Creating a Home-based Palliative Care Framework Through Action Research and an Assessment of Its Activities

• Project/Area Number: 22390449
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Community health/Gerontological nurisng
• Research Institution: Kyorin University (2011-2013); Tokyo Women's Medical University (2010)
• Principal Investigator: OGANE HIROMI 杏林大学, 保健学部, 准教授 (60305696)
• Co-Investigator(Kenkyū-buntansha): ITO Keiichi 東京女子医科大学, 看護学部, 教授 (00191883) ; INUKAI Kaori 東京女子医科大学, 看護学部, 助教 (30538012) ; YAMAMOTO Mayuko 杏林大学, 保健学部, 助教 (00636558)
• Co-Investigator(Renkei-kenkyūsha): UCHIYAMA Kenichi 大東文化大学, 経営学部, 教授 (90327990) ; ASAHARA Kiyomi 聖路加看護大学, 看護学部, 教授 (80240795) ; KOMATSU Hiroko 聖路加看護大学, 看護学部, 教授 (60158300) ; KAWAGOE Kou 帝京大学, 国際教育研究所, 教授 (70126035)
• Research Collaborator: SUZUKI Satoshi 大東文化大学, 経営学部, 非常勤講師 ; KAWAGOE Hiromi 聖路加看護大学, 臨床教授
• Project Period (FY): 2010-04-01 – 2014-03-31
• Project Status: Completed (Fiscal Year 2013)
• Budget Amount: ¥11,700,000 (Direct Cost: ¥9,000,000、Indirect Cost: ¥2,700,000); Fiscal Year 2013: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000); Fiscal Year 2012: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000); Fiscal Year 2011: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000); Fiscal Year 2010: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
• Keywords: 在宅ホスピス / 緩和ケア / アクションリサーチ / 住民参加 / がん / 看取り / 地域ケア / がん患者 / コミュニティ・ディベロップメント

Research Abstract

With the medical care setting for terminal cancer patients shifting from hospital to home, action research was conducted for the purpose of creating a home-based palliative care framework to which specialists and local residents can flexibly respond. This resulted in frank conversations between specialists and non-professional local residents that yielded awareness on both sides regarding cancer patient care and caregiving in their community, suggesting that community-building activities conducted through workshops linking the everyday lives of non-professionals, practical knowledge, and expert knowledge are crucial to the creation of a home-based palliative care framework.

Research Products

• [Presentation] Proactive Reflection and Accommodation between Specialist (Professional) and Layman (2013)
  • Author(s): K. Uchiyama
  • Organizer: the Collaboration Action Research Network Conferrence
  • Place of Presentation: Norway
  • Year and Date: 2013-11-09
• [Presentation] How and What Did Professionals learn in the Process of Discussion with Layman? (2013)
  • Author(s): S.Suzuki, K.Uchiyama, H.Ogane
  • Organizer: the Collaborative Action Research Network Conference
  • Place of Presentation: Norway
  • Year and Date: 2013-11-09
• [Presentation] Implication for Nursing Practice & Research Based on Action Research Regarding Home-based Palliative Care (2013)
  • Author(s): H.Ogane
  • Organizer: the Collaborative Action Research Network Conference
  • Place of Presentation: Norway
  • Year and Date: 2013-11-09
• [Presentation] Frank Discussions between Specialists and Local Residents : That Encouraged Specialists to Rethink Home-based Palliative Care (2013)
  • Author(s): H.Ogane, S.Suzuki
  • Organizer: the 10th Asia Pacific Hospice Conference
  • Place of Presentation: Thailand
  • Year and Date: 2013-10-11
• [Presentation] Frank discussions between specialists and local residents that encouraged specialists to rethink home-based palliative care
  • Author(s): 大金ひろみ、鈴木聡
  • Organizer: 10th Asia Pacific Hospice Conference
  • Place of Presentation: Bangkok Convention Centre, Centara Grand at Central World (Bangkok, Thailand)
• [Presentation] Exploring the new orientation which utilizes the professional knowledge in a mature society based on ‘accommodation’ between a professional and an amateur
  • Author(s): 内山研一、鈴木聡、大金ひろみ
  • Organizer: Collaborative Action Research Network 2013
  • Place of Presentation: Radisson Blu Hotel(Tromso, Norway)