End-of-life care conferences in Japanese nursing homes

被引:4
作者
Nishiguchi, Sho [1 ,2 ,3 ]
Sugaya, Nagisa [2 ]
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
关键词
End-of-life care conferences; end-of-life care; interdisciplinary care; intoprofessional collaboration; nursing home; Japan; INTERPROFESSIONAL COLLABORATION; COMMUNICATION; EDUCATION; IMPACT;
D O I
10.5582/ddt.2019.01002
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
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.
引用
收藏
页码:47 / 51
页数:5
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