Treatment-resistant illness (including cancer and non-cancer)
Conditions
Interventions
General nurses conduct dialogues with patients with treatment-resistant illness using the Dialogue-Based Nursing Practice Model (Ver.2). The dialogues are conducted multiple times during hospitalizati
s meaningful way of living, and sharing it between the patient and healthcare providers.
Sponsors
Chiba University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: [Patients] 1) Aged 20 years or older and capable of communicating their own wishes; 2) In a physical and mental condition that allows dialogues of approximately 30 minutes; 3) Diagnosed with treatment-resistant illness and having received explanations from a physician regarding their condition, current treatment, and treatment goals; 4) For cancer patients: judged by a physician as relapsed/refractory, undergoing 3 or more lines of treatment regimens, or hospitalized due to poorly controlled complications; for non-cancer patients: judged by a physician as relapsed/refractory or repeatedly hospitalized in a declining phase. [Nurses] 1) Ward nurses with at least 2 full years of experience in the same ward and at least 3 years of overall nursing experience; 2) Having attained Japanese Nursing Association Clinical Ladder (2023 revised edition) Level I or above.
Exclusion criteria
Exclusion criteria: [Patients] 1) Unable to communicate their own wishes due to impaired consciousness or cognitive decline; 2) In a physical or mental condition that makes 30-minute dialogues difficult; 3) Those whose attending physician judges participation to be inappropriate based on the patient's understanding of their medical condition; 4) Those who do not provide informed consent for participation; 5) Those judged by the researcher or attending nurse as unsuitable for participation. [Nurses] 1) Those who do not provide informed consent for participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| [Patients] Patient satisfaction and dialogue experience after implementing the Dialogue-Based Nursing Practice Model (Ver.2): Rogers' Empathic Listening Scale (speaker version), researcher-developed items, and semi-structured interviews; within 7 days after the final dialogue. [Nurses] Communication skills and practice changes: Rogers' Empathic Listening Scale (listener version), Communication Skills Scale for End-of-Life Care Nurses, Knowledge/Practice/Difficulty Scale for Palliative Care Providers (partial), Difficulty Scale for Cancer Nursing (partial), and semi-structured interviews; within 7 days after the final dialogue. | — |
Countries
Japan
Contacts
Public ContactNaomi Matsuyama
Graduate School of Nursing, Chiba University Doctoral Program, Major in Nursing
Outcome results
None listed