日本におけるオタワ意思決定支援フレームワークの実施：看護師向け意思決定コーチングワークショップの評価
Satoko Ono1, Misae Ito1, Keiko Matsumoto2
1Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
Patient education and counseling
|February 6, 2026
まとめ
意思決定コーチングワークショップは、看護師の共有意思決定（SDM）への自信を高め、日本で文化的に実施可能でした。このトレーニングは、集団主義的な医療環境における患者と家族中心のケアを支持します。
科学分野:
- 医療教育;看護実践;共有意思決定
背景:
- 看護師は、共有意思決定（SDM）を支援するための効果的な戦略を必要としています。;SDM介入の文化的適応は、多様な医療環境にとって重要です。
研究 の 目的:
- 日本における看護師を対象とした意思決定コーチングワークショップの文化的実施可能性と影響を評価すること。;SDMの概念、スキル、および自信に対するワークショップの影響を評価すること。
主な方法:
- オタワ意思決定支援フレームワーク（ODSF）に基づいた4時間のワークショップを評価するために、実施前後のデザインが採用されました。;ワークショップには、講義、ビデオ、ロールプレイングが組み込まれ、結果は自己申告のリッカート尺度と質的フィードバックを通じて測定されました。;量的データはペアt検定を使用して分析され、質的フィードバックはテーマ別に要約されました。
主要な成果:
- ワークショップ後、ODSFの理解度は87.0％、意思決定支援ツールの使用能力は72.2％、SDMスキルに関する自己評価は50.0％に向上しました。;看護師のSDMへの関与に対する自信は有意に向上し（p < .001）、SDMスキルに関する自己評価の自信も向上しました（p < .001）。;参加者は、特に家族中心の意思決定において、ロールプレイングとビデオデモンストレーションが文化的な関連性にとって特に効果的であると感じました。
結論:
- 意思決定コーチングワークショップは、看護師のSDMへの自信を有意に高めました。;このトレーニングは文化的に実施可能であり、日本の医療における患者と家族中心のケアを支持します。;適応された意思決定コーチングは、集団主義的な文化におけるSDMトレーニングを強化し、国際的な患者中心のケアを促進することができます。
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