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Promoting Quality of “End-of-life Care” in Welfare Facilities for the Elderly Requiring Long-term Care by Means of “Mutual Action Research” Tikayo Koyama 1 1Tokyo Women's Medical University School of Nursing Keyword: 看取り , ターミナルケア , 特別養護老人ホーム , ミューチュアル・アクションリサーチ , end-of-life care , long-term care , special nursing home for elderly , mutual action research pp.38-47
Published Date 2011/11/30
  • Abstract
  • Reference

 The purpose of this study is to describe the process of transformation and action of the research group. At the same time, the author is trying to promote quality of “End-of-life Care” in “welfare facilities for the elderly requiring long-term care” by means of “Mutual Action Research”. The study was based on the unitary-transformative paradigm of Rogers-Newman's “Theory of Health”.

 From ten to fifteen workers participated in the research group. Data were collected from transcripts of the meetings of the research group, journals written by participants, and field notes written by researcher, and analyzed using the “hermeneutic” method.

 In the research, the author found at least six phases of the process of “Mutual Action Research.”

 The six phases are as follows: —

 Phase 1 “Expectation and Confusion” : The professionals of various departments are coming into the research group with different mind and thought. So, it appears that they have a mixture of expectation and confusion.

 Phase 2 “Groping in the Dark” : An unitary partnership is not yet established. They try to grope towards something in utter Chaos.

 Phase 3 “Self-consciousness” : The research group overcomes the chaos. Participants begin to think about promoting “End-of-Life Care.”

 Phase 4 “Germ of Group Feeling” : An unitary partnership is established.

 Phase 5 “Self-reflection” : All members of the research group and individuals come to a recognition of the pattern of “End-of-Life Care.”

 Phase 6 “Transformation” : Transformation is accomplished, and “End-of-Life Care” is realized.

 

 The author concludes after due consideration that the pattern of “End-of-Life Care” in the research group has transformed to a higher level, and that the study will be put into practice for promoting “End-of-life Care” in the other welfare facilities for the elderly requiring long-term care.


Copyright © 2011, Japan Academy of Gerontological Nursing All rights reserved.

基本情報

電子版ISSN 2432-0811 印刷版ISSN 1346-9665 日本老年看護学会

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