2022 Fiscal Year Final Research Report

Development of an end-of-life care learning system for Home Helpers in cooperation with visiting nurses

Research Project

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Project/Area Number	19K11270
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Josai International University (2021-2022) The Dia Foundation for Research on Ageing Societies (2019-2020)
Principal Investigator	Ninomiya Ayako 城西国際大学, 看護学部, 教授 (50332630)
Co-Investigator(Kenkyū-buntansha)	山本則子東京大学, 大学院医学系研究科(医学部), 教授 (90280924) 早尾弘子公益財団法人ダイヤ高齢社会研究財団, ダイヤ高齢社会研究財団(研究部), 客員研究員 (30739595) 野口麻衣子東京医科歯科大学, 大学院保健衛生学研究科, 准教授 (60734530) 石橋智昭公益財団法人ダイヤ高齢社会研究財団, ダイヤ高齢社会研究財団(研究部), 主席研究員 (10407108)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	在宅看取り / 訪問介護員 / 訪問看護師 / 研修
Outline of Final Research Achievements	This study clarified the status of home helpers' confidence in end-of-life care at home, and recommended for a learning support system to enable them to provide end-of-life care at home without any anxiety. About 40% of the home helpers were not confident in end-of-life care at home, and the factors influencing their confidence were "years of visiting experience," "good cooperation with visiting nurses," and " Positive attitude toward caring for the dying patient". In terms of their views on life and death, the home helpers tended to avoid death more than the visiting nurses. Based on these results, it is necessary to strengthen cooperation with visiting nurses and consider a learning system for end-of-life care at home, including education on preparation for death.
Free Research Field	地域看護学
Academic Significance and Societal Importance of the Research Achievements	今後在宅看取りの増加が見込まれる中で、訪問介護員の役割は益々重要となる。訪問介護員が不安なく、質の高い在宅看取りケアを行うためのサポートシステムを構築することが必要である。その一助とするため、本研究では、訪問介護員の看取りケアに対する不安の原因や自信に影響を与える要因を明らかにした。それらの結果を、訪問看護師と連携しつつ、訪問介護員の看取りケアの支援に反映することが本研究の意義である。