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2001 Fiscal Year Final Research Report Summary

Terminal Care Nursing in Pediatric Oncology and the Development of Nursing Protocols

Research Project

Project/Area Number 10672255
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionTokyo Metropolitan University of Health Sciences (1999-2001)
Tokai University (1998)

Principal Investigator

SAIKI-CRAIGHILL Shigeko  Tokyo Metropolitan University of Health Sciences, School of Health Sciences, Associate Professor, 保健科学部・看護学科, 助教授 (10161845)

Co-Investigator(Kenkyū-buntansha) WATARAI Niwako  Gunma Peace Nursing College, Department of Nursing, Professor, 看護学科, 教授 (10220948)
YAMAMOTO Michiyo  Tokyo Metropolitan University of Health Sciences, School of Health Sciences, Instructor, 保健科学部・看護学科, 助手 (00269515)
KODAMA Chiyoko  Tokai University, School of Health Sciences, Associate Professor, 健康科学部, 助教授 (90276874)
Project Period (FY) 1998 – 2000
Keywordsterminal care / pediatric oncology nursing / good death / nurse's role / accepting death / predicting death
Research Abstract

Based mainly on grounded theory analysis of interviews with 57 nurses, this study describes what kind of roles experienced pediatric nurses take with families who have children in the terminal stages of cancer. During the terminal stage, the nurses not only work to take care of a family's anxieties and uncertainties, but at the same time try to lead the family toward accepting the fact that they are losing a child and encourage them to make their decisions carefully. When a child is very close to dying, the nurses try to create a "good death" situation. They do this by making sure that all the appropriate people are at the scene, that the family members are able to have physical contact with the child, and that the setting is calm. The nurses evaluate their performance in terminal care situations on the basis of how well they were able to prepare the conditions for a "good death". They modify their concept of a "good death" based on this evaluation. In this way, they could be seen a taking the role of a stage director, molding the situation according to their concept of a "good death".

  • Research Products

    (6 results)

All Other

All Publications (6 results)

  • [Publications] 戈木クレイグヒル滋子, 渡会丹和子, 児玉千代子: "「よい看取り」の演出:ターミナル期の子どもをもつ家族へのナースの働きかけ"日本看護科学会誌. 20. 69-79 (2000)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 戈木クレイグヒル滋子: "小児がん医療におけるターミナルケアのはじまり-家族の覚悟を促すためにナースが担う役割"Quality Nursing. 6. 689-697 (2000)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 戈木クレイグヒル滋子: "最期の場を整える:看護技術としての子どもの死の時期の予測"日本看護科学会誌. 21. 50-60 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Shigeko Saiki-Craighill, Niwako Watarai, Chiyoko Kodama: "DIRECTING A "GOOD DEATH": THE ROLE NURSES TAKE WITH FAMILIES OF DYING CHILDREN"Journal of Japan Aademy of Nursing Science. 20-3. 69-90 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shigeko Saiki-Craighill: "ENTERING INTO TERMINAL CARE: HOW NURSES IN PEDIATRIC ONCOLOGY ASSIST PATIENTS' FAMILIES TO ACCEPT THE SITUATION"Quality Nursing. 6. 689-697 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Shigeko Saiki-Craighill: "PREPARING FOR A CHILD'S DEATH: INTUITING THE TIME OF THE DEATH AS A NURSING SKILL"Journal of Japan Aademy of Nursing Science. 21-3. 50-60 (2001)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2003-09-17  

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