Survey among nurses of the implementation status of decision-making support for transitional patients with chronic diseases

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K23181
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Mukogawa Women's University
• Principal Investigator: FUKUI Minae 武庫川女子大学, 看護学部, 助教 (70882207)
• Project Period (FY): 2020-09-11 – 2023-03-31
• Keywords: 意思決定 / 成人移行期支援

Outline of Final Research Achievements

In the first study, 10 pediatric nurses were interviewed regarding their decision-making support. A qualitative inductive analysis revealed 50 decision-making aids.
In the second study, 50 items pertaining to decision-making support were evaluated, targeting 704 nurses working in facilities where children were hospitalized nationwide. A Mann-Whitney U test was used to analyze the degree-of-practice and degree-of-significance scores, and significant differences were found in 47 items. With regard to degree of practice, significant differences were found in 39 items; this depended mainly on whether or not ward nurses had prior experience with outpatients.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

本邦において慢性疾患をもつこどもに対する意思決定能力を高めるための支援（意思決定支援）の具体的方法を学術的に明らかした報告はなかった。そこで、第一研究では、小児看護専門看護師が行っている意思決定支援を明らかにした。
また第二研究では、小児と関わる看護師を対象に意思決定支援の実践の程度と意義の程度の差を明らかにした。これにより、小児と関わる看護師を対象とした意思決定支援についての教育や医療環境の改善が考えられ、慢性疾患をもつこどもへの意思決定支援の質が向上に寄与されるだろう。