2019 Fiscal Year Final Research Report
Advance Care Planning in nursing homes : A qualitative study of nurses
| Project/Area Number |
19K21473
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| Project/Area Number (Other) |
18H06394 (2018)
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Multi-year Fund (2019)
Single-year Grants (2018) |
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| Review Section |
0908:Society medicine, nursing, and related fields
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| Research Institution | Tokyo Women's Medical University (2019)
Yokohama City University (2018) |
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Principal Investigator |
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| Project Period (FY) |
2018-08-24 – 2020-03-31
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| Keywords | 特別養護老人ホーム / 看護 / Advance care planning / 意思決定 / 質的調査 |
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| Outline of Final Research Achievements |
This study aimed to clarify the specific practices of nurses in the ACP process in nursing homes by a qualitative study of nurses. As a result, the ACP in nursing home identified the following three barriers as barriers: "difficulty in discussing with the parties involved," "the fact that the nursing home has already been selected," and "limited health care access environment," and it became clear that there was a need to focus on these and consider intervention by nurses.
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| Free Research Field |
看護学
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| Academic Significance and Societal Importance of the Research Achievements |
昨今、ACPが注目され、さかんに推奨されている一方で、このなりたちや問題点などを多角的に理解できるような資料は十分とはいえない。さらに、特養でのACPについては、国内では先行研究がほとんどない。そのため、本研究においては、ACP の課題について多角的な文献レビューを行い、ACPへの期待、社会的背景について整理してから、特養でのACPで障壁となる点を明らかにし、特養でのACPにおいて看護職に求められる役割について展望する視点を得た。以上の点において学術的、社会的意義がある。
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