2022 Fiscal Year Final Research Report
Creating an Interprofessional Collaborative Decision Support Model to Support SDM for Patients Facing Life-Threatening Diseases
| Project/Area Number |
18K10331
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | Setsunan University |
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Principal Investigator |
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| Project Period (FY) |
2018-04-01 – 2023-03-31
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| Keywords | シェアード・ディシジョンメイキング / 看護師参画 / 多職種連携 / 重症心不全患者 |
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| Outline of Final Research Achievements |
Focusing on patients with severe heart failure, among other life-threatening diseases, this study identified patient characteristics and nurses' roles as pillars of an interdisciplinary collaborative decision support model that supports shared decision-making (SDM) during treatment decisions. Through semi-structured interviews with certified nurse specialists in critical care nursing, I found that although nurses' participation in SDM was insufficient, their efforts led to interdisciplinary collaborative decision-making support and a structure that supported SDM with patients and families. Furthermore, the characteristics of patients with severe heart failure and the role of nurses in decision-making support, which were clarified through reanalysis, were considered to develop decision-making support through interdisciplinary collaboration.
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| Free Research Field |
臨床看護学
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| Academic Significance and Societal Importance of the Research Achievements |
これまでのSDMモデルは、患者と医師の関係性が中心であり、多職種が連携してSDMを支えるモデルについては検討が始まったばかりである。本研究は、生命を脅かす疾患に直面した重症患者・家族に関わるクリティカルケア領域の医療者が協働してSDMを支えるモデルの可能性を示唆するものである。特に看護師独自の支援が発揮されることで、生命を脅かす疾患に直面した患者・家族のSDM参加を促進し、価値を反映した意思決定と合意形成を導くことが期待できる。
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