Development of a Terminal Phase Patient Support Cognitive-Behavioral Scale for Medical Professionals

  • Sato Naoko
    Department of Behavioral Medicine, Tohoku University Graduate School of Medicine:Department of Oncology Nursing, Tohoku University Graduate School of Medicine
  • Minakawa Syusei
    Tohoku Fukushi University
  • Fukudo Shin
    Department of Behavioral Medicine, Tohoku University Graduate School of Medicine

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Other Title
  • 医療従事者の「終末期患者支援認知行動尺度」の開発 : 看護職を対象とした検討
  • イリョウ ジュウジシャ ノ 「 シュウマツキ カンジャ シエン ニンチ コウドウ シャクド 」 ノ カイハツ : カンゴショク オ タイショウ ト シタ ケントウ

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Abstract

Objectives: Medical professionals are constantly being required to improve their skills in response to advances in medicine. In addition, there needs to be development for cognitive empathy, too. The purpose of this study was to develop and validate a cognitive-behavioral scale questionnaire for the support of terminal phase patients for medical professionals. Method: We analyzed data from 502 clinical nurses. In order to assess the construct validity, the nurses were to provide an answer based on a questionnaire from Terminal Phase Patient Support Cognitive-Behavioral Scale, Emotional Empathy Scale and Perspective Taking Scale. The nurses were divided into 6 broad groups on the basis of their generation range and experience. The Terminal Phase Patient Support Cognitive-Behavioral Scale for Medical Professionals compared these 6 groups in respect to the Emotional Empathy Scale and Perspective Taking Scale, after factor analysis. Results: Factor analyses of Terminal Phase Patient Support Cognitive-Behavioral Scale had 17 items and revealed that 2 subscales: Feelings of Inadequacy (Cronbach's alpha=0.81) and Respect for Patient were classified (Cronbach's alpha=0.74). Feelings of Inadequacy (F(5,500)=14.58, p<0.001) and Respect for Patient (F(5,500)=2.96, p<0.01) were significantly related to generation and experience by variance analysis. People with under 6 years of experience had high Feelings of Inadequacy and Respect for Patient, and low Perspective Taking in comparison to other groups. Conclusion: The Terminal Phase Patient Support Cognitive-Behavioral Scale was verified for reliability and validity from the survey of nurse.

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