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<i>Factors promoting ACP and factors hindering ACP</i>
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- OMOMO Miho
- 町田市民病院
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- TSURUWAKA Mari
- 聖路加国際大学
Bibliographic Information
- Other Title
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- アドバンス・ケア・プランニングの促進要因と障壁
- アドバンス・ケア・プランニングの促進要因と障壁 : 独居高齢者-訪問看護師間のケアプロセスと具体的支援の分析を通して
- アドバンス ・ ケア ・ プランニング ノ ソクシン ヨウイン ト ショウヘキ : ドッキョ コウレイシャ-ホウモン カンゴシ カン ノ ケアプロセス ト グタイテキ シエン ノ ブンセキ オ トオシテ
- <i>An Analysis of the Care Process and Specific Support of Home Care Nurses for Elderly P</i><i>eople Living Alone </i>
- －独居高齢者―訪問看護師間のケアプロセスと具体的支援の分析を通して－
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Description
<p> The present study aimed to consider the process and specific support of Advance Care Planning (ACP) by analyzing assistance “between elderly people living alone and home care nurses”. We focused on the timing and methods of communication and care “between care recipient and care provider”, which are an important part of the ACP process, that most effectively lead to realization of the care recipient’s desired way of life. Semi-structured interviews were conducted with 26 home care nurses with at least three years of experience and 36 cases of nursing provided were analyzed. Five elements and specific examples of support to achieve each element were extracted as factors promoting ACP. These five elements were “nurses are trusted by care recipients as professionals,” “clarifying the intentions of care recipients,” “presenting options,” “identifying the causes of anxiety and working to alleviate these,” and “seizing the ideal moment to fulfill intentions through rapid support and skill.” Six elements were also extracted as factors hindering ACP: “no established relationship of trust,” “intentions are difficult to decipher,” “discrepancies between the judgments of medical professionals and the intentions of care recipients,” “anxiety cannot be alleviated,” “the level of consciousness of care recipients is not clear,” and “conflict between the values of care recipients and home care support methods.” The results suggested that incorporating into support “factors promoting ACP” and “matters for home care nurses to consider in order to eliminate factors hindering ACP,” which were identified in this study, could lead to the assurance of ACP quality in home care. </p>
Journal
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- Bioethics
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Bioethics 28 (1), 11-21, 2018-09-29
Japan Association for Bioethics
