2024 Fiscal Year Final Research Report
Spiritual Care of clients who received their End-of-Life Care in Visiting Nursing
| Project/Area Number |
21K11065
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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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| Review Section |
Basic Section 58080:Gerontological nursing and community health nursing-related
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| Research Institution | Aichi Medical University |
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Principal Investigator |
SASAKI YUKO 愛知医科大学, 看護学部, 教授 (10351149)
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| Co-Investigator(Kenkyū-buntansha) |
西川 まり子 東京大学, 大学院医学系研究科(医学部), 客員研究員 (80412344)
坂口 美和 (荒木美和) 三重大学, 医学系研究科, 准教授 (90340348)
伊藤 寿英 愛知医科大学, 看護学部, 助教 (90925869)
小塩 泰代 中部大学, 生命健康科学部, 准教授 (60300224)
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| Project Period (FY) |
2021-04-01 – 2025-03-31
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| Keywords | スピリチュアルニーズ / 生きる意味 / スピリチュアルケア / 訪問看護 / 在宅看護 / 当事者の語り / 訪問看護師の語り / PILテスト |
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| Outline of Final Research Achievements |
This study aimed to identify effective spiritual care content for home-based end-of-life patients by analyzing narratives from both visiting nurse service client and visiting nurses, as well as the results of PIL test. The ultimate goal was to help clients feel that their lives had meaning and value. Based on the findings, a training program was created and validated.
Clients' Spiritual Needs; Desire to understand themselves, acknowledge their own worth, create their life to the very end, experience a sense of fulfillment, remain a loving presence for their family, and have hope for a happy society , clients were strongly their life's meaning.
The training program：Designed for visiting nurses helped to make their care practices more visible and tangible. Impact of Client Narratives: The narratives shared by the clients themselves facilitated the reinterpretation and meaning-making of their experiences, leading to a greater awareness of spiritual care within the home setting.
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| Free Research Field |
在宅看護学
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| Academic Significance and Societal Importance of the Research Achievements |
研究成果の学術的意義は，人生のかけがえのない時間を自宅で生きる利用者本人の語りからスピリチュアルニーズとケアを明らかにしたことと，人生の最終段階を生きる人に初めてPILテストを実施し，生きる意味の強さを明らかにしたことである．さらに、利用者と担当する訪問看護師の双方の語りからスピリチュアルケアを具体化し、講座を開発し，検証を試みたことである．
社会的価値は本研究結果を用いた実践により訪問看護師が自信をもってケアに当たることができ，人生の最終段階を生きる利用者の満足度が上がる可能性があることである．これらは、在宅終末期ケアの一側面を明らかにでき，今後の多死社会への貴重なデータとなる．
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