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KAKEN_15K08566seika.pdf
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Title |
Title |
二職種間意思決定プロセスを円滑にする教育プログラムの開発と評価
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ニショクシュカン イシ ケッテイ プロセス オ エンカツ ニ スル キョウイク プログラム ノ カイハツ ト ヒョウカ
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Nishokushukan ishi kettei purosesu o enkatsu ni suru kyōiku puroguramu no kaihatsu to hyōka
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Development and assessment of a nurse-doctor decision-making process training
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杉本, なおみ
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スギモト, ナオミ
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Sugimoto, Naomi
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慶應義塾大学・看護医療学部 (藤沢) ・教授
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Research team head
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科研費研究者番号 : 70288124
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大西, 弘高
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オオニシ, ヒロタカ
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Ōnishi, Hirotaka
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東京大学・大学院医学系研究科 (医学部) ・講師
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Research team member
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科研費研究者番号 : 90401314
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酒井, 郁子
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サカイ, イクコ
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Sakai, Ikuko
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Collaborator
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藤沼, 康樹
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フジヌマ, ヤスキ
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Fujinuma, Yasuki
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2019
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科学研究費補助金研究成果報告書
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2018
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Abstract |
面接調査 (医師20名・看護師22名) では、医師から①報告・確認が不適切②処置の優先度の理解が異なる③患者の個別性に配慮した治療を行いたいのに即断を求められるとの報告が見られた一方、看護師は①指示がない・不適切②処方変更・退院指示が遅い③非倫理的言動があるとの報告が見られた。
続いて、上記144事例に基づき設計した連携研修 (医師・看護師各21名) を実施・評価した。連携能力自己評価は受講前<受講直後<受講1~3ヶ月後の順に高かった。研修に関しては、他参加者の意見を知る機会、主体的な参加、実践例の活用において高評価を得た一方、時間配分、臨床との関連性、目的説明、などの評価が低かった。
Twenty doctors and twenty-two nurses participated in the interview on interprofessional work (IPW). Doctors reported many incidents where: a)nurses' report / check is inadequate, b) nurses have different priorities over various procedures, or c) nurses demand immediate decisions when doctors want to wait for patients' reactions / responses to certain procedures. Nurses, in contrast, mainly reported cases in which: doctors a) fail to make prompt / adequate requests, b) are late in changing prescriptions or permitting discharge, or c) conduct unethical behavior.
Twenty-one each of doctors and nurses participated in an PW training designed with the 144 episodes reported above. Self-report on IPW competence went up from "prior to training" to "immediately past training" and yet to "1-3 month(s) after training." The program evaluation was high for interactive designs and realistic examples, but low for time management, applicability in actual practice or clarity of training goals.
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研究種目 : 基盤研究 (C) (一般)
研究期間 : 2015~2018
課題番号 : 15K08566
研究分野 : 医療コミュニケーション学
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