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Development of Quality Improvement Strategies for Care of Chronic Pain in Long-term Care Facilities

Research Project

Project/Area Number 25293462
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Gerontological nursing
Research InstitutionThe University of Tokyo

Principal Investigator

Yamamoto-Mitani Noriko  東京大学, 医学(系)研究科(研究院), 教授 (90280924)

Co-Investigator(Kenkyū-buntansha) 高井 ゆかり  東京大学, 医学(系)研究科(研究院), 講師 (00404921)
五十嵐 歩  東京大学, 医学(系)研究科(研究院), 助教 (20595011)
阿部 吉樹  筑波大学, 医学医療系, 助教 (30630785)
齋藤 繁  群馬大学, 医学(系)研究科(研究院), 教授 (40251110)
鈴木 みずえ  浜松医科大学, 医学部, 教授 (40283361)
中山 和弘  聖路加国際大学, 看護学部, 教授 (50222170)
鈴木 美穂  東京大学, 医学(系)研究科(研究院), 助教 (70645712)
竹原 君江  東京大学, 医学(系)研究科(研究院), 助教 (70709865)
Research Collaborator SAITO Yumiko  
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥16,900,000 (Direct Cost: ¥13,000,000、Indirect Cost: ¥3,900,000)
Fiscal Year 2016: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2015: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2014: ¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Fiscal Year 2013: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords質改善 / 医療療養病床 / ケアの質 / 高齢者 / 質管理 / 療養病床 / 看護 / 老化 / 介護 / 長期療養施設 / 質向上 / 痛みのケア / 長期療養 / ケア / 介入研究 / 文献検討 / 慢性痛
Outline of Final Research Achievements

This study aimed at developing an educational program to improve the care of chronic pain in long-term care hospitals. In the interviews to the staff and the nationwide questionnaire survey, it was found that the care staff were very busy with high stress, and any educational program was not considered acceptable. Therefore instead we attempted the following activities: 1) case conferences in which the staff members examine successful cases so that they can appreciate the value of care they provide and have elevated work engagement; 2) we established the long-term care research society in which the staff members can communicate beyond facility boundaries; 3) we attempted letting the staff members learn person centered care; and 4) we developed process- and outcome-oriented quality indicators for elderly care. We are to open a website and share our findings.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • Research Products

    (20 results)

All 2016 2015 2014

All Journal Article (4 results) (of which Peer Reviewed: 2 results,  Open Access: 3 results,  Acknowledgement Compliant: 2 results) Presentation (16 results) (of which Int'l Joint Research: 3 results,  Invited: 1 results)

  • [Journal Article] Literature review of pain management for people with chronic pain,2015

    • Author(s)
      Takai, Y., Yamamoto-Mitani, N., Abe Y.& Suzuki, M.
    • Journal Title

      Japan Journal of Nursing Science

      Volume: 未定 Issue: 3 Pages: 1-17

    • DOI

      10.1111/jjns.12065

    • Related Report
      2015 Annual Research Report 2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 認知症高齢者の痛みに関するアセスメントツールとケア介入2014

    • Author(s)
      鈴木 みずえ, 山本 則子, 高井 ゆかり, 古田 良江, 鈴木 有希, 金森 雅夫,
    • Journal Title

      日本早期認知症学会誌

      Volume: 7(1) Pages: 53-58

    • NAID

      40020149677

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 英国視察から学んだ看護(前編):診療所における看護師の役割2014

    • Author(s)
      吉田千香、鈴木美穂、平尾千恵子、山本則子
    • Journal Title

      週刊医学界新聞

      Volume: 3101

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] 英国視察から学んだ看護(後編) 患者中心のケアを可能にする継続的看護2014

    • Author(s)
      平尾千恵子、鈴木美穂、吉田千香、山本則子
    • Journal Title

      週刊医学界新聞

      Volume: 3105

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Presentation] Prevalence of low back pain among nurses working at long-term care hospitals2016

    • Author(s)
      高井ゆかり, 山本則子, 齋藤弓子, 五十嵐歩, 山花令子, 野口麻衣子, 二見朝子
    • Organizer
      日本看護科学学会第36回学術集会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2016-12-10
    • Related Report
      2016 Annual Research Report
  • [Presentation] Case Conference as a Tool for Elder Abuse Prevention: A Facility-University Joint Project.2016

    • Author(s)
      Yamamoto-Mitani, N., Takai, Y., Saito, Y., Igarashi, A., Ishii, A., Jojima, H., Futami, A., Nakano, H
    • Organizer
      The Geronotogical Society of America
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2016-11-18
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Work values and their association with burnout and work engagement of nurses in long-term care hospitals2016

    • Author(s)
      Saito, Y., Igarashi, A., Noguchi-Watanabe, M., Takai, Y., Yamamoto-Mitani N
    • Organizer
      The Gerontological Society of America
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2016-11-18
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 医療療養病床で働く介護職者のバーンアウトとワークエンゲージメントに関連する要因の検討2016

    • Author(s)
      齋藤弓子、二見朝子、五十嵐歩、野口麻衣子、山花令子、高井ゆかり、山本則子.
    • Organizer
      日本慢性期医療学会第24回学術集会
    • Place of Presentation
      石川県立音楽堂(石川県金沢市)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 退院後の事例検討会での振り返りからの学び-医療依存度が高い高齢者の退院支援からの学び-2016

    • Author(s)
      古木晴美、齋藤真美、中野博美、齋藤弓子、五十嵐歩、山本則子
    • Organizer
      日本慢性期医療学会第24回学術集会
    • Place of Presentation
      石川県立音楽堂(石川県金沢市)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 回復期リハビリテーション病棟における医療依存度が高い高齢者の退院支援-退院後の事例検討での振り返り-2016

    • Author(s)
      齋藤真美、古木晴美、中野博美、齋藤弓子、五十嵐歩、山本則子
    • Organizer
      日本慢性期医療学会第24回学術集会
    • Place of Presentation
      石川県立音楽堂(石川県金沢市)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 医療療養病床におけるケアの質管理・向上のための工夫:病棟看護管理者への全国調査より2016

    • Author(s)
      山本則子,齋藤弓子,二見朝子,野口麻衣子,山花令子,高井ゆかり,五十嵐歩
    • Organizer
      日本慢性期医療学会第24回学術集会
    • Place of Presentation
      石川県立音楽堂(石川県金沢市)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] PERCEPTIONS ON PROVIDING QUALITY CARE AT LONG-TERM CARE HOSPITALS IN JAPAN: INTERVIEWS TO NURSES, CARE WORKERS AND THEIR SUPERVISORS2015

    • Author(s)
      Noriko Yamamoto-Mitani, Yumiko Saito, Fumika Fujii, Asako Futami, Yukari Takai, and Ayumi Igarashi
    • Organizer
      International Association of Gerontology and Geriatrics Asia/Oceania
    • Place of Presentation
      Chiang Mai (Thailand)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 療養病床におけるケアの質向上にむけた管理的な工夫2015

    • Author(s)
      山本則子、五十嵐歩、高井ゆかり、齋藤弓子、藤井文香、二見朝子
    • Organizer
      第23回日本慢性期医療学会
    • Place of Presentation
      名古屋国際会議場(愛知県・名古屋市)
    • Year and Date
      2015-09-09
    • Related Report
      2015 Annual Research Report
  • [Presentation] 長期療養施設に勤務する職員によるケアの質向上にむけた工夫:部門を越えた協働2015

    • Author(s)
      高井ゆかり、山本則子、五十嵐歩、齋藤弓子、藤井文香、二見朝子
    • Organizer
      第23回日本慢性期医療学会
    • Place of Presentation
      名古屋国際会議場(愛知県・名古屋市)
    • Year and Date
      2015-09-09
    • Related Report
      2015 Annual Research Report
  • [Presentation] 長期療養施設におけるケアの質:患者とケア提供者双方のQOL向上をめざす2015

    • Author(s)
      山本則子
    • Organizer
      第12回日本高齢者虐待防止学会
    • Place of Presentation
      京都ノートルダム女子大学(京都府・京都市)
    • Year and Date
      2015-07-10
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 医療療養型病床におけるケアの質に関する職員の認識ー多職種へのインタビュー調査をもとにー2015

    • Author(s)
      齋藤弓子、藤井文香、二見朝子、五十嵐歩、高井ゆかり、山本則子
    • Organizer
      第20回日本老年看護学会学術集会
    • 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] Health care staff’s perceptions and attitudes toward quality of care at long-term care facilities in Japan2015

    • Author(s)
      Takai Y, Yamamoto-Mitani N, Igarashi A, Saito Y, Fujii F.
    • Organizer
      The 4th Global Congress for Qualitative Health Research (GCQHR)
    • Place of Presentation
      Merida, Mexico
    • Year and Date
      2015-03-17
    • Related Report
      2014 Annual Research Report
  • [Presentation] Developing Academic Partnership between Hong Kong and Japan2015

    • Author(s)
      Yamamoto-Mitani N, Fukahori H、Tse M, Takai Y, Liu J, Igarashi A, Zhang Y, Kwan R, Lai C. A symposium
    • Organizer
      The 18th East Asian Forum of Nursing Scholars
    • Place of Presentation
      Taipei
    • Year and Date
      2015-02-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] Quality Improvement Interventions in Long-Term Care Facilities: A Review of Interventional Studies2014

    • Author(s)
      Suzuki M, Igarashi A, Takehara K, Takai Y, Yamamoto-Mitani, N
    • Organizer
      Gerontological Society of America Annual Scientific Meeting
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2014-11-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] 長期療養施設におけるケアの質向上の取り組みに関する文献レビュー2014

    • Author(s)
      山本則子、高井ゆかり、鈴木美穂、五十嵐歩、竹原君江
    • Organizer
      日本老年看護学会第19回学術集会
    • Place of Presentation
      愛知県産業労働センター ウインクあいち
    • Year and Date
      2014-06-28
    • Related Report
      2014 Annual Research Report

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Published: 2013-05-21   Modified: 2019-07-29  

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