Creating an Interprofessional Collaborative Decision Support Model to Support SDM for Patients Facing Life-Threatening Diseases
| Project/Area Number |
18K10331
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | Setsunan University |
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Principal Investigator |
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| Project Period (FY) |
2018-04-01 – 2023-03-31
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| Project Status |
Completed (Fiscal Year 2022)
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| Budget Amount *help |
¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2021: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
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| Keywords | シェアード・ディシジョンメイキング / 看護師参画 / 多職種連携 / 重症心不全患者 / クロスバウンダリー・チーミング / Shared decision-making / 重症心不全 / Inter-professional work / shared decision making / inter-professional work / 患者の価値 / 多職種協働 / 意思決定支援モデル |
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| Outline of Final Research Achievements |
Focusing on patients with severe heart failure, among other life-threatening diseases, this study identified patient characteristics and nurses' roles as pillars of an interdisciplinary collaborative decision support model that supports shared decision-making (SDM) during treatment decisions. Through semi-structured interviews with certified nurse specialists in critical care nursing, I found that although nurses' participation in SDM was insufficient, their efforts led to interdisciplinary collaborative decision-making support and a structure that supported SDM with patients and families. Furthermore, the characteristics of patients with severe heart failure and the role of nurses in decision-making support, which were clarified through reanalysis, were considered to develop decision-making support through interdisciplinary collaboration.
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| Academic Significance and Societal Importance of the Research Achievements |
これまでのSDMモデルは、患者と医師の関係性が中心であり、多職種が連携してSDMを支えるモデルについては検討が始まったばかりである。本研究は、生命を脅かす疾患に直面した重症患者・家族に関わるクリティカルケア領域の医療者が協働してSDMを支えるモデルの可能性を示唆するものである。特に看護師独自の支援が発揮されることで、生命を脅かす疾患に直面した患者・家族のSDM参加を促進し、価値を反映した意思決定と合意形成を導くことが期待できる。
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Report
(6 results)
Research Products
(3 results)
