A model of nursing practice in the dying phase of patients undergoing haematopoietic stem cell transplantation.

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K19602
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Tokyo Metropolitan University
• Principal Investigator: Ohba Takako 東京都立大学, 人間健康科学研究科, 助教 (90803099)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: 造血幹細胞移植 / 臨床看護師 / 臨終期 / 看護実践モデル / 看護実践

Outline of Final Research Achievements

Aiming to construct a model of nursing practice in the terminal phase of HSCT patients, an interview survey of nurses involved in HSCT and a questionnaire survey of nurses involved in HSCT nationwide were conducted based on the results of the interview survey.The study revealed that nursing practice in the terminal phase consists of a three-factor structure: support for the patient in supporting them to live their final days in their own way, support for the family in staying close to the patient and fulfilling their role as a family member, and a coordination role for sharing values and cooperation between other professions to maximise the effectiveness of the healthcare team.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

これまで十分に明らかにされてきてこなかった造血幹細胞移植受療患者の臨終期における看護実践を可視化し、その実践の構造を明らかにすることにより、造血幹細胞移植という受療ニーズが高く、且つ治療の優先性が高い現場において、より質の高い臨終期の看護実践や、臨床看護師への教育的及び管理的支援の示唆を得るための重要な基礎的資料となる。