| Unique ID issued by UMIN | UMIN000060749 |
|---|---|
| Receipt number | R000069514 |
| Scientific Title | Examination of the Utility of a Dialogue-Based Nursing Practice Model (Ver.2) for Sharing Meaningful Way of Living among Patients with Treatment-Resistant Illness |
| Date of disclosure of the study information | 2026/02/25 |
| Last modified on | 2026/02/25 23:02:28 |
Examination of the Utility of a Dialogue-Based Nursing Practice Model (Ver.2) for Sharing Meaningful Way of Living among Patients with Treatment-Resistant Illness
Dialogue-Based Nursing Practice Model Ver.2 Utility Study
Examination of the Utility of a Dialogue-Based Nursing Practice Model (Ver.2) for Sharing Meaningful Way of Living among Patients with Treatment-Resistant Illness
Dialogue-Based Nursing Practice Model Ver.2 Utility Study
| Japan |
Treatment-resistant illness (including cancer and non-cancer)
| Medicine in general | Gastroenterology | Hepato-biliary-pancreatic medicine |
| Cardiology | Pneumology | Endocrinology and Metabolism |
| Hematology and clinical oncology | Nephrology | Neurology |
| Clinical immunology | Infectious disease | Geriatrics |
| Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
| Vascular surgery | Chest surgery | Endocrine surgery |
| Breast surgery | Ophthalmology | Dermatology |
| Oto-rhino-laryngology | Orthopedics | Urology |
| Radiology | Oral surgery | Neurosurgery |
| Cardiovascular surgery | Plastic surgery | Emergency medicine |
| Nursing |
Malignancy
NO
To examine the effectiveness of implementing a Dialogue-Based Nursing Practice Model (Ver.2) for sharing meaningful way of living among patients with treatment-resistant illness, focusing on improving patient satisfaction and enhancing general nurses' communication skills.
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
[Patients] Patient satisfaction and dialogue experience after implementing the Dialogue-Based Nursing Practice Model (Ver.2): Rogers' Empathic Listening Scale (speaker version), researcher-developed items, and semi-structured interviews; within 7 days after the final dialogue.
[Nurses] Communication skills and practice changes: Rogers' Empathic Listening Scale (listener version), Communication Skills Scale for End-of-Life Care Nurses, Knowledge/Practice/Difficulty Scale for Palliative Care Providers (partial), Difficulty Scale for Cancer Nursing (partial), and semi-structured interviews; within 7 days after the final dialogue.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
| Behavior,custom |
General nurses conduct dialogues with patients with treatment-resistant illness using the Dialogue-Based Nursing Practice Model (Ver.2). The dialogues are conducted multiple times during hospitalization (approximately 3 times as a guide), through a process of attentively receiving and clarifying the patient's meaningful way of living, and sharing it between the patient and healthcare providers.
| 20 | years-old | <= |
| 80 | years-old | >= |
Male and Female
[Patients] 1) Aged 20 years or older and capable of communicating their own wishes; 2) In a physical and mental condition that allows dialogues of approximately 30 minutes; 3) Diagnosed with treatment-resistant illness and having received explanations from a physician regarding their condition, current treatment, and treatment goals; 4) For cancer patients: judged by a physician as relapsed/refractory, undergoing 3 or more lines of treatment regimens, or hospitalized due to poorly controlled complications; for non-cancer patients: judged by a physician as relapsed/refractory or repeatedly hospitalized in a declining phase.
[Nurses] 1) Ward nurses with at least 2 full years of experience in the same ward and at least 3 years of overall nursing experience; 2) Having attained Japanese Nursing Association Clinical Ladder (2023 revised edition) Level I or above.
[Patients] 1) Unable to communicate their own wishes due to impaired consciousness or cognitive decline; 2) In a physical or mental condition that makes 30-minute dialogues difficult; 3) Those whose attending physician judges participation to be inappropriate based on the patient's understanding of their medical condition; 4) Those who do not provide informed consent for participation; 5) Those judged by the researcher or attending nurse as unsuitable for participation.
[Nurses] 1) Those who do not provide informed consent for participation.
20
| 1st name | Naomi |
| Middle name | |
| Last name | Matsuyama |
Graduate School of Nursing, Chiba University
Doctoral Program, Major in Nursing
606-8507
54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, Japan
0757514629
naomi_m@kuhp.kyoto-u.ac.jp
| 1st name | Naomi |
| Middle name | |
| Last name | Matsuyama |
Graduate School of Nursing, Chiba University
Doctoral Program, Major in Nursing
606-8507
54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, Japan
0757514629
naomi_m@kuhp.kyoto-u.ac.jp
Chiba University
Chiba University
Self funding
Ethics Review Committee, Graduate School of Nursing, Chiba University
1-8-1 Inohana, Chuo-ku, Chiba, 260-8672, Japan
0432262496
kango-rinnri@chiba-u.jp
NO
| 2026 | Year | 02 | Month | 25 | Day |
Unpublished
Preinitiation
| 2025 | Year | 09 | Month | 16 | Day |
| 2025 | Year | 11 | Month | 18 | Day |
| 2026 | Year | 02 | Month | 04 | Day |
| 2026 | Year | 09 | Month | 30 | Day |
| 2026 | Year | 02 | Month | 25 | Day |
| 2026 | Year | 02 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069514