A5053480006- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Healthcare professionals’ stress and burnout
- Patient-Provider Communication in Healthcare
- Pain Management and Opioid Use
- Family Support in Illness
- Cultural Competency in Health Care
- Workplace Health and Well-being
- Musculoskeletal pain and rehabilitation
- Healthcare Decision-Making and Restraints
- Pharmacological Effects and Toxicity Studies
- Delphi Technique in Research
- Religion, Spirituality, and Psychology
- Medical Practices and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Nail Diseases and Treatments
- Nutrition and Health in Aging
- Workaholism, burnout, and well-being
- Antifungal resistance and susceptibility
Tokyo Women's Medical University
2019-2024
University of Tsukuba
2009-2018
The University of Tokyo
2003-2009
RMIT University
2007
The aim of this project was to develop an appropriate and valid instrument for assessment by medical professionals in Japanese palliative care settings.We developed a version the Support Team Assessment Schedule (STAS-J), using back translation method, tested its reliability validity. In study, 16 nurses physician who work unit evaluated 10 hypothetical cases twice at 3-month intervals. For validity external researchers interviewed 50 patients with matignancy their families compared results...
The aim of this study was to investigate the difficulties encountered by nurses who have cared for terminally ill cancer patients at general hospitals. To collect data, a survey questionnaire self-administered. respondents were 375 and response rate 70.2%. Factor analysis conducted on 80 items related allow reasonable item reduction explore better domains. Two excluded results revealed eight underlying domains: 'Communication with families', 'Knowledge skill nurses', 'Treatment informed...
The aim of this study was to clarify the relationship nursing autonomy and other factors related attitudes toward caring for dying patients. A cross-sectional survey nurses conducted in November 2003 using a self-administered questionnaire. We collected demographic data from 178 (75%) participants used Frommelt Attitude Toward Care Dying scale, Form B, Japanese version (FATCOD-Form B-J), Pankratz Nursing Questionnaire (PNQ), Death Inventory (DAI). FATCOD-Form B-J measures nurse's attitude It...
Abstract Objective: Although the number of hospital-based palliative care consultation teams (PCCTs) is rapidly increasing in Japan, there limited information available concerning activities and usefulness PCCT country. The aim this study to clarify activities, patient outcome, referring staff's view an established Japan. Method: This was a prospective follow patients referred for 28 days over 1-year period. Patients were assessed by Support Team Assessment Schedule–Japanese version (STAS-J)...
Selecting a place for end-of-life care is an important issue patients with cancer. In this study we conducted retrospective analysis on the prevalence of discharge from palliative unit (PCU) and explored factors related to based individual-level data 5 years experience at Tokyo Metropolitan Toshima Hospital PCU.We retrospectively collected information families admission database PCU. We calculated discharged PCU using bivariate multivariate analysis.The subjects were 498 terminal The overall...
Objective: To identify the factors associated with difficulties encountered by nurses working in general wards hospitals Japan. Methods: Questionnaires including items regarding providing care to terminally ill cancer patients, existence of a mentor end-of-life issues, awareness and demographic were administered 375 staff in-patient wards. Multivariate regression analyses employed investigate correlations between factors. Results: analysis revealed that for issues was fewer all areas other...
The End-of-Life Nursing Education Consortium–Core Curriculum was translated in 2005 and has made a significant contribution to Japanese nurses. In this article, we describe our experience with curriculum revision reflect on the cultural background inherent Japan evaluate effect that it brought trainers. main focus of major (1) make content relevant health care system, (2) add unique considerations each module, (3) replace case studies role play scenarios, (4) new module “End-of-Life Care for...
ObjectiveThis study explored how an educational intervention affects interdisciplinary palliative care consultation teams.
Objective: The aim of this study was to clarify the state pain management in Japanese patients with advanced cancer who initiated opioid therapy an outpatient setting. Methods: Interview surveys using questionnaires were conducted and medical records reviewed. Pain relief defined as >33% decrease worst intensity score, significance early investigated terms changing self-efficacy for activities daily living (ADL). Factors related also investigated. Results: between June December 2003, on...
本研究では, がん診療連携拠点病院を中心とした緩和ケアチームで一定の活動経験のある7名の医師および看護師を対象に, フォーカスグループインタビューを実施し, 緩和ケアチームが心理士に求める役割について検討した. インタビュー内容の質的分析の結果, 緩和ケア領域に携わる心理士が役割を果たすために必要な知識として, 第1に, 基本的ならびに専門的な心理学的知識とスキルが挙げられた. 第2に, がんに関する全般的ならびに精神医学的知識が挙げられた. その他に, 他職種の役割と医療システムに関する知識が求められており, 医療者への心理的支援を望む声も認められた. 以上より, 本研究で明らかにされた心理士に求める役割とは, がん医療に関する幅広い知識をもとに他職種と十分にコミュニケーションをとりながら, 心理学的な専門性を活かして, 患者・家族, および医療者に心理的支援を行うことであった. Palliat Care Res 2009; 4(2): 228-234
【目的】緩和ケア認定看護師の職務満足度およびバーンアウトの実態, バーンアウトの関連要因探索を目的として質問紙調査を行った.【方法】2005年に緩和ケア認定看護師を対象とし, 看護師の職務満足度とバーンアウトの実態および, 個人特性をたずねる項目からなる調査票を郵送した. ロジスティック回帰分析を用いてバーンアウトとその関連要因を抽出した.【結果】171名に送付し, 137名から回答を得た(回収率81.1％). 職務満足度の各下位尺度平均点は, 職業的地位32.6±6.5, 看護師間相互の影響26.4±6.7, 専門職としての自律17.5±5.2, 医師と看護師の関係8.6±3.6. 看護管理28.5±8.5, 給料24.0±7.8, 看護業務13.2±5.4, 合計点150.6±29.8であった. 70名の緩和ケア認定看護師(51%)がバーンアウトの兆候を示した. ロジスティック回帰分析の結果, 勤務施設ががん専門施設 (OR=34.67,95%CI:...
Abstract This study was designed to evaluate the psychometric properties of newly completed Japanese translation Ferrans and Powers Quality Life Index Cancer Version III (QLI). Using a cross‐sectional descriptive design, 136 ambulatory patients with gastrointestinal cancer (55 receiving chemotherapy, 76 stable health status after treatment, five not known) questionnaire at one‐time point, 26 (stable status) again 2 weeks later. Internal consistency reliability supported by Cronbach's α .96...
【目的】本研究の目的は,エンド・オブ・ライフ(EOL)ケアに関する看護実践測定尺度の開発を目指し,その信頼性と妥当性を検討することである.【方法】4病院の,前年度死亡患者数10名以上の病棟に勤務する看護師を対象に無記名自記式質問紙調査を行った.【結果】探索的因子分析の結果,18項目からなる1因子構造の尺度が同定された.Cronbachのα係数は0.95であり,十分な内的一貫性が認められた.EOLに関する教育の有無などによる尺度得点の比較により,既知集団妥当性が示された.【考察】今回開発した看護師のEOLケア実践評価尺度は,内的一貫性と既知集団妥当性を有することが確認された.本尺度の活用により,看護師のEOLケア実践やEOL教育効果の測定が可能となる.
Web-based post-bereavement survey systems for specialized palliative care will enable obtaining timely results on the quality from more participants at a lower cost. The primary aim of study was to develop web-based system and compare response rates different number items. secondary examine bias between mail in surveys. Between January April 2019, two cross-sectional questionnaire surveys were conducted among bereaved families six inpatient units Japan. Measurements included structure...
Background: Nurses providing end-of-life care experience not only burnout and compassion fatigue, but also positive effects such as satisfaction. Nurses’ satisfaction was shown to be related job satisfaction, work engagement, nurse caring. Studies in emergency departments, intensive units, oncology wards, general wards have identified environmental factors associated with nurses’ no similar studies been conducted palliative units or home settings. It is unknown whether contribute...