Development of the palliative care practice program in the emergency department

2018 Fiscal Year Final Research Report

• Project/Area Number: 16K20766
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical nursing
• Research Institution: Nara Medical University
• Principal Investigator: Satake Yoko 奈良県立医科大学, 医学部, 助教 (90641580)
• Project Period (FY): 2016-04-01 – 2019-03-31
• Keywords: 救急看護 / 緩和ケア / 終末期ケア

Outline of Final Research Achievements

The purpose of this study was to explore conflict experienced by nurses who practice end-of-life care (EOLC) in the emergency department, and obtain suggestions for development of a palliative care system for the emergency department. An anonymous self-administered questionnaire survey was conducted with emergency nurses. Responses were obtained from 288 nurses (effective response rate 55.0%). Seven components comprising 31 items were identified: (1) conflict about ability to practice EOLC; (2) conflict about relationships with the medical team; (3) conflict about the environment for EOLC; (4) conflict about decision making; (5) conflict about family nursing; (6) conflict about patients’ pain; (7) conflict about medical limitations, and was associated with palliative care team interventions. Psychological support to enable nurses to self-care for conflict, and development of a palliative care system that considers the characteristics of the emergency department are necessary.

Free Research Field

救急看護

Academic Significance and Societal Importance of the Research Achievements

救急領域で終末期ケアを実践する看護師の葛藤の構成概念と、その関連要因として緩和ケアチームの介入があることを明らかにした点は、看護師への心理的支援に寄与できるものである。また看護師の葛藤の構成概念から、救急領域における緩和ケアシステム構築に必要な要素を明らかにした。これらは今後の救急領域における緩和ケアシステムの構築の基礎資料となることが期待できる。