The patient self-determination and family efficacy of health care decision-making process

2016 Fiscal Year Final Research Report

• Project/Area Number: 26463226
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: Kawasaki University of Medical Welfare
• Principal Investigator: ITO MISAE 川崎医療福祉大学, 医療福祉学部, 教授 (00335754)
• Co-Investigator(Renkei-kenkyūsha): NAGASAKI Emiko 川崎医療福祉大学, 医療福祉学部, 助教 (70781558)
• Research Collaborator: KATAOKA Eri 川崎医科大学, 附属病院, 看護師 ; NOLAN Marie T. The Johns Hopkins University, School of Nursing, Professor ; TURALE Sue Chiang Mai University, Faculty of Nursing, Visiting Professor
• Project Period (FY): 2014-04-01 – 2017-03-31
• Keywords: 意思決定 / 自己決定 / 家族 / 効力感 / 看護倫理 / エンドオブライフ

Outline of Final Research Achievements

Decision making at the end of life by cancer patients and their families reflects the relationship with ｈealth care professionals, of which factors vary, depending on the presence of disclosure of the disease. There are various decision-making preferences in the patients toward family involvement.
For decision making regarding end-of-life treatment, patients appreciated their families and didn’t want to cause any inconveniences. For treatment options, the families had to choose either one way or the other, which caused anxiety in families, considering the patient’s wishes. While their families decided to go through life with the patients, those in the late middle age, including elderly cancer patients, had to adjust their work, which requires support among families who play an important role and even decide the patient's treatment.

Free Research Field

基礎看護学