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Building a model for a support methodology based on expertise acquired during provision of palliative care

Research Project

Project/Area Number 21390586
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionJapanese Red Cross College of Nursing

Principal Investigator

MORITA Minako  日本赤十字看護大学, 看護学部, 教授 (50288065)

Co-Investigator(Kenkyū-buntansha) YOSHIDA Mituko  日本赤十字看護大学, 看護学部, 准教授 (80308288)
OKUHARA Hidemori  静岡県立大学, 看護学部, 准教授 (60288066)
Co-Investigator(Renkei-kenkyūsha) HUKUI Satomi  首都大学東京, 健康福祉学部, 准教授 (20436885)
TANAKA Takami  日本赤十字看護大学, 看護学部, 講師 (60336716)
SINDOU Etuko  慶応大学, 看護学部, 准教授 (20310245)
HIGUTI Yosie  日本赤十字看護大学, 看護学部, 講師 (00460098)
ADACHI Yuko  日本赤十字学園, 学事課長 (70248970)
Project Period (FY) 2009 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥14,430,000 (Direct Cost: ¥11,100,000、Indirect Cost: ¥3,330,000)
Fiscal Year 2012: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2011: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2010: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2009: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Keywords緩和ケア / がん / 実践知 / 援助方法 / 事例研究 / 援助方法論 / 事例分析 / 看護 / 看護援助 / ケアリング
Research Abstract

The purpose of this study was to develop a model for care methodology by analyzing the experience of nurses, specifically the clinical wisdom acquired during the provision of palliative care, and using it to improve the overall process. Taking our cue from Benner’s methods of studying clinical wisdom (1999/2005), we interviewed 20 nurses with three or more years of experience of providing palliative care. The characteristics of the nurses’ judgments and actions were analyzed in relation to 30 episodes that were reconstructed as narratives and given themes, then categorized according to their characteristics into the following nine major themes: judgment on pain/suffering and coping with it; conflict regarding sedation; continence support to protect the patient’s dignity; care that responds to the patient’s wishes; palliative care carried out using teamwork; care for the patient’s mental suffering; deathwatch; challenges faced by family carers; and the need for nurses to understand and respond to the wishes of home-cared patients and their families. The 30 episodes were categorized and organized according to their major themes, then compiled into a collection of cases, based on which we discussed support methodology from four viewpoints and obtained suggestions for practical application. The four viewpoints were (1) the relationship between nurses’ past practical experience and their attitudes to nursing, (2) how nurses understood patients and their families, (3) characteristics of practical judgments that are made considering what will happen next and how these judgments are acted on, and (4) the clinical wisdom both needed and acquired during the practice of team medicine.

Report

(5 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (22 results)

All 2013 2012 2011

All Journal Article (4 results) Presentation (18 results)

  • [Journal Article] 緩和ケアにおける見取り2012

    • Author(s)
      守田美奈子
    • Journal Title

      看護研究

      Volume: 45.(4) Pages: 348-355

    • Related Report
      2012 Final Research Report
  • [Journal Article] 見取りのケアと間身体性2012

    • Author(s)
      守田美奈子
    • Journal Title

      メルロ・ポンティサークル研究

      Volume: 第16号 Pages: 62-74

    • Related Report
      2012 Final Research Report
  • [Journal Article] 緩和ケア病棟における見取り2012

    • Author(s)
      守田美奈子
    • Journal Title

      看護研究

      Volume: 45 Pages: 346-355

    • Related Report
      2012 Annual Research Report
  • [Journal Article] 見取りのケアと間身体性2012

    • Author(s)
      守田美奈子
    • Journal Title

      メルロポンティ研究

      Volume: 16 Pages: 62-74

    • Related Report
      2012 Annual Research Report
  • [Presentation] How to share a terminal patient's desire amongst the medical team - From the experience of a nurse on terminal sedation2013

    • Author(s)
      Yoshie HIGUCHI, Minako MORITA, Mitsuko YOSHIDA, Hidemori OKUHARA, Etsuko SHINDO, Satomi FUKUI, Takami TANAKA, Shiori SAKAI, Yuko ADACHI
    • Organizer
      13th European Association for Palliative Care
    • Place of Presentation
      Prague/Czech Republic(プラハ・チェコ共和国)
    • Related Report
      2012 Final Research Report
  • [Presentation] 緩和ケアにおける看護師の実践知-チーム全体でより良いケアを行う病棟文化の創出に向けて2013

    • Author(s)
      奥原秀盛、守田美奈子、吉田みつ子、樋口佳栄、新藤悦子、福井里美、寄森梓
    • Organizer
      第26回日本がん看護学会
    • Place of Presentation
      金沢
    • Related Report
      2012 Final Research Report
  • [Presentation] がん看護ケアにおける実践知-外来での援助の方向性に対する価値観が転換した実践事例2012

    • Author(s)
      安達裕子、守田美奈子、吉田みつ子、樋口佳栄、田中孝美、坂井詩織、新藤悦子、奥原秀盛、福井里美、寄森梓
    • Organizer
      第32回日本看護科学学会
    • Place of Presentation
      東京
    • Related Report
      2012 Final Research Report
  • [Presentation] Yuko ADACHI Clinical Wisdom of Nurses Engaged In Palliative Care - Practical Characteristics of Nursing Care to Assist in Opening Up a Patient's Closed World2012

    • Author(s)
      Etsuko SHINDO,Minako MORITA, Hidemori OKUHARA, Satomi FUKUI, Mitsuko YOSHIDA, Yoshie HIGUCHI, Takami TANAKA, Shiori SAKAI, Azusa YORIMORI
    • Organizer
      17thICCN(International Conference on Cancer Nursing
    • Place of Presentation
      Prague/Czech Republic(プラハ・チェコ共和国)
    • Related Report
      2012 Final Research Report
  • [Presentation] 緩和ケアにおける看護師の実践知その2-患者の尊厳を守り生前の意思を貫くことをチームで支えた看護実践の特徴.2012

    • Author(s)
      吉田みつ子、守田美奈子、樋口佳栄、奥原秀盛、新藤悦子、福井里美、寄森梓、田中孝美、安達裕子、坂井詩織、鈴木治子
    • Organizer
      第17回日本緩和医療学会
    • Place of Presentation
      神戸
    • Related Report
      2012 Final Research Report
  • [Presentation] 緩和ケアにおける看護師の実践知その1-告知に関する面接場面のコンサルテーション実践の様相.2012

    • Author(s)
      樋口佳栄、守田美奈子、吉田みつ子、奥原秀盛、新藤悦子、福井里美、寄森梓、田中孝美、安達裕子、坂井詩織、鈴木治子
    • Organizer
      第17回日本緩和医療学会
    • Place of Presentation
      神戸
    • Related Report
      2012 Final Research Report
  • [Presentation] Nurses' praxis in palliative care.2012

    • Author(s)
      樋口佳栄、守田美奈子、吉田みつ子、奥原秀盛、新藤悦子、福井里美、寄森梓、田中孝美、安達裕子、坂井詩織、鈴木治子
    • Organizer
      International Hiroshima Conference on Caring and Peace(Hiroshima,Japan)
    • Place of Presentation
      広島
    • Related Report
      2012 Final Research Report
  • [Presentation] 緩和ケアにおける看護師の実践知その1-告知に関する面接場面のコンサルテーション実践の様相2012

    • Author(s)
      樋口佳栄他10名
    • Organizer
      第17回日本緩和医療学会学術集会
    • Place of Presentation
      神戸国際展示場
    • Related Report
      2012 Annual Research Report
  • [Presentation] 緩和ケアにおける看護師の実践知その2-患者の尊厳を守り生前の意思を貫くことをチームで支えた看護実践の特徴2012

    • Author(s)
      吉田みつ子他10名
    • Organizer
      第17回日本緩和医療学会学術集会
    • Place of Presentation
      神戸国際天井
    • Related Report
      2012 Annual Research Report
  • [Presentation] がん看護ケアにおける実践知ー外来での援助の方向性に対する価値観が転換した実践事例ー2012

    • Author(s)
      安達裕子他10名
    • Organizer
      第32回看護科学学会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2012 Annual Research Report
  • [Presentation] Clinical Wisdom of Nurses Engaged in Palliative Care2012

    • Author(s)
      新藤悦子他10名
    • Organizer
      17Th International conference on cancer nursing
    • Place of Presentation
      Hilton Prague Hotel(スロバキア)
    • Related Report
      2012 Annual Research Report
  • [Presentation] Nurses' praxis in palliative care2012

    • Author(s)
      樋口佳栄, 他10名
    • Organizer
      International Hiroshima Conference on Caring and Peace
    • Place of Presentation
      広島
    • Related Report
      2011 Annual Research Report
  • [Presentation] 緩和ケアの実践知に関する研究方法の検討-看護師の体験事例の分析を通して2011

    • Author(s)
      守田美奈子、吉田みつ子, 他6名
    • Organizer
      第25回日本がん看護学会
    • Place of Presentation
      兵庫県神戸市
    • Year and Date
      2011-02-13
    • Related Report
      2010 Annual Research Report
  • [Presentation] 寄森梓緩和ケアの実践知に関する研究その2.患者の意思と行為選択に関わる看護実践.2011

    • Author(s)
      田中孝美、守田美奈子、樋口佳栄、吉田みつ子、坂井志織、新藤悦子、奥原秀盛、福井里美、安達祐子、鈴木治子
    • Organizer
      第31回日本看護科学学会
    • Place of Presentation
      高知
    • Related Report
      2012 Final Research Report
  • [Presentation] 緩和ケアの実践知に関する研究その1.終末期の家族の混乱と看護実践2011

    • Author(s)
      坂井志織、守田美奈子、吉田みつ子、樋口佳栄、田中孝美、奥原秀盛、福井里美、新藤悦子、安達祐子、鈴木治子、寄森梓
    • Organizer
      第31回日本看護科学学会
    • Place of Presentation
      高知
    • Related Report
      2012 Final Research Report
  • [Presentation] 見取りと間身体性2011

    • Author(s)
      守田美奈子
    • Organizer
      メルロ・ポンティサークル第17回大会
    • Place of Presentation
      神戸
    • Related Report
      2011 Annual Research Report
  • [Presentation] 緩和ケアの実践知に関する研究-その1.終末期の家族ケアを巡る看護師の体験-2011

    • Author(s)
      坂井志織, 他10名
    • Organizer
      第31回日本看護科学学会学術集会
    • Place of Presentation
      高知
    • Related Report
      2011 Annual Research Report
  • [Presentation] 緩和ケアの実践知に関する研究-その2.患者の意思と行為選択に関わる看護実践-2011

    • Author(s)
      田中孝美, 他10名
    • Organizer
      第31回日本看護科学学会学術集会
    • Place of Presentation
      高知
    • Related Report
      2011 Annual Research Report

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Published: 2009-04-01   Modified: 2019-07-29  

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