2022 Fiscal Year Final Research Report

Establishment of the Role of Nurses in SDM by Emergency Medical Team and building its Education Program for Nurses

Research Project

PDF

Project/Area Number	19K10881
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58060:Clinical nursing-related
Research Institution	Iryo Sosei University
Principal Investigator	sadami momiyama 医療創生大学, 看護学部, 教授 (30713838)
Co-Investigator(Kenkyū-buntansha)	掛谷和美西武文理大学, 看護学部, 講師 (90779571) 狩谷恭子医療創生大学, 看護学部, 准教授 (40589686) 段ノ上秀雄和洋女子大学, 看護学部, 講師 (40555596) 柳久子筑波大学, 医学医療系, 准教授 (10241811)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	代理意思決定 / 救急医療チーム / 専門看護師 / 救急看護師の役割 / 家族看護 / 看護支援 / 教育プログラム
Outline of Final Research Achievements	In critical care centers, family members acting as surrogate decision-makers for severely ill patients are under considerable psychological stress. Support for these families through shared decision-making is needed, yet the role of nurses in this process has not been sufficiently explored. Therefore, this study conducted semi-structured interviews with 15 emergency nurses with professional nursing qualifications to elucidate roles and skills required for supporting families in surrogate decision-making based on the nurses' experiences and perceptions. In addition, a qualitative analysis was employed to examine these roles and abilities.
Free Research Field	救急看護学、クリティカルケア看護学
Academic Significance and Societal Importance of the Research Achievements	患者の代理意思決定を担う家族に対する看護支援の研究では、救命救急や集中治療といった場も含め、患者や家族の思いを尊重し、配慮をした実践を行う看護支援の重要性が示唆されてきた(Le Conte et al., 2004)。本研究は、専門職看護師の資格を有する救急で働く看護師の代理意思決定支援に対する経験と認識を基に、患者家族に対する支援として求められる役割や能力を明らかにした。また、看護師が直面する課題や葛藤、改善策を明らかにすることで、救急現場における患者やその家族への看護や支援を強化するための貴重な知見を得た。