点からケア項目を検討-2007

    • Author(s)
      島内, 節, 薬袋, 淳子
    • Organizer
      第27回日本看護科学学会学術集会口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅End of Life Careのアウトカム到達度評価からみた課題(第1報)-看護師が重要度・困難度が高いとしたケア内容-2007

    • Author(s)
      島内 節・薬袋 淳子
    • Organizer
      第27回日本看護科学学会学術集会口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Related Report
      2007 Annual Research Report
  • [Presentation] 在宅End of Life Careのアウトカム到達度評価からみた課題〈第2報〉-看護師と遺族の相違点からケア項目を検討-2007

    • Author(s)
      薬袋 淳子・島内 節
    • Organizer
      第27回日本看護科学学会学術集会口演発表
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2007-12-08
    • Related Report
      2007 Annual Research Report
  • [Presentation] Comparison of Needs by End of Life Care Stage in Home Care Cancer Patients between Korea and Japan2007

    • Author(s)
      島内 節、Soon-Lae Kim、薬袋 淳子、Yang-Sook Yoo、Soo-Jin Yoon、富田 真佐子、山尾 有紀
    • Organizer
      The 1st. Korea Japan Joint Conference on Community Health Nursing
    • Place of Presentation
      Seoul Women's Plaza
    • Year and Date
      2007-11-23
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Psychological and Spiritual Needs of Cancer Client and Non-Cancer Client Living at Home2007

    • Author(s)
      片倉 直子、村上 満子、島内 節、薬袋 淳子
    • Organizer
      The 1st. Korea Japan Joint Conference on Community Health Nursing
    • Place of Presentation
      Seoul Women's Plaza
    • Year and Date
      2007-11-23
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Psychological and Spiritual Needs of Cancer Client and Non-Cancer Client Living at Home2007

    • Author(s)
      Naoko, Katakura, Mitsuko, Murakami, Setsu, Shimanouchi, Junko, Minai
    • Organizer
      The 1st. Korea Japan Joint Conference
    • Place of Presentation
      Seoul Women's Plaza
    • Year and Date
      2007-11-23
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Comparison of Needs by End of Life Care Stage in Home Care Cancer Patients between Korea and Japan2007

    • Author(s)
      島内 節・Soon-Lae Kim・薬袋 淳子・Yang-Sook Yoo・Soo-jin Yoon・富田 真佐子・山尾 有紀
    • Organizer
      The 1^<st> Korea Japan Joint Conference on Community Health Nursing
    • Place of Presentation
      Seoul Women's Plaza
    • Year and Date
      2007-11-23
    • Related Report
      2007 Annual Research Report
  • [Presentation] Psychological and Spiritual Needs of Cancer Client and Non-Cancer Client Living at Home2007

    • Author(s)
      片倉 直子・村上 満子・島内 節・薬袋 淳子
    • Organizer
      The 1^<th>st Korea Japan Joint Conference on Community Health Nursing
    • Place of Presentation
      Seoul Women's Plaza
    • Year and Date
      2007-11-23
    • Related Report
      2007 Annual Research Report
  • [Presentation] 在宅終末期ケアにおけるがんと徐々に衰退した高齢者の経過時期別ニーズの特徴とケアの視点2007

    • Author(s)
      島内 節、村上 満子、山岸 暁美
    • Organizer
      第10回日本地域看護学学術集会口演発表
    • Place of Presentation
      神奈川県立保健福祉大学
    • Year and Date
      2007-07-29
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅終末期ケアにおけるがんと除々に衰退した高齢者の経過時期別ニーズの特徴とケアの視点2007

    • Author(s)
      島内 節・村上 満子・山岸 暁美
    • Organizer
      第10回日本地域看護学学術集会口演発表
    • Place of Presentation
      神奈川県立保健福祉大学
    • Year and Date
      2007-07-29
    • Related Report
      2007 Annual Research Report
  • [Presentation] 在宅ホスピスにおける利用者家族のためのクリニカルパスの有用性評価2006

    • Author(s)
      島内 節、村上 満子、山岸 暁美
    • Organizer
      第26回日本看護科学学会学術集会
    • Place of Presentation
      神戸国際展示場
    • Year and Date
      2006-12-03
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅高齢者のターミナルケア経過時期別にみた緊急電話と訪問ニーズ2006

    • Author(s)
      島内 節、村上 満子
    • Organizer
      第9回日本地域看護学学術集会口演発表
    • Place of Presentation
      国立保健医療科学学院(埼玉県)
    • Year and Date
      2006-07-29
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅高齢者のターミナルケア経過時期別にみた緊急電話と訪問ニーズ2006

    • Author(s)
      島内, 節, 村上, 満子
    • Organizer
      第9回日本地域看護学学術集会口演発表
    • Place of Presentation
      国立保健医療科学学院
    • Year and Date
      2006-07-29
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅ターミナルケアにおけるアウトカムに関する家族介護者と看護師の評価比較2005

    • Author(s)
      島内 節、村上 満子、大木 正隆
    • Organizer
      第25回日本看護科学学会学術集会
    • Place of Presentation
      ホテル青森
    • Year and Date
      2005-11-19
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅ターミナルケアにおけるスピリチュアルペインのケア実施度とアウトカム到達度から見た援助方法の検討2005

    • Author(s)
      中村 香織、島内 節、大木 正隆、遠山 寛子
    • Organizer
      第25回日本看護科学学会学術集会示説発表
    • Place of Presentation
      青森市文化会館
    • Year and Date
      2005-11-19
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 在宅ターミナルケアにおけるスピリチュアルペインのケア実施度とアウトカム到達度から見た援助方法の検討2005

    • Author(s)
      中村, 香織, 島内, 節, 大木, 正隆, 遠山, 寛子
    • Organizer
      第25回日本看護科学学会学術集会示説発表
    • Place of Presentation
      青森市文化館
    • Year and Date
      2005-11-19
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Effects of Management to Home Care in Transition Period for Terminally Cancer Elderly2005

    • Author(s)
      大木 正隆、島内 節、遠山 寛子、中村 香織
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      都市センターホテル
    • Year and Date
      2005-10-01
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The Study of Grief Care for the Family Who was a Care-Giver in Elderly Die2005

    • Author(s)
      遠山 寛子、大木 正隆、島内 節、中村 香織
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      都市センターホテル
    • Year and Date
      2005-10-01
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Effects of Management to Home care in Transition Period for Terminally Cancer Elderly2005

    • Author(s)
      Masataka, Ooki, Setsu, Shimanouchi, Hiroko, Tooyama, Kaori, Nakamura
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      Toshi Center Hotel, Tokyo
    • Year and Date
      2005-10-01
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The Study of Grief Care for the Family Who was a Care-Giver in Elderly Die2005

    • Author(s)
      Hiroko, Tooyama, Masataka, Ooki, Setsu, Shimanouchi, Kaori, Nakamura
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      Toshi Center Hotel, Tokyo
    • Year and Date
      2005-10-01
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Strategy for Quality Assurance and Development in Home Care Based on Outcome Evaluation2005

    • Author(s)
      島内 節
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      都市センターホテル
    • Year and Date
      2005-09-30
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Strategy for Quality Assurance and Development in Home Care Based on Outcome Evaluation2005

    • Author(s)
      Setsu, Shimanouchi
    • Organizer
      3rd International Conference on Community Health Nursing Research
    • Place of Presentation
      Toshi Center Hotel, Tokyo
    • Year and Date
      2005-09-30
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Comparison of Needs by End of Life Care Stage in Home Care Cancer Patients between Korea and Japan

    • Author(s)
      Setsu, Shimanouchi, Soon-Lae, Kim, Junko, Minai, Yang-Sook, Yoo, Soo-Jin, Yoon, Masako, Tomita, Yuki, Yamao
    • Organizer
      The 1st. Korea Japan Joint Conference on Community Health Nursing
    • Place of Presentation
      Seoul Women's Plaza
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Remarks] 「研究成果報告書概要(和文)」より

    • URL

      http://www.el-care.jp/

    • Related Report
      2007 Final Research Report Summary
  • [Patent(Industrial Property Rights)] 在宅ケアプログラム、在宅ケアプログラムを記録した情報記録媒体、在宅ケアシステムに使用するケア用サーバ、及び在宅ケアシテム2006

    • Inventor(s)
      島内 節
    • Industrial Property Rights Holder
      島内 節, 東京医科歯科大学
    • Industrial Property Number
      2006-055591
    • Filing Date
      2006-03-01
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Patent(Industrial Property Rights)] 利用者家族用および専門職用の統合ケアシステム2006

    • Inventor(s)
      島内 節
    • Industrial Property Rights Holder
      島内 節, 東京医科歯科大学
    • Industrial Property Number
      2006-299700
    • Filing Date
      2006-11-02
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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