2018 Fiscal Year Final Research Report

The effect of CBT based communication skill training program for nurses and midwives in perinatal loss care: A randomized controlled trial

Research Project

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Project/Area Number	15K11730
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Lifelong developmental nursing
Research Institution	St. Luke's International University
Principal Investigator	HIRUTA Akiko (蛭田明子) 聖路加国際大学, 大学院看護学研究科, 准教授 (80584440)
Co-Investigator(Kenkyū-buntansha)	堀内成子聖路加国際大学, 大学院看護学研究科, 教授 (70157056) 片岡弥恵子聖路加国際大学, 大学院看護学研究科, 教授 (70297068)
Research Collaborator	ISHII Keiko HORIUCHI Gilbert Shoko
Project Period (FY)	2015-04-01 – 2019-03-31
Keywords	周産期喪失 / ペリネイタルロス / コミュニケーション / 認知行動理論 / 患者中心 / テイラーメイド / 自己効力感 / ランダム化比較試験
Outline of Final Research Achievements	In order to provide individually tailored care for parents who have lost their baby due to perinatal loss, we developed a communication skills training (CST) program for nurses and midwives. This random controlled trial was based on Bandura’s concept of self-efficacy. The study aimed to verify the effectiveness of this program. Results indicated that self-efficacy in communication with bereaved parents significantly increased in the intervention group. Anxiety and difficulty regarding providing care were significantly reduced, and scores for communication skills were significantly increased. Moreover, the percentage of nurses who used communication skills that elicited parents' concerns was significantly increased. Compassion fatigue score decreased and the self-compassion increased, although no significance was found. This CST program may facilitate communication between nurses or midwives and parents and may allow patients to be provided with individually tailored care.
Free Research Field	ウィメンズヘルス・助産学
Academic Significance and Societal Importance of the Research Achievements	本プログラムは、助産師、臨床心理士、グリーフカウンセラー、体験者が協働して開発した。プログラムの内容にはそれぞれの専門的知識や知見が反映されており、実践における実用性が高い。看護者と子どもを亡くした両親のコミュニケーションが変わることで、支援における両親、看護者双方の満足度が高まることが期待できる。支援における高い満足度は、両親、看護者双方のメンタルヘルスの向上にもつながるだろう。プログラムの効果をRCTにより検証したことで、今後エビデンスのあるプログラムとして、実践の看護者の教育に積極的に取り入れていくことができる。