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The Study of support for decsion-making of the families rearing children with disabilities

Research Project

Project/Area Number 17592235
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionChiba University

Principal Investigator

ARAKI Akiko  Chiba University, School of Nursing, Associate Professor (60251138)

Co-Investigator(Kenkyū-buntansha) NAKAMURA Nobue  Chiba University, School of Nursing, Professor (20282460)
ENDO Kazue  Chiba University, School of Nursing, Assistant Professor (70361417)
OGAWA Junko  Chiba University, School of Nursing, Assistant Professor (30344972)
SATO Naho  Chiba University, School of Nursing, Assistant Professor (10291577)
金丸 友  千葉大学, 看護学部, 助手 (20400814)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥1,850,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥150,000)
Fiscal Year 2007: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2006: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Keywordsdisability / infants / toddlers / decision-makine / Quality of Life
Research Abstract

The purpose of this study is development and evaluation of the nursing intervention for promoting and support family decision-making rearing infants and toddlers with disabilities. According to that result, the support method is discussed adequate for the each sort of disabilities.
Based on the literature review, the interviews were administered for 30 professionals; nurses, physicians and case workers, and 12 families regarding the situations of facing on decision-make for their children. Child disabilities include severe medically depend, Autism, physically disabilities and mental retardation. According to the result of interviews for both of professionals and families, especially, the difficulties for the decision-making of Tracheotomy for the children with severe disabilities were the most. The further analysis was administered focusing on that point and the intervention framework was developed and adopted to the nursing practice. The result indicated that the nursing intervention was effective for clarifying families' feeling of merit and demerit and support according to the families' expectation and beliefs if they have any gaps between family members.
And the original questionnaire was developed and based on the result of interviews and administered for the both of 76 professionals and 93 families. The result indicated the situation of decision-making differ from the different disabilities; surgery or therapy for physical disability, nursery/school for mental and developmental disability. However, the commonality was showed on support, providing information and families' expectation. The professionals reported specific dilemmas for the life sustaining medicine in the end-of-life, and family acceptance for their disabilities.
Therefore, the basic attitude of professionals and necessity system were discussed.

Report

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

    (18 results)

All 2008 2007 2006 Other

All Journal Article (6 results) (of which Peer Reviewed: 4 results) Presentation (12 results)

  • [Journal Article] 乳幼児期の障害児を育てる家族の意思決定に関する研究2008

    • Author(s)
      荒木暁子
    • Journal Title

      千葉大学看護学部紀要 30

      Pages: 37-42

    • 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] 乳幼児期の障害児を育てる家族の意思決定に関する研究2008

    • Author(s)
      荒木 暁子
    • Journal Title

      千葉大学看護学部紀要 30

      Pages: 37-42

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 乳幼児期の重症心身障害児の気管切開た関する家族の意思決定2007

    • Author(s)
      市原 真穂
    • Journal Title

      千葉看護学会会誌 13(1)

      Pages: 77-84

    • 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] Family decision-making in Tracheotomy of infant/toddler with sever disabilities2007

    • Author(s)
      Ichihara, Maho
    • Journal Title

      Journal of Chiba Academy of Nursing Science Vol. 13, No. 1

      Pages: 77-84

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 乳幼児期の重症心身障害児の気管切開に関する家族の意思決定2007

    • Author(s)
      市原 真穂
    • Journal Title

      千葉看護学会会誌 13(1)

      Pages: 77-84

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Family decision-making of children with disabilities -Difficulties, supports and expectations for support in family and professionals

    • Author(s)
      Araki, Akiko
    • Journal Title

      Journal of School of Nursing Chiba University Vol. 30

      Pages: 37-42

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 乳幼児期の障害児を育てる家族の意思決定における困難とサポート2007

    • Author(s)
      荒木暁子
    • Organizer
      第54回日本小児保健学会
    • Place of Presentation
      前橋、群馬県
    • Year and Date
      2007-09-22
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 乳幼児期の重症心身障害児の気管切開に関する家族の意思決定2007

    • Author(s)
      荒木暁子
    • Organizer
      日本小児看護学会第17回学術集会
    • Place of Presentation
      松本、長野県
    • Year and Date
      2007-07-21
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Family decision-making in Tracheotomy of Infant/toddler with severe disabilities2007

    • Author(s)
      Araki, Akiko
    • Organizer
      The 17th conference of Japanese Society of Child Health Nursing
    • Place of Presentation
      Matsumoto, Nagano
    • Year and Date
      2007-07-21
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Decision-Making in Tracheotomy of Infants and Toddlers with severe disabilities2007

    • Author(s)
      Akiko Araki
    • Organizer
      The 8th International Family Nursing Conference
    • Place of Presentation
      Bangkok,Thailand
    • Year and Date
      2007-07-06
    • Related Report
      2007 Annual Research Report
  • [Presentation] Decision-Making in Tracheotomy of Infants and Toddlers with severe disabilities2007

    • Author(s)
      Akiko Araki
    • Organizer
      The 8th International Family Nursing Conference
    • Place of Presentation
      Bangkok, Tailand
    • Year and Date
      2007-06-06
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Decision-making in Tracheotomy of infant and toddler with severe disabilities2007

    • Author(s)
      Araki, Akiko
    • Organizer
      The 8th International Family Nursing Conference
    • Place of Presentation
      Bangkok, Thailand
    • Year and Date
      2007-06-06
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Family decision-making in Tracheotomy of infant/toddler with severe disabilities2007

    • Author(s)
      Maho Ichihara
    • Organizer
      ICN International Conference
    • Place of Presentation
      Yokohama, Japan
    • Year and Date
      2007-05-07
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Family decision-making in Tracheotomy of Infant/toddler with severe disabilities2007

    • Author(s)
      Ichihara, Maho
    • Organizer
      ICN International conference
    • Place of Presentation
      Yokohama, Japan
    • Year and Date
      2007-05-07
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Family decision-making in Tracheotomy of infant/toddler with severe disabilities2007

    • Author(s)
      Maho Ichihara
    • Organizer
      ICN International Conference
    • Place of Presentation
      Yokohama,Japan
    • Year and Date
      2007-05-07
    • Related Report
      2007 Annual Research Report
  • [Presentation] 乳幼児期の重症心身障害児の家族が意思決定を必要とする局面における専門職のかかわりと感じる困難2006

    • Author(s)
      仲西 江里奈
    • Organizer
      第53回日本小児保健学会
    • Place of Presentation
      甲府、山梨
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The difficulties and support in the family decision-making of children with disabilities

    • Author(s)
      Araki, Akiko
    • Organizer
      The 54th Annual meeting of the Japan Society of Child Health
    • Place of Presentation
      Maebashi, Gunma
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The professionals' difficulties in the situations family decision-making of children with severe disabilities

    • Author(s)
      Nakanishi, Erina
    • Organizer
      The 53rd Annual meeting of the Japan Society of Child Health
    • Place of Presentation
      Kohu, Yamanashi
    • Description
      「研究成果報告書概要(欧文)」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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