Developing an end-of-life care model for building parents and nurses- partnerships in the pediatric intensive care unit

2023 Fiscal Year Final Research Report

• Project/Area Number: 22K21124
• 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: Sophia University
• Principal Investigator: Tezuka Sonoe 上智大学, 総合人間科学部, 助教 (80806266)
• Project Period (FY): 2022-08-31 – 2024-03-31
• Keywords: 小児看護 / 小児集中治療室 / 患者と家族中心のケア / End-of-Life Care / パートナーシップ

Outline of Final Research Achievements

The study suggested that the best collaborative relationship for the child and family is established through interactions in which the nurse intervenes in the gap between the family and medical provider's perceptions and simultaneously shares the time the parent has access to the child. Nurses, who can intervene from a neutral position with both parents and physicians, may facilitate a collaborative relationship between family and health care providers to care for the child through partnership when nursing interventions focus on information sharing and promoting the parental role.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

本研究は、小児医療の哲学的基盤と共通認識されながらも、実践スキルの向上や教育の整備が課題であるとされる「患者と家族中心のケア」における看護師の役割を理論化した知見を示したものである。小児集中治療室のEnd-of-Lifeの場面における状況特定理論と看護介入である本研究成果は、小児医療のあらゆる場面において、家族と医療者がパートナーシップによる協働を実現するための基盤となる知識を提供する可能性がある。