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Qualitative Survey toward the Development a Draft of Items and Core Elements of Pediatric Allergy Nursing based on Shared Decision-Making in Clinical Practice: Using Individual Interview and Focus Group Interview Tomoko YAMADA 1 , Chikae YAMAGUCHI 2 , Makoto ISHII 1 , Rie ONO 3 , Midori ASANO 3 1Department of Nursing, College of Life and Health Sciences, Chubu University 2School of Nursing, Nagoya City University 3Graduate School of Medicine, Nagoya University Keyword: 共同意思決定 , 小児アレルギー , 看護実践項目 , shared decision making , pediatric allergy , nursing clinical practice items pp.23-31
Published Date 2019/6/30
DOI https://doi.org/10.11477/mf.7009200303
  • Abstract
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 Objective. The aim of this study was to clarify a draft of pediatric allergic nursing practice items and its core elements for the development of guidelines based on shared decision-making (SDM).

 Method. We conducted an interview survey with a multidisciplinary team including pediatric patients and their families. Next, a focus group interview was conducted for pediatric allergy educator (PAE) to obtain the opinions on a draft of nursing practice items and core elements.

 Results. Sixty-four items common to the allergy disease and 29 items specific to the disease (93 items in total) were extracted. The core elements were “Communication for sharing goals,” “Understanding of the disease and its treatment,” “Supporting patient self-care,” “Understanding patients' daily life,” “Supporting decision-making,” and “Knowing own role in collaboration with multidisciplinary team.” A draft of items and six core elements were endorsed by the focus group interview.

 Discussion. The nursing practice items were consistent with the concept of SDM, and concrete practice for achieving SDM. In addition, it was confirmed that it encompasses the goal for patient education required for PAE.


Copyright © 2019, Japan Society of Nursing and Health Care All rights reserved.

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電子版ISSN 印刷版ISSN 1345-2606 日本看護医療学会

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