Factors of the Nursing Practice Related to Family Conferences for Terminally Ill Patients in Critical Care and Their Families

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  • Kawashima Tetsuharu
    Department of Health Care Sciences, Tokyo Medical and Dental University (TMDU) College of Nursing, Kanto Gakuin University
  • Kawakami Aki
    Department of Health Care Sciences, Tokyo Medical and Dental University (TMDU)
  • Ashida Kaoru
    Department of Health Care Sciences, Tokyo Medical and Dental University (TMDU)
  • Tanaka Makoto
    Department of Health Care Sciences, Tokyo Medical and Dental University (TMDU)

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  • 集中治療領域での終末期患者とその家族に対するインフォームドコンセントにおける看護実践に関連する要因
  • シュウチュウ チリョウ リョウイキ デ ノ シュウマツキ カンジャ ト ソノ カゾク ニ タイスル インフォームドコンセント ニ オケル カンゴ ジッセン ニ カンレン スル ヨウイン

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Abstract

<p>Objective: To clarify the factors of nursing practice related to family conferences (FCs) for terminally ill patients in critical care and their families in Japan.</p><p>Methods: A self-administered questionnaire survey was conducted with 955 nurses working in intensive care units (ICUs) or high care units (HCUs) across 96 hospitals in Japan. Scores on characteristics of the participants were compared with scores on the Nursing Practice Scale for End-of-life Family conferences in critical care (NPSEF), and factors related to nursing practice were examined in the multiple regression analysis. High NPSEF scores indicated high degree of implementation of nursing practice.</p><p>Results: The independent variables were significantly associated with higher total scores on the NPSEF: ethics and end-of-life training experiences (β = .098, p = .010), ethics and end-of-life learning experience as an undergraduate (β = .103, p = .006), higher frequency of consulting others when in ethical trouble (β = –.034~–.214, p < .001), educational background (β = .057~.063, p = .010), medical treatment system: semi-closed (β = .093, p = .023), frequency of working with nurses who do not take charge of patients (β = –.044~–.141, p = .021), and nursing system: partnership nursing system (β = .095, p = .007).</p><p>Conclusion: This study clarified the nursing practice factors related to the NPSEF scores. It is suggested that a positive attitude toward problem-solving, learning experience, and a nursing provision system is important for enhancing nursing practice in FCs.</p>

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