Medical Staff’s Support for Family Members Who Verbally Communicate Feelings to Patients in Palliative Care Units: A Survey of Bereaved Family Members

• Nakazato Kazuhiro

  Tokyo Metropolitan Institute of Gerontology

• Shiozaki Mariko

  Department of Psychology, Faculty of Applied Sociology, Kindai University

• Hirai Kei

  Clinical Psychology, Graduate School of Human Sciences, Osaka University

• Morita Tatsuya

  Department of Palliative and Supportive Care, Seirei Mikatahara Hospital

• Tatara Ryuhei

  Department of Palliative Medicine, Osaka City General Hospital

• Ichihara Kaori

  Division of Health Sciences, Graduate School of Medicine, Osaka University

• Sato Shinichi

  Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human, Science, Osaka University

• Shimizu Megumi

  Clinical Research, Innovation, and Education Center, Tohoku University Hospital

• Tsuneto Satoru

  Department of Human Health Sciences, Graduate School of Medicine, Kyoto University

• Shima Yasuo

  Department of Palliative Medicine, Tsukuba Medical Center Hospital

• Miyashita Mitsunori

  Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine

Bibliographic Information

Other Title

• ホスピス・緩和ケア病棟における患者と家族間の思いの言語化を支える家族支援─遺族調査による家族支援と「患者と家族との良好な関係性」および「ケアの全般的満足度」との関連性の検討─

Abstract

Objectives: This study aimed to clarify the presence and evaluation of eight types of support by medical staff for family members that aid the verbal communication of feelings to patients (i.e., verbal communication support for family members) in palliative care units. Further, the relationship between the presence of “verbal communication support for family members” and the variables of a “good relationship between patient and family,” and “overall care satisfaction” was assessed. Methods: A questionnaire was administered to 968 bereaved family members of patients who died in 103 palliative care units in Japan. Results: A total of 536 responses were analyzed. Although the proportion of the families who received support differed depending on the content, the evaluation of the support received by the families was positive overall. Multiple regression analysis showed a significant positive association (p<0.05) for all eight types of support and those family members who reported a good relationship between patient and family. The results also showed a significant positive association (p<0.05) between four support types (concrete proposal of families’ verbalization to the patients, telling to the patients the feelings that families want to convey, ensuring that the patients can hear, and words to families that imply the patient’s feelings toward his/her family) and overall care satisfaction. Conclusion: Identifying methods to improve medical staff’s “verbal communication support for families” in daily care may ultimately strengthen the relationship between patients and their families as well as lead to their increased satisfaction with care.

Journal

• Palliative Care Research

  Palliative Care Research 13 (3), 263-271, 2018

  Japanese Society for Palliative Medicine

Keywords

• communicating feelings
• verbal communication
• end-of-life care
• support for family

Details

• CRID: 1390845712987327232
• NII Article ID: 130007437491
• DOI: 10.2512/jspm.13.263
• ISSN: 18805302
• HANDLE: 10097/00130651
• Web Site: https://tohoku.repo.nii.ac.jp/records/133261
• Web Site: https://www.jstage.jst.go.jp/article/jspm/13/3/13_263/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2019091500
• Text Lang: ja
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed