How Skilled Care Managers Establish and Use Their Face-to-face Relationships with Healthcare Professionals in Terminal Care Management.

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  • 熟練介護支援専門員のターミナルケアマネジメントにおける 医療職者との顔の見える関係構築

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Abstract

Purpose: This study aims to describe how skilled care managers establish and use their face-to-face relationships with healthcare professionals in their terminal care management of terminally-ill cancer patients. Methods: We conducted semi-structured interviews with twelve chief care managers（including six with non-medical background）and qualitatively analyzed the data from the perspective of how they established and used their face-to-face relationships in the terminal care management. Results: The analysis identified the following five categories: 1） respecting the roles and values of physicians and other healthcare professionals, 2） overcoming care-method conflicts by finding mutually agreeable procedures for cooperation, 3） mediating family’s thoughts in healthcare professionals’ practice, 4） advocating deepened understanding of the family’s thoughts, and 5） giving straightforward, clear requests to team members to perform terminal care practice when necessary. Conclusion: The findings indicate that the face-to-face relationships between professionals are established by the mutual trust based on understanding and respect of their diff erences in the role, methodology, values, and personality and thereby enable them to eff ectively cooperate overcoming the possible confl icts. It will be useful for healthcare professionals to use case studies to discuss their roles and intentions in specific care activities at local interprofessional small group meetings.

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