Examining the usefulness and problem related to clinical utilization of nursing care guideline for biliary atresia survivors with their native liver to organize daily lives

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19188
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Showa University (2022-2023); Sophia University (2020-2021)
• Principal Investigator: Hiratsuka Katsuhiro 昭和大学, 保健医療学部, 講師 (30802475)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 小児看護 / 胆道閉鎖症 / 思春期 / 青年期 / ケアガイドライン / 社会実装 / セルフケア / トランジション

Outline of Final Research Achievements

"Nursing practice using care guidelines by nursing professionals in clinical settings" was followed by the completion of "Interview survey on the usefulness of care guidelines and issues in their utilization," and the results were analyzed. The results showed that the care guidelines should be evaluated not only by the nurses who provide care, but also by the organization as a whole, with a view to team building among other professions, including physicians, and an organizational movement involving the hospital system, so that the care guidelines can be evaluated not only as "good and effective," but also as "usable and used, The results confirmed the possibility that the Care Guide could lead to an implementation outcome of "usable and used" rather than just "good and effective.

Free Research Field

小児看護学

Academic Significance and Societal Importance of the Research Achievements

先行研究で開発した『自己肝にて生存する思春期・青年期胆道閉鎖症患者が自ら療養生活を整えていくための患者と親へのケアガイドライン』について、看護職者によるケアガイドの活用で得た実践知から、ケアガイドの有用性と継続的活用への課題を明らかにした。この成果により、開発や効果検証に留まることが多い研究によるガイドライン等の社会実装における課題解決や臨床現場と研究を往還した新しい成果の創造に繋がる可能性が示された。