Psychological distances formed by expert nurses with dying patients in palliative care units

Research Project

Project/Area Number	26893255
Research Category	Grant-in-Aid for Research Activity Start-up
Allocation Type	Single-year Grants
Research Field	Clinical nursing
Research Institution	Seitoku University
Principal Investigator	Nishida Mitoi 聖徳大学, 看護学部, 助教 (10736622)
Research Collaborator	UMEMURA Miyoshi 聖徳大学, 看護学部, 准教授 (80233823) SHIRATORI Takako 聖徳大学, 看護学部, 准教授 (90331389)
Project Period (FY)	2014-08-29 – 2017-03-31
Project Status	Completed (Fiscal Year 2016)
Budget Amount *help	¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000) Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000) Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords	緩和ケア / 死にゆく患者 / 熟達看護師 / 心理的距離 / 終末期ケア / ターミナルケア / 緩和ケア病棟
Outline of Final Research Achievements	We investigated the psychological distances formed by expert nurses with dying patients in palliative care units. We interviewed 7 nurses who met our criteria for expert nurses in order to extract the constructive factors and describe their relationship with the patient. As a result of the qualitative analysis of the 10 episodes with patients who remained in the impression, 6 factors were extracted, such as <<communication to accept all thoughts expressed by a dying patient>> and <<nurses’ ascertainment of their distance with the patient>>. We investigated their relationships and found the structure wherein nurses accompany the dying process of the patient.