Development of a Japanese Version of End-of-Life Care Communication Guide for Nurses:Respecting 'desired end-of-life' of chronically-ill patients

2016 Fiscal Year Final Research Report

• Project/Area Number: 25293440
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Partial Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Tokyo Health Care University
• Principal Investigator: TANIMOTO MARIKO 東京医療保健大学, 医療保健学部, 教授 (70279834)
• Co-Investigator(Kenkyū-buntansha): 増島 麻里子 千葉大学, 看護学研究科, 准教授 (40323414) ; 櫻井 智穂子 東京医療保健大学, 東京医療保健大学・医療保健学部, 准教授 (40344973) ; 池崎 澄江 千葉大学, 看護学研究科, 講師 (60445202) ; 長江 弘子 千葉大学, 看護学研究科, 特任教授 (10265770) ; 正木 治恵 千葉大学, 看護学研究科, 教授 (90190339)
• Research Collaborator: IZUMI Seiko ; TAKEMI Ayako ; TAKAHASHI Yayoi ; KAWAGUCHI Yuko ; AKUTA Yumi
• Project Period (FY): 2013-04-01 – 2017-03-31
• Keywords: エンド・オブ・ライフケア / 慢性疾患 / コミュニケーション / 患者の意向 / 一般病院 / 非がん疾患

Outline of Final Research Achievements

As many chronically-ill non-cancerous patients requiring long-term care spend the final stage of their lives in general hospitals, end-of-life communication among patients, families, and medical staff should be of deep significance. The purpose of this study was to develop a guideline for nurses to acquire improved communication skills in providing end of life care (EOLC) for the chronically ill. The guideline covered four perspectives: ① identification of the components of ‘desired life’ close to the wishes of patients and their families ; ② identification of barriers to and facilitator of EOLC practices;　③　clarification of the medical doctors’ recognition of EOLC practices; and ④ specification of cultural considerations based on the fact-finding investigations in Singapore.　An attempt was made to develop a practical guide clarifying needs of patients and families, and facilitating collaboration among medical staff.

Free Research Field

看護学