Comparative Study of End of Life Care and Resilience of Critical Care Nurses in Japan and the United States

2022 Fiscal Year Final Research Report

• Project/Area Number: 17K12227
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Showa University
• Principal Investigator: Tomomi Oki 昭和大学, 保健医療学部, 准教授 (60383551)
• Co-Investigator(Kenkyū-buntansha): 近藤 暁子 東京医科歯科大学, 大学院保健衛生学研究科, 教授 (70555424) ; 大滝 周 昭和大学, 保健医療学部, 准教授 (20644579)
• Project Period (FY): 2017-04-01 – 2023-03-31
• Keywords: クリティカルケア / End of Life Care / 看護師 / レジリエンス / 日米比較

Outline of Final Research Achievements

This study aims to clarify resilience and related factors in End of Life Care of critical care nurses. Furthermore, we conducted a survey in the United States, compared the results between Japan and the United States, and aimed to propose a strategy to improve the resilience of critical care nurses in Japan.
As a result, acquired resilience and nursing experience had a greater impact than qualified resilience as a positive influence on End of Life Care and terminal care. Optimism, understanding of others, and resilience related to sociability were also influential. In order to have a positive attitude toward End of Life Care, it was suggested that it is necessary not only to accumulate experience as a nurse, but also to enhance graduate school education and resilience that can be acquired later.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

クリティカルケア看護師のEnd of Life Careに関わるレジリエンスの特徴が明らかになることによって、レジリエンス特性を高める方略が提案への一助となる。これらからクリティカルケア看護師の質の維持と向上、看護師の離職防止やバーンアウトの回避が期待できる。加えて、質の高いEnd of Life Careを提供できる看護師育成が可能になる。