Grant-in-Aid for Overseas Scientific Survey.
|Section||University-to-University Cooperative Research|
|Research Institution||Tokyo Women's Medical College, School of Nursing|
HASEGAWA Hiroshi Tokyo Women's Medical College, School of Nursing, 教授 (70091105)
SMITH B ハワイパセフィック大学, 看護学部, 准教授
STEPLUS J ハワイパセフィック大学, ハワイロア校, 准教授
WINTERS C ハワイパセフィック大学, 看護学部, 教授
MITCHEL A ハワイパセフィック大学, ハワイロア校, 教授
野副 美樹 東京女子医科大学, 看護短期大学, 助手
阿部 典子 東京女子医科大学, 看護短期大学, 講師 (10259070)
川野 雅資 杏林大学, 保健学部看護学科, 教授 (80169747)
河合 千恵子 東京女子医科大学, 看護短期大学, 教授 (80091114)
SMITH B. HPUハワイロア校, 准教授
STEPULS J. HPUハワイロア校, 准教授
WINTERS C. HPUハワイロア校, 教授
WAKIM J ミドルテネシー州立大学, 看護学部, 学部長
STEPLUS J. ハワイパセフィック大学, 看護学部, 准教授
WAKIM Judith Middle Tennessee State University
SMITH Brenda Hawii Pacific University, School of Nursing
STEPLUS John Hawii Pacific University, School of Nursing
KAWANO Masashi Kyorin University, Health Sciences
WINTERS Carol Hawii Pacific University, School of Nursing
ABE Noriko Tokyo Women's Medical College, School of Nursing
NOZOE Miki Tokyo Women's Medical College, School of Nursing
|Project Fiscal Year
1992 – 1994
Completed(Fiscal Year 1994)
|Budget Amount *help
¥8,300,000 (Direct Cost : ¥8,300,000)
Fiscal Year 1994 : ¥2,500,000 (Direct Cost : ¥2,500,000)
Fiscal Year 1993 : ¥2,900,000 (Direct Cost : ¥2,900,000)
Fiscal Year 1992 : ¥2,900,000 (Direct Cost : ¥2,900,000)
|Keywords||Organ Transplantation / Organ Sharing / Purocurement Coordinator / Clinical Coordinator / Brain Death / Transplant Team / Transplant Psychiatrist / Mental Health Nurse / 臓器移植 / 臓器の確保と配分 / プロキュアメント・コーディネーター / クリニカル・コーディネーター / 脳死問題 / 移植チーム / 移植精神科医 / 精神看護リエゾンナース|
While contemporary high-tech medicine has opened the door to cure the various fatal diseases, it brings the patients and their families severe psycho-social problems. Especially, organ transplantation which is one of the most advanced medical technology needs effective nursing and psycho-social supports.
In our country, the level of transplant surgery has become excellent ; however, transplant nursing and psycho-social supports system does not have developed yet.
Our research program focuses on the nurses'role of the transplant in terms of helping the recipients, donors, and their family members. We have cooperated with nursing faculty members of Hawaii Pacific University and Middle Tennessee State University who have continued in education and research.
The outcomes of our research in brief, as follows ;
1)there are remarkable differences between Japan and the U.S., in terms of the members and types of transplantations because of limited number of living-related and cadaveric donor in Japan and thousands of brain-dead multiple organ donors in the U.S.,
2)there are many publications of transplantations by nurses in the U.S., on the contrary, very few in Japan,
3)the transplant nurse specialists take important role within the transplant team ; however, Japanese nurses rarely do this. Most of the coordinators' background is nursing in the U.S.and they assess, educate, and monitor the recipient and family during pre and post transplant phases.
4)Japanese recipients depend on their doctors rather than the nurses in our survey, inspite that they expect the nurses resolving their problems,
5)Japanese nurses feel that nursing interventions for the donors and recipients are ineffective in our survey, and also they depend on the transplant surgeon, while they are interested in transplantation, and
6)we believe that transplant nurse specialists and transplant coordinators are necessary for changing from physician-centered system into multi-professionals team one.