2013 Fiscal Year Final Research Report
Development of approach method to disclosure of gear changes in Cancer treatment
| Project/Area Number |
23593235
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Oita University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
SUZUKI Shizue 神戸市看護大学, 教授 (00149709)
HIGASHI Kiyomi 熊本大学, 大学院生命科学研究部看護学講座, 教授 (90295113)
UETA Kikuko 日本赤十字広島看護大学, 看護学部, 教授 (40253067)
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| Project Period (FY) |
2011 – 2013
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| Keywords | インフォームド･コンセント / 終末期 / がん医療 / ギアチェンジ / 意思決定 / 緩和ケア / 悪い知らせ |
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| Research Abstract |
The purpose of this study is to clear decision-making support until shift to terminal care from start of treatment by analyzing qualitatively inductively data obtained by semi-structured interview for seven Oncology Certified Nurse Specialists and five physicians.
Physicians are based on evidences of treatment and mentalities of patients who want to avoid shift to terminal care,aiming an intention of improving patients'preparation and maintaining their hope.Physicians held these attitudes,explained consciously and progressively a purpose of treatment according to disease stage,a progress of a disease, and an information on palliative care.Oncology Certified Nurse Specialists based on both situations of physicians'explanation and response of patients,was going to approach with intention of preparation for decision-making of terminal care from early stage of treatment for the ultimate purpose resulting in consented among patient,family,and medical staff.
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