End-of-life care conferences in Japanese nursing homes
被引:4
作者:
Nishiguchi, Sho
论文数: 0引用数: 0
h-index: 0
机构:
Shonan Kamakura Gen Hosp, Dept Gen Internal Med, Okamoto 1370-1, Kamakura, Kanagawa 2478533, Japan
Yokohama City Univ, Unit Publ Hlth & Prevent Med, Yokohama, Kanagawa, Japan
Hayama Heart Ctr, Dept Internal Med, Miura, Kanagawa, JapanShonan Kamakura Gen Hosp, Dept Gen Internal Med, Okamoto 1370-1, Kamakura, Kanagawa 2478533, Japan
Nishiguchi, Sho
[1
,2
,3
]
Sugaya, Nagisa
论文数: 0引用数: 0
h-index: 0
机构:
Yokohama City Univ, Unit Publ Hlth & Prevent Med, Yokohama, Kanagawa, JapanShonan Kamakura Gen Hosp, Dept Gen Internal Med, Okamoto 1370-1, Kamakura, Kanagawa 2478533, Japan
Sugaya, Nagisa
[2
]
Inamori, Masahiko
论文数: 0引用数: 0
h-index: 0
机构:
Yokohama City Univ, Dept Med Educ, Yokohama, Kanagawa, JapanShonan Kamakura Gen Hosp, Dept Gen Internal Med, Okamoto 1370-1, Kamakura, Kanagawa 2478533, Japan
Inamori, Masahiko
[4
]
机构:
[1] Shonan Kamakura Gen Hosp, Dept Gen Internal Med, Okamoto 1370-1, Kamakura, Kanagawa 2478533, Japan
[2] Yokohama City Univ, Unit Publ Hlth & Prevent Med, Yokohama, Kanagawa, Japan
[3] Hayama Heart Ctr, Dept Internal Med, Miura, Kanagawa, Japan
[4] Yokohama City Univ, Dept Med Educ, Yokohama, Kanagawa, Japan
End-of-life (EOL) care conferences have an important role in promoting EOL care in nursing homes. However, the details of the conferences remain poorly understood. A Japanese prefecture-wide survey was conducted to investigate the factors involved in such conferences that contribute to an increase in the amount of EOL care. One hundred fifty-three nursing homes performed the conferences. The outcome was the amount of EOL care provided in nursing homes after adjusting for the facility beds in 2014. We investigated the factors of staff experience with EOL care, frequency of the conferences, years the conferences were conducted, review conferences after EOL care, and professional participants in the conferences. The multivariate analysis revealed significant associations between EOL care in nursing homes and nurses' experience with EOL care (adjusted beta coefficient 2.9, 95% confidence interval (CI) 0.52 similar to 5.22,p = 0.017), more than 5 years of continuous conferences (adjusted beta coefficient 3.8, 95% CI 0.46 similar to 7.05,p = 0.026), and family participation (adjusted beta coefficient -4.0, 95% CI -7.5 similar to -0.48,p = 0.026). In conclusion, the continuation of conferences and enrollment of the nurse with experience in EOL care may promote EOL care in nursing homes, while family enrollment in conferences may decrease EOL care in nursing homes. EOL care conferences in nursing homes should be continuously performed by staff, with an experienced nurse undertaking the task of information sharing before discussing EOL care with the patients' families.
机构:
Thomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Delgado, Enrique Machare
Callahan, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Nursing, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Callahan, Amy
Paganelli, Galia
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Paganelli, Galia
Reville, Barbara
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Reville, Barbara
Parks, Susan M.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Parks, Susan M.
Marik, Paul E.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
机构:
Thomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Delgado, Enrique Machare
Callahan, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Nursing, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Callahan, Amy
Paganelli, Galia
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Paganelli, Galia
Reville, Barbara
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Reville, Barbara
Parks, Susan M.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Div Geriatr, Philadelphia, PA 19107 USA
Thomas Jefferson Univ, Palliat Care Serv, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
Parks, Susan M.
Marik, Paul E.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USAThomas Jefferson Univ, Dept Med, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA