Changes experienced by physicians and nurses after a region-based palliative care intervention trial: the OPTIM-study
The primary aim of this study was to collect the views of physicians and nurses in the regions where community-based palliative care intervention trial, the OPTIM-study, was performed. A content analysis of free comments of the questionnaire survey was conducted. Questionnaires were mailed to 1,763...
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| Published in | Palliative Care Research Vol. 7; no. 1; pp. 121 - 135 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society for Palliative Medicine
2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1880-5302 1880-5302 |
| DOI | 10.2512/jspm.7.121 |
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| Abstract | The primary aim of this study was to collect the views of physicians and nurses in the regions where community-based palliative care intervention trial, the OPTIM-study, was performed. A content analysis of free comments of the questionnaire survey was conducted. Questionnaires were mailed to 1,763 physicians and 3,156 nurses after the intervention, and 706 and 2,236 responses were obtained, respectively. A content analysis identified 327 free comments from physicians and 737 from nurses. As favorable effects, the categories [Multidisciplinary teams and community networks were established] [Home-based care is widespread] [Medical knowledge and skills are acquired just as those involved in palliative care] emerged. The main effects of the community palliative care program included the establishment of multidisciplinary teams and community networks, development of home-based care, and increasing knowledge, skills, and awareness about palliative care. |
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| AbstractList | The primary aim of this study was to collect the views of physicians and nurses in the regions where community-based palliative care intervention trial, the OPTIM-study, was performed. A content analysis of free comments of the questionnaire survey was conducted. Questionnaires were mailed to 1,763 physicians and 3,156 nurses after the intervention, and 706 and 2,236 responses were obtained, respectively. A content analysis identified 327 free comments from physicians and 737 from nurses. As favorable effects, the categories [Multidisciplinary teams and community networks were established] [Home-based care is widespread] [Medical knowledge and skills are acquired just as those involved in palliative care] emerged. The main effects of the community palliative care program included the establishment of multidisciplinary teams and community networks, development of home-based care, and increasing knowledge, skills, and awareness about palliative care. |
| Author | Morita, Tatsuya Eguchi, Kenji Miyashita, Mitsunori Kinoshita, Hiroya Shirahige, Yutaka Hanada, Yoko Nozue, Yoshiko Suzuki, Satoshi |
| Author_xml | – sequence: 1 fullname: Suzuki, Satoshi organization: Department of Surgery, Tsuruoka Municipal Shonai Hospital – sequence: 1 fullname: Eguchi, Kenji organization: Division of Medical Oncology, Teikyo University School of Medicine – sequence: 1 fullname: Morita, Tatsuya organization: Department of Palliative and Supportive Care, Seirei Mikatahara General Hospital – sequence: 1 fullname: Miyashita, Mitsunori organization: Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Meidicne – sequence: 1 fullname: Nozue, Yoshiko organization: Hamamatsu Cancer Support Center, Seirei Mikatahara General Hospital – sequence: 1 fullname: Kinoshita, Hiroya organization: Department of Palliative Medicine and Psycho-Oncology, National Cancer Center Hospital, East – sequence: 1 fullname: Hanada, Yoko organization: Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Meidicne – sequence: 1 fullname: Shirahige, Yutaka organization: Shirahige Clinic |
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| Cites_doi | 10.1016/S0140-6736(00)02678-7 10.1177/1049909108318568 10.1111/j.1440-1584.2009.01089.x 10.1177/0269216310362005 10.1056/NEJMoa1000678 10.1089/jpm.2005.8.808 10.1001/archinte.164.1.83 10.2512/jspm.6.237 10.1177/082585970702300304 |
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| References | 5) Shaw KL, Clifford C, Thomas K, et al. Review: Improving end-of-life care: a critical review of the gold standards framework in primary care. Palliat Med 2011; 24: 317-29. 17) Rabow MW, Dibble SL, Pantilat SZ, et al. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med 2004; 164: 83-91. 7) Masso M, Owen A. Linkage, coordination and integration: evidence from rural palliative care. Aust J Rural Health 2009; 17: 263-7. 13) 清原恵美, 井村千鶴, 梨田えり子, 他. 地域における緩和ケア病棟の役割―緩和ケア病棟における地域の看護師を対象とした研修の評価. 死の臨床 2011; 34: 110-5. 6) Kelley ML. Developing rural communities' capacity for palliative care: a conceptual model. J Palliat Care 2007; 23: 143-53. 2) 吉澤明孝, 行田泰明, 石黒俊彦. X. がん対策基本法後の地域緩和ケアネットワーク: 1. 東京都における在宅緩和ケアの連携. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 77-80. 8) Nikbakht-Van de Sande CV, van der Rijt CC, Visser AP, et al. Function of local networks in palliative care: a Dutch view. J Palliat Med 2005; 8: 808-16. 12) 鄭 陽, 井村千鶴, 野末よし子, 他. 地域における講義とグループディスカッションを複合した多職種セミナーの有用性. ペインクリニック 2009; 30: 1553-63. 14) 井村千鶴, 藤本亘史, 野末よし子, 他. 緩和ケアチームによる診療所へのアウトリーチプログラムの有用性. 癌と化学療法 2010; 37: 863-70. 15) Jordhøy MS, Fayers P, Saltnes T, et al. A palliative-care intervention and death at home: a cluster randomised trial. Lancet 2000; 356: 888-93. 18) 山岸暁美, 森田達也, 古村和恵, 他. 地域のがん緩和ケアの課題と解決策の抽出―OPTIM-Studyによる複数地域・多職種による評価. 癌と化学療法 2011: 38; 1889-95. 19) 古村和恵, 宮下光令, 木澤義之, 他. 進行がん患者と遺族のがん治療と緩和ケアに対する要望: 821名の自由記述からの示唆. Palliat Care Res 2011; 6: 237-45. 3) 加藤恒夫. X. がん対策基本法後の地域緩和ケアネットワーク: 2. 岡山市における緩和ケアの地域連携―緩和ケア岡山モデル. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 81-7. 16) Temel JS, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363: 733-42. 11) Krippendorff K. Content Analysis: An Introduction to Its Methodology. Sage Publications, Beverly Hills, 1980. (三上俊治, 椎野信雄, 橋元良明 訳. メッセージ分析の技法―「内容分析」への招待. 東京, 勁草書房, 1989 4) 片山 壽. X. がん対策基本法後の地域緩和ケアネットワーク: 3. 尾道市における在宅緩和ケアと地域医療連携. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 88-94. 9) Yamagishi A, Morita T, Miyashita M, et al. Palliative care in Japan: current status and a nationwide challenge to improve palliative care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) study. Am J Hosp Palliat Care 2008; 25: 412-8. 10) 森田達也. 緩和ケア普及のための地域プロジェクト(OPTIM-study)の経過と今後の課題. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 24-36. 1) 山口龍彦, 原 一平, 壷井康一, 他. IX. 各地域におけるがん対策基本法の前と後の取り組み: 1. 緩和ケアに対する高知県の取り組み. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 51-4. 11 TEI YO (12) 2009; 30 15 16 17 19 1 2 3 KIYOHARA EMI (13) 2011; 34 4 5 6 7 8 9 YAMAGISHI AKEMI (18) 2011; 38 10 IMURA CHIZURU (14) 2010; 37 |
| References_xml | – reference: 3) 加藤恒夫. X. がん対策基本法後の地域緩和ケアネットワーク: 2. 岡山市における緩和ケアの地域連携―緩和ケア岡山モデル. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 81-7. – reference: 18) 山岸暁美, 森田達也, 古村和恵, 他. 地域のがん緩和ケアの課題と解決策の抽出―OPTIM-Studyによる複数地域・多職種による評価. 癌と化学療法 2011: 38; 1889-95. – reference: 16) Temel JS, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363: 733-42. – reference: 4) 片山 壽. X. がん対策基本法後の地域緩和ケアネットワーク: 3. 尾道市における在宅緩和ケアと地域医療連携. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 88-94. – reference: 6) Kelley ML. Developing rural communities' capacity for palliative care: a conceptual model. J Palliat Care 2007; 23: 143-53. – reference: 8) Nikbakht-Van de Sande CV, van der Rijt CC, Visser AP, et al. Function of local networks in palliative care: a Dutch view. J Palliat Med 2005; 8: 808-16. – reference: 5) Shaw KL, Clifford C, Thomas K, et al. Review: Improving end-of-life care: a critical review of the gold standards framework in primary care. Palliat Med 2011; 24: 317-29. – reference: 12) 鄭 陽, 井村千鶴, 野末よし子, 他. 地域における講義とグループディスカッションを複合した多職種セミナーの有用性. ペインクリニック 2009; 30: 1553-63. – reference: 15) Jordhøy MS, Fayers P, Saltnes T, et al. A palliative-care intervention and death at home: a cluster randomised trial. Lancet 2000; 356: 888-93. – reference: 13) 清原恵美, 井村千鶴, 梨田えり子, 他. 地域における緩和ケア病棟の役割―緩和ケア病棟における地域の看護師を対象とした研修の評価. 死の臨床 2011; 34: 110-5. – reference: 2) 吉澤明孝, 行田泰明, 石黒俊彦. X. がん対策基本法後の地域緩和ケアネットワーク: 1. 東京都における在宅緩和ケアの連携. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 77-80. – reference: 10) 森田達也. 緩和ケア普及のための地域プロジェクト(OPTIM-study)の経過と今後の課題. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 24-36. – reference: 19) 古村和恵, 宮下光令, 木澤義之, 他. 進行がん患者と遺族のがん治療と緩和ケアに対する要望: 821名の自由記述からの示唆. Palliat Care Res 2011; 6: 237-45. – reference: 9) Yamagishi A, Morita T, Miyashita M, et al. Palliative care in Japan: current status and a nationwide challenge to improve palliative care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) study. Am J Hosp Palliat Care 2008; 25: 412-8. – reference: 7) Masso M, Owen A. Linkage, coordination and integration: evidence from rural palliative care. Aust J Rural Health 2009; 17: 263-7. – reference: 1) 山口龍彦, 原 一平, 壷井康一, 他. IX. 各地域におけるがん対策基本法の前と後の取り組み: 1. 緩和ケアに対する高知県の取り組み. 日本ホスピス・緩和ケア研究振興財団「ホスピス緩和ケア白書」編集委員会 編. ホスピス緩和ケア白書2011. 2011; 51-4. – reference: 11) Krippendorff K. Content Analysis: An Introduction to Its Methodology. Sage Publications, Beverly Hills, 1980. (三上俊治, 椎野信雄, 橋元良明 訳. メッセージ分析の技法―「内容分析」への招待. 東京, 勁草書房, 1989) – reference: 17) Rabow MW, Dibble SL, Pantilat SZ, et al. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med 2004; 164: 83-91. – reference: 14) 井村千鶴, 藤本亘史, 野末よし子, 他. 緩和ケアチームによる診療所へのアウトリーチプログラムの有用性. 癌と化学療法 2010; 37: 863-70. – ident: 2 – volume: 30 start-page: 1553 issn: 0388-4171 issue: 11 year: 2009 ident: 12 – ident: 15 doi: 10.1016/S0140-6736(00)02678-7 – ident: 3 – ident: 4 – ident: 1 – ident: 11 – ident: 10 – ident: 9 doi: 10.1177/1049909108318568 – ident: 7 doi: 10.1111/j.1440-1584.2009.01089.x – ident: 5 doi: 10.1177/0269216310362005 – ident: 16 doi: 10.1056/NEJMoa1000678 – ident: 8 doi: 10.1089/jpm.2005.8.808 – ident: 17 doi: 10.1001/archinte.164.1.83 – ident: 19 doi: 10.2512/jspm.6.237 – volume: 38 start-page: 1889 issn: 0385-0684 issue: 11 year: 2011 ident: 18 – ident: 6 doi: 10.1177/082585970702300304 – volume: 37 start-page: 863 issn: 0385-0684 issue: 5 year: 2010 ident: 14 – volume: 34 start-page: 110 issn: 0912-4292 issue: 1 year: 2011 ident: 13 |
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| Title | Changes experienced by physicians and nurses after a region-based palliative care intervention trial: the OPTIM-study |
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