| Project/Area Number |
62045033
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| Research Category |
Grant-in-Aid for Overseas Scientific Survey.
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| Allocation Type | Single-year Grants |
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| Section | University-to-University Cooperative Research |
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| Research Institution | Tokyo Women's Medical College, Junior College of Nursing (1987, 1989)
Tokyo Women's Medical University (1988) |
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Principal Investigator |
KAWAI Chieko Professor Tokyo Women's Medical College, Junior College of Nursing, 看護学科, 教授 (80091114)
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| Co-Investigator(Kenkyū-buntansha) |
HAROLD Rowe ハワイロア大学, 看護学科, 教授
HESSEL Flitt ハワイロア大学, 看護学科, 教授
KAWANO Masashi Assistant Professor Tokyo Women's Medical College, Junior College of Nursing, 看護学科, 助教授 (80169747)
NAKASHIGE Kiyoko Professor Tokyo Women's Medical College, Junior College of Nursing, 看護学科, 教授 (70091113)
HASEGAWA Hiroshi Professor Tokyo Women's Medical College, Junior College of Nursing, 看護学科・主事, 教授 (70091105)
ROWE Harold Professor Hawaii Loa College
FLITTER Hessel Professor Hawaii Loa College
H ロウ ハワイロア大学, 教授
H フリッター ハワイロア大学, 教授
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| Project Period (FY) |
1987 – 1989
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| Project Status |
Completed (Fiscal Year 1989)
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| Budget Amount *help |
¥8,400,000 (Direct Cost: ¥8,400,000)
Fiscal Year 1989: ¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 1988: ¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 1987: ¥3,500,000 (Direct Cost: ¥3,500,000)
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| Keywords | Hospice Care / Palliative Care / Supportive Care / Bereavement Care / Informed Consent / Volunteer / Quality of Life / Home Care |
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| Research Abstract |
Since'1986 we have conducted a comparative study on Hospice Care in Japan and the USA with collaboration of Dr.Flltter of Hawaii Loa College.
Main purpose of the present research program was to explore (1) features of hospice care, (2) differences of medical staffs' opinion on the terminal care, (3) bereaved family's experience before and after patient's death, and finally (4) differences of practical nursing care across two countries.
There were several differences of terminal care system and medical workers' opinion between Japan and the United States. American hospice care is basically performed in a home setting, whereas Japanese one in a hospitalized setting. We have of ten encountered difficulties in a way to care for cancer patients because "informed consent" of cancer is not yet accepted in Japan, while it is commonly accepted in American hospice care. At present we have various issues about letting a cancer patient know his or her diagnosis and/or prognosis. Japanese hospice programs are directed by medical doctor, while American programs are based upon the demand of community. Thus, Japanese acceptance of volunteers for medical situation is less positive than Americans. The bereavement care is an important work for American medical workers, whereas their Japanese counterparts often do not consider it as routine work in the course of hospice care. In Japan bereaved families traditionally have been supported by relatives and neighbors. In our survey on Japanese bereaved experiences no families were found to be supported by hospice workers for a long time after patient's death.
These differences would be attributed to several variables, e.g., the medicosocial system, characteristics of people's basic attitude (independence vs dependence), the support-network of relatives and so on.
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