Construction of intervention by facilitators in psycho-social group therapy for cancer patients

Research Project

Project/Area Number	17592269
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	Clinical nursing
Research Institution	Fukuoka Prefectural University
Principal Investigator	CHUJO Masami Fukuoka Prefectural University, department of Nursing, Associate Professor (20382426)
Co-Investigator(Kenkyū-buntansha)	OKAMURA Hitoshi Hiroshima Univercity, Graduate School of Health Sciences, Professor (40311419) 政時和美福岡県立大学, 看護学部, 助手 (20438310) 森崎直子福岡県立大学, 看護学部, 助手 (30438311) 国府浩子福岡県立大学, 看護学部, 助教授 (70279355) 熊谷有記福岡県立大学, 看護学部, 助手 (10382433)
Project Period (FY)	2005 – 2007
Project Status	Completed (Fiscal Year 2007)
Budget Amount *help	¥4,070,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥270,000) Fiscal Year 2007: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000) Fiscal Year 2006: ¥1,200,000 (Direct Cost: ¥1,200,000) Fiscal Year 2005: ¥1,700,000 (Direct Cost: ¥1,700,000)
Keywords	group intervention / format for facilitator intervention / stricture of intervention format / to improve Patient's QOL / 乳がん / ファシリテーター / 看護師 / 心理・社会的介入 / グループ療法
Research Abstract	[Purpose] To elucidate the format for facilitator intervention in psychosocial group therapy for cancer patients and to find the direction in the training of facilitators. [Background review] The efficacy of psychosocial group therapy for cancer patients has been proven by many and the therapy is being applied increasingly more widely in the field of nursing. Yet the actual methods of intervention for nurse facilitators have not been elucidated. [Method] Using the data from the verbatim recordings of 3 groups, which were prepared during group therapy sessions for patients with breast cancer with nurses acting as facilitators, a qualitative inductive analysis was conducted. [Results] The analytical procedure extracted the following for the methods of facilitator intervention : "to do facilitator's best", "facilitator skill", "wa (harmony) in the group as a whole" and "concerted efforts among therapists". For "to do facilitator's best" the following emerged : "to do no intervention", "de … More fend medical staffs statement", "intervention were off target". For "facilitator skill," the following emerged : "dedication to the role", "acting as a spokesperson", "generating self-reflection", "holding", "confrontation while acting true to yourself", "a sense of presence", "understanding from the context", "remaining unaffected by the context", "having a quick wit" and "interweaving the process with skill". For "wa (harmony) of the group as a whole", the following ideas were extracted : "paying particular attention to the general trend", "encouraging interactions within the group" and "reinforcement of mutual help" For "cooperation among therapists", "supplementing each other's role" was cited. [Conclusion] For the methodology of facilitator intervention by nurses in group therapy, the following four emerged : "to do facilitator's best", "facilitator skill", "wa (harmony) in the group as a whole" and "coordination among therapists". It is possible that by combining these 4, the group mechanism will function well. The finding suggested a direction for facilitator training of nurses in future. Less