Recognition of End-of-life Care by Nursing Care Staff, and Factors Impacting Their Recognition: An Exploratory Research Using Mixed Methods

• Kawakami Yoshiaki

  Department of Nursing, Tokyo Ariake University of Medical and Health Science

• Hamano Jun

  Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba

• Kotani Midori

  Senior Lifestyle Lab

• Kuwata Miyoko

  Department of Research and Training on Geriatric Nursing Health Care, Oume Keiyu Hospital

• Yamamoto Ryo

  Department of Palliative Medicine, Saku Central Hospital Advanced Care Center

• Kizawa Yoshiyuki

  Department of Palliative Medicine, Kobe University Hospital

• Shima Yasuo

  Department of Palliative Medicine, Tsukuba Medical Center Hospital

Bibliographic Information

Other Title

• 介護職員の看取りに対する認識と認識に影響する要因─混合研究法を用いた探索的研究─

Abstract

Objectives: Elucidate recognition of end-of-life care by nursing care staff in elderly care facilities, and factors influencing such recognition. Methods: We conducted an internet questionnaire with 500 nursing care staff working at elderly care facilities across Japan, and an interview with 10 nursing care staff out of 500. Results: In the questionnaire, facility policies (41%) and cooperation with medical staff (38%) were selected as facilities and systems that are important for end-of-life care, and as a concern, sudden change in the condition of the patient, leading to death (53%) was selected. The interview showed that nursing care staff had a certain level of anxiety regardless of their experience with end-of-life care, with participants discussing their thoughts on how systematic learning of, and actual experience in, end-of-life care changed end-of-life care. Conclusion: Our study showed that systematic learning and experience of end-of-life care were important factors in recognition of end-of-life care by nursing care staff when providing such care in elderly care facilities.

Journal

• Palliative Care Research

  Palliative Care Research 14 (1), 43-52, 2019

  Japanese Society for Palliative Medicine

Keywords

• nursing home
• end of life care
• nursing care staff

Details

• CRID: 1390564238095055616
• NII Article ID: 130007627229
• NII Book ID: AA12305827
• DOI: 10.2512/jspm.14.43
• ISSN: 18805302
• HANDLE: 20.500.14094/90006106
• HANDLE: 2241/00160058
• Web Site: https://tsukuba.repo.nii.ac.jp/records/54649
• Web Site: https://www.jstage.jst.go.jp/article/jspm/14/1/14_43/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2019200596
• Text Lang: ja
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed