Country： Japan

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Grant amount：\13,780,000 （ Direct Cost: \10,600,000 、 Indirect Cost：\3,180,000 ）

2020年度の本研究目的は、前半は、令和１年度の第２段階の「標準的治療を受ける進行NSCLC患者に感度高い効果的な問題解決戦略には、何が見出されているか？」また、優先的にSCASHが必要なサブグループが存在するのではないか?」の成果を洗練し、患者報告型成果指標を見出して、より細やかにニーズに対応でき効果を高く期待できるSCASH-Taylor Made(以下、SCASH-TM)案を考案する。後半は、効果を検証するため、リサーチパネルメンバーでRCTシェーマを検討し構築後、RCT本試験計画を立案し、予備試験へと進めることであった。「標準的治療を受ける進行NSCLC患者に感度高い効果的な問題解決戦略には、日常的に取り入れやすい行動療法（リラクゼーション）などが好感度で継続可能なものであり、症状の変化と効果に自覚のために、対話を中心とした高度実践者の介入が効果が期待できるものであるとわかった。COVID-19の感染拡大下のため、優先的にSCASHを適用するサブグループの解析ワークが遅れており継続して推進を図る。そこで、COVID-19 感染拡大予防も加味したできる限り非接触で介入内容の理解と感度高く効果を期待できるSCASH-Taylor Made案を考案し、関連するツールの整備を推進している。後半の目的は、治療期の進行NSCLC患者を対象としているためCOVID-19 感染拡大事情を注視して研究フィールドへの感染リスク回避と安全を担保できる状況を評価しており,2020年度は感染拡大中のため状況を注視している。

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Grant amount：\2,340,000 （ Direct Cost: \1,800,000 、 Indirect Cost：\540,000 ）

This study clarified the necessity and importance of medical ethics simulation education for keep thinking various complications of medical ethics.
This education program of medical ethics simulation is an educational method that improves the clinical judgment ability of the learner and learners themselves deepen their learning proactively.

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Grant amount：\3,640,000 （ Direct Cost: \2,800,000 、 Indirect Cost：\840,000 ）

This study aimed to develop a Rubric which is useful to evaluate education results and a Japanese version of the “practical” competency model for Oncology Certified Nurse Specialist (OCNS) by visualizing the learning experience strengthened by the “practical” competence of students aiming to be qualitied as OCNS. We developed a Japanese version of the Rubric to practice advanced cancer nursing that will enable communication to develop advanced practical skills based on the Clinical Judgment Rubric under the simulation. The simulation showed that the model can be utilized for promoting communication in forming advanced practical skills, but there remains challenges to improve question items that measures situations unique to clinical settings, and verify the reliability and validity for assigning scale values.

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Grant amount：\7,280,000 （ Direct Cost: \5,600,000 、 Indirect Cost：\1,680,000 ）

This study aimed to develop a symptom cluster reduction life support program focusing on two symptoms, Fatigue and Pain, included in symptoms clusters experienced by patients with advanced Non-Small Cell Lung Cancer (NSCLC) who have undergone standard therapies, and evaluate the efficacy of the program. Through the data analysis of 126 patients with advanced NSCLC and a literature review, we refined a model to reduce the accumulated burden. The result of a feasibility study of a program initiated by nurses based on the Cognitive Behavioral Intervention suggested the feasibility of implementing the model. Therefore, it is necessary to conduct further studies to promote the continuous use and evaluation of the program during the outpatient treatment period.

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Grant amount：\3,250,000 （ Direct Cost: \2,500,000 、 Indirect Cost：\750,000 ）

We conducted this study to develop a “Skin-life Support Platform (strategy) for NSCLC” for patients with advanced non-small cell lung cancer (NSCLC) who undergo molecular targeted therapy.
As a result we developed a clearer understanding of the fears patients with advanced NSCLC harbor about skin life and that it leads to a lower Quality of Life (QOL), these fears pose a threat to willingness to continuing the molecular targeted therapy. Findings showed that it is necessary to propose effective skin care based on the evidence from the “Skin-life Support Platform for NSCLC”, and develop nursing practices to apply with patients.

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