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Developing practical knowledge of end-of-life care in nursing homes

Research Project

Project/Area Number 24530779
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social welfare and social work studies
Research InstitutionTokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Principal Investigator

Shimada Chiho  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究副部長 (30383110)

Co-Investigator(Renkei-kenkyūsha) TAKAHASHI Ryutaro  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究員 (20150881)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords終末期ケア / 高齢者 / 施設ケア / リフレクション / 経験学習 / 高齢者介護 / 専門職教育 / 看取りケア / 特別養護老人ホーム / 高齢者の終末期 / 看取り介護 / 質の向上
Outline of Final Research Achievements

Because of the nature of end-of-life (EOL) care process in which elderly patients, their families, and physicians are involved with different ideas about life and death, it is difficult to define a single criterion for “good” EOL care. The concept of reflection originated with Dewey was used as a key of EOL care improvement. In addition to this key concept, the mutual validation step was thought to be essential. We developed Collaborative Reflection Program, in which participants review and learn from their end-of-life care experiences together. The participants, who were working as care workers and nurses in nursing homes, became confident of EOL care through the experiential learning cycle. The multi-institutional Program can be motivated to engage in EOL caregiving with confidence. The results suggest that collaborative reflection is efficient in order to maintain care professionals’ motivation for providing and improving EOL care.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (38 results)

All 2016 2015 2014 2013 2012 Other

All Journal Article (12 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (21 results) (of which Int'l Joint Research: 2 results,  Invited: 4 results) Book (4 results) Remarks (1 results)

  • [Journal Article] Reconsidering Long-Term Care in the End-of-Life Context in Japan.2016

    • Author(s)
      Shimada C., Hirayama R., Wakui T., Nakazato K., Obuchi S., Ishizaki T., & Takahashi R.
    • Journal Title

      Geriatrics & Gerontology International.

      Volume: S1 Issue: S1 Pages: 132-139

    • DOI

      10.1111/ggi.12736

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 臨死期におけるケアの場の移行を回避する看取りケア体制の関連要因2016

    • Author(s)
      島田千穂、石崎達郎、高橋龍太郎
    • Journal Title

      厚生の指標

      Volume: 63 Pages: 1-7

    • NAID

      40020801553

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 介護の世界;人生の最期にかかわるということ2016

    • Author(s)
      島田千穂
    • Journal Title

      介護人材Q&A

      Volume: 137 Pages: 76-77

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 看取りケア経験の協働的内省が特別養護老人ホーム職員の認識に及ぼす影響2015

    • Author(s)
      島田千穂、伊東美緒、平山亮、高橋龍太郎
    • Journal Title

      社会福祉学

      Volume: 56 Pages: 87-100

    • NAID

      110009986689

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Communication with important others regarding their preferences for end-of-life care2015

    • Author(s)
      島田千穂、中里和弘、荒井和子、会田薫子、清水哲郎、鶴若麻理、石崎達郎、高橋龍太郎
    • Journal Title

      Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

      Volume: 52 Issue: 1 Pages: 79-85

    • DOI

      10.3143/geriatrics.52.79

    • NAID

      130004917194

    • ISSN
      0300-9173
    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 在宅療養支援診療所と訪問看護ステーションにおけるデスカンファレンスの意味づけ2014

    • Author(s)
      大友宣、佐野かず江、島田千穂
    • Journal Title

      日本プライマリ・ケア連合学会誌

      Volume: 37 Pages: 369-373

    • NAID

      130004959877

    • Related Report
      2014 Research-status Report
  • [Journal Article] 認知症の終末期をめぐって-施設の中で2014

    • Author(s)
      島田千穂
    • Journal Title

      認知症の最新医療

      Volume: 4 Pages: 12-15

    • Related Report
      2013 Research-status Report
  • [Journal Article] 特別養護老人ホームにおける看取りケア実施状況と関連要因2013

    • Author(s)
      島田千穂、堀内ふき、鶴若麻理、高橋龍太郎
    • Journal Title

      老年社会科学

      Volume: 34 Pages: 500-509

    • NAID

      130007792227

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 看取りケア終了後の振り返りでより良い施設ケアをめざす~「看取りケア確認シート」の活用と検討会~2013

    • Author(s)
      島田千穂
    • Journal Title

      ケアワーク

      Volume: 5 Pages: 3-7

    • Related Report
      2013 Research-status Report
  • [Journal Article] 特養の入居者の最期を看取るということ~看取りに関わる職員の不安とその乗り越え方~2013

    • Author(s)
      島田千穂
    • Journal Title

      ふれあいケア

      Volume: 7 Pages: 12-16

    • Related Report
      2013 Research-status Report
  • [Journal Article] 特別養護老人ホームにおける終末期ケア実践と多職種協働の課題2012

    • Author(s)
      島田千穂
    • Journal Title

      日本認知症ケア学会誌

      Volume: 11巻2号 Pages: 470-476

    • Related Report
      2012 Research-status Report
  • [Journal Article] 高齢者介護施設における看取りの実態と課題2012

    • Author(s)
      島田千穂、高橋龍太郎
    • Journal Title

      Geriatric Medicine

      Volume: 50巻12号 Pages: 1419-1422

    • Related Report
      2012 Research-status Report
  • [Presentation] 特別養護老人ホームの看取りケアに関わる看護職の役割;他施設の介護職とのグループ討論での語りから2015

    • Author(s)
      島田千穂、伊東美緒、原沢優子、樋口京子
    • Organizer
      第35回日本看護科学学会学術集会
    • Place of Presentation
      広島国際会議場(広島県・広島市)
    • Year and Date
      2015-12-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 協働的内省セッションによる看取りケア遂行・改善意欲の向上2015

    • Author(s)
      島田千穂
    • Organizer
      第22回ヘルスリサーチフォーラム
    • Place of Presentation
      千代田放送会館(東京都・千代田区)
    • Year and Date
      2015-11-28
    • Related Report
      2015 Annual Research Report
  • [Presentation] 人生の最期を支える看取りケアの実践と課題-本人の希望を中心にしたケアの実現に向けて-2015

    • Author(s)
      島田千穂
    • Organizer
      新潟青陵学会第8回学術集会
    • Place of Presentation
      新潟青陵大学(新潟県・新潟市)
    • Year and Date
      2015-11-07
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Psychosocial Deterrents to Older Adults’ Expressing Their Wishes About End-of-Life Care in Japan.2015

    • Author(s)
      Shimada, C., Hirayama, R., Ito, M., Nakazato, K., Ishizaki, T., Takahashi, R.
    • Organizer
      The 10th IAGG-Asia 2015 Congress
    • Place of Presentation
      チェンマイ(タイ)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 看取りにおける「家族」とは何か;介護職・看護職の語りから2015

    • Author(s)
      平山亮、涌井智子、島田千穂、原沢優子
    • Organizer
      第25回日本家族社会学会大会
    • Place of Presentation
      追手門学院大学(大阪府・茨木市)
    • Year and Date
      2015-09-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 終末期医療における多職種連携 ~本人の希望は何か~2015

    • Author(s)
      島田千穂
    • Organizer
      第29回日本ケアマネジメント学会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 特別養護老人ホームにおける死亡診断体制の実態と看取りケアとの関連2015

    • Author(s)
      島田千穂、中里和弘、伊東美緒、高橋龍太郎
    • Organizer
      第57回日本老年医学会学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] 訪問看護事業所における遺族支援の現状と認識-支援の実施状況、意義と有用性に関連する要素について-2015

    • Author(s)
      中里和弘、島田千穂、舞鶴史絵、野田京、石崎達郎、佐藤眞一、高橋龍太郎
    • Organizer
      日本老年社会科学会第57回大会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] Reviewing Care Experiences Together: The Influence of Collaborative Reflection on Nursing Home Staff’s Self-Rated Competence as Care Practitioner2015

    • Author(s)
      Shimada, C., Hirayama, R., Higuchi, K., Harasawa, Y., Ito, M., Nakazato, K., Ishizaki, T., Takahashi, R
    • Organizer
      International Association of Gerontology and Geriatrics European Region 8th Congress
    • Place of Presentation
      ダブリン(アイルランド)
    • Year and Date
      2015-04-23
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Supporting elder’s decision-making: from practical perspective. Symposium on decision-making and elderly care2015

    • Author(s)
      Takahashi, R., Shimada, C.
    • Organizer
      Symposium on decision-making and elderly care, Hallym University Institute of Aging
    • Place of Presentation
      Korea
    • Year and Date
      2015-01-14
    • Related Report
      2014 Research-status Report
  • [Presentation] The influence of collaborative reflection on nursing home staff members’ views on end-of-life care2014

    • Author(s)
      Shimada, C., Hirayama, R, Ito, M., Nakazato, K., and Takahashi,R
    • Organizer
      21st International Congress on Palliative Care
    • Place of Presentation
      Motreal
    • Year and Date
      2014-09-09 – 2014-09-12
    • Related Report
      2014 Research-status Report
  • [Presentation] 終末期医療の希望の明確化が家族への伝達意識に与える影響2014

    • Author(s)
      島田千穂、中里和弘、石崎達郎、会田薫子、鶴若麻理、清水哲郎、荒井和子、稲松孝思、高橋龍太郎
    • Organizer
      第56回日本老年医学会学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2014-06-12 – 2014-06-14
    • Related Report
      2014 Research-status Report
  • [Presentation] What Motivates Japanese Older Adults to Communicate Their Preferences Regarding End of Life Care?2014

    • Author(s)
      Shimada, C., Hirayama, R., Nakazato, K., and Takahashi,R
    • Organizer
      10th International Conference for Clinical ethics Consultation
    • Place of Presentation
      Paris
    • Year and Date
      2014-04-24 – 2014-04-26
    • Related Report
      2014 Research-status Report
  • [Presentation] The Relation between Perceived Quality of End of Life Care and Reflections on the Care Experiences among Nursing Home Staff Members2013

    • Author(s)
      Shimada, C., Horiuchi, F., Hirayama, R., and Takahashi R.
    • Organizer
      The 20th IAGG World Congress of Gerontology and Geriatrics
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Research-status Report
  • [Presentation] The influences of collaborative reflection on nursing home staff members’ view of end of life care2013

    • Author(s)
      Shimada, C., Hirayama, R., Ito, M., and Takahashi R.
    • Organizer
      The 17th International Reflective Practice Conference
    • Place of Presentation
      Swansea, UK
    • Related Report
      2013 Research-status Report
  • [Presentation] 看取りを行う特別養護老人ホーム看護職の専門性の認識と仕事有能感との関連;他職種との比較から2013

    • Author(s)
      島田千穂、堀内ふき、伊東美緒、高橋龍太郎
    • Organizer
      第33回日本看護科学会学術集会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] 特別養護老人ホームのケア環境の評価に関する研究2012

    • Author(s)
      島田千穂、堀内ふき、高橋龍太郎
    • Organizer
      第54回日本老年社会科学会大会
    • Place of Presentation
      長野
    • Related Report
      2012 Research-status Report
  • [Presentation] 介護施設の“終活”(シンポジウム:私たちの“終活”)2012

    • Author(s)
      島田千穂
    • Organizer
      NPO法人在宅ケアを支える診療所・市民全国ネットワーク第18回全国の集いin高知
    • Place of Presentation
      高知
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 特別養護老人ホーム職員による看取りケア実践(特定課題セッションI)2012

    • Author(s)
      島田千穂、堀内ふき、高橋龍太郎
    • Organizer
      日本社会福祉学会第60回秋季大会
    • Place of Presentation
      兵庫
    • Related Report
      2012 Research-status Report
  • [Presentation] Factors associated with quality of the end-of-life care perceived by formal care providers2012

    • Author(s)
      Shimada, C., Horiuchi, F. and Takahashi R.
    • Organizer
      19th International Congress on Palliative Care
    • Place of Presentation
      Motreal, Canada
    • Related Report
      2012 Research-status Report
  • [Presentation] 施設での看取りから学ぶ、自分らしい最期とは

    • Author(s)
      島田千穂
    • Organizer
      カシオペア市民フォーラム
    • Place of Presentation
      岩手
    • Related Report
      2013 Research-status Report
    • Invited
  • [Book] 看取りの振り返りを有効に実施するためのガイド;反照的習熟プログラムのすすめ「2016

    • Author(s)
      島田千穂
    • Total Pages
      40
    • Publisher
      東京都健康長寿医療センター研究所
    • Related Report
      2015 Annual Research Report
  • [Book] 認知症・超高齢者の看取りケア実践2016

    • Author(s)
      島田千穂、伊東美緒
    • Publisher
      日総研出版
    • Related Report
      2015 Annual Research Report
  • [Book] 介護職員初任者研修テキスト第4分冊2015

    • Author(s)
      島田千穂
    • Publisher
      介護労働安定センター
    • Related Report
      2015 Annual Research Report
  • [Book] 介護職員初任者研修テキスト(是枝祥子、鈴木眞理子、高橋龍太郎編), 第9章こころとからだのしくみと生活援助技術「死にゆく人に関するこころとからだのしくみと終末期介護」2012

    • Author(s)
      島田千穂
    • Publisher
      財団法人介護労働安定センター
    • Related Report
      2012 Research-status Report
  • [Remarks] 東京都健康長寿医療センター研究所/研究チーム紹介/終末期ケアのあり方

    • URL

      http://www.tmghig.jp/J_TMIG/kenkyu/team/syumatsuki_care.html

    • Related Report
      2015 Annual Research Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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