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A basic study of empathy fatigue in nurses with 'difficult patients' related to complex PTSD.

Research Project

Project/Area Number 18K17544
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58060:Clinical nursing-related
Research InstitutionSt. Catherine University

Principal Investigator

SHIRAGAKI Aya  聖カタリナ大学, 看護学部, 准教授 (00331760)

Project Period (FY) 2018-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2020: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywordsむずかしい患者 / 共感疲労 / 複雑性PTSD / 愛着障害 / 援助関係 / 看護 / コミュニケーション / 共感ストレス / 複雑性PTSD / 愛着の障害 / 看護師の共感疲労 / 看護師
Outline of Final Research Achievements

This study aims to investigate the intricate characteristics of "difficult patients" associated with Complex Post-Traumatic Stress Disorder (C-PTSD) and explore the correlation between these characteristics and the stress experienced by nurses dealing with such patients. While the characteristics of "difficult patients" were unique to each nurse, they commonly involved relational difficulties. Moreover, the nurses' experiences often transcended mere stress, becoming traumatic. These characteristics align with those of C-PTSD mentioned in the literature and case studies, signifying the need for interventions that incorporate diagnostic concepts such as attachment disorders resulting from developmental trauma, as well as a support system for nurses.

Academic Significance and Societal Importance of the Research Achievements

この研究成果により、関係が取りにくく治療が遷延化する「むずかしい患者」の実態が明らかとなった。また、そのような「むずかしい患者」をケアすることによる看護師のストレスはトラウマとしての傷つき体験であり、長い時間を経ても消えることのない傷となっている実態も明らかとなった。これらのことは、患者が抱える成育史上の複雑性PTSDと無関係ではないと考えられ、今後は「むずかしい患者」を理解するために愛着障害などの診断名を視野に入れて「むずかしさ」を解明していくことにより、ケアの方策が導き出せ、看護師のメンタルケアに活かすための視座につながるものと考える。

Report

(7 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (2 results)

All 2021 2019

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

  • [Journal Article] 複雑性PTSDに関連する「むずかしい患者」に関する文献レビュー2021

    • Author(s)
      白柿綾
    • Journal Title

      聖カタリナ大学研究紀要

      Volume: 第33号 Pages: 146-153

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Review of Literture on "Difficult Patients"Related to Complex PTSD2019

    • Author(s)
      白柿綾
    • Organizer
      22nd East Asian Forum of Nursing Scholars(EAFONS)2019
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2025-01-30  

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