The Influence of Collaborative Reflection on Nursing Home Staff Members' Views on End-of-life Care

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  • SHIMADA Chiho
    地方独立行政法人東京都健康長寿医療センター研究所
  • ITO Mio
    地方独立行政法人東京都健康長寿医療センター研究所
  • HIRAYAMA Ryo
    地方独立行政法人東京都健康長寿医療センター研究所:日本学術振興会
  • TAKAHASHI Ryutaro
    地方独立行政法人東京都健康長寿医療センター研究所

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  • 看取りケア経験の協働的内省が特別養護老人ホーム職員の認識に及ぼす影響
  • ミトリ ケア ケイケン ノ キョウドウテキ ナイセイ ガ トクベツ ヨウゴ ロウジンホーム ショクイン ノ ニンシキ ニ オヨボス エイキョウ

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Abstract

Because of the nature of the end-of-life care process in which multiple actors, including care recipients, their families, and physicians, are involved-all with different ideas about life and death-, it is difficult to define a single, universal criterion for "good" end-of-life care. Thus, care providers are required to respond flexibly to individual cases by utilizing practical knowledge gained from their end-of-life care experiences. To help nursing home staff members to garner such knowledge, we have developed a Collaborative Reflection Program, in which participants review and learn from their end-of-life care experiences together. Using written comments from the Program participants, we aimed in this qualitative study was to examine the influence of collaborative reflection on participants' views on end-of-life care. Guided by learning style theories, we conducted a systematic content analysis on participants' comments, through which three recurrent themes emerged: integrating others' experiences as filling-in of my own experiences, putting what I feel and think in relief, and formulating practical ideas and concepts that are applicable beyond the present case. Our findings suggest that the Collaborative Reflection Program can promote nursing home staff members' reflection on and learning from their end-of-life care experiences although the influence of collaborative reflection appears to vary among participants.

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