Development of information sharing tools and operational models to promote ACP in patients with chronic heart failure

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19068
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Japanese Red Cross College of Nursing
• Principal Investigator: Higuchi Yoshie 日本赤十字看護大学, 看護学部, 准教授 (00460098)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: アドバンスケアプランニング / 慢性心不全 / 多職種連携

Outline of Final Research Achievements

OBJECTIVE: To develop a draft information sharing tool and operational model to facilitate ACP in patients with chronic heart failure. METHODS: A literature review and a practical perspective were conducted. RESULTS: The national and international literature suggested the usefulness of a nurse-led coordination model. For the survey from a practical perspective, interviews were conducted with 14 participants, including professional nurses. The results were as follows: 1) the basic concept of ACP based on daily life and the importance of sharing it, 2) dialogue between the two levels of ACP, and 3) specific episodes of connecting the two levels. From this, the principles and practice structure of ACP based on livelihoods were illustrated in a diagram and the framework was described.

Free Research Field

基礎看護学　当事者の経験　身体論

Academic Significance and Societal Importance of the Research Achievements

本研究が取り組む慢性心不全患者のACPを促進する情報共有ツールおよび運用モデルの開発は、患者が望む医療やケアを実践する場の実情に照らしつつシームレスに繋がることに貢献できると考える。