Facility-Related Factors Influencing the Place of Death and Home Care Rates for End-Stage Cancer Patients

Sasao, Sakimi; Tanabe, Kouichi; Morita, Tatsuya; Takahashi, Toru; Yasuda, Hatsuna; Kashii, Tatsuhiko; Sawada, Koichiro; Tonomura, Michiko; Murakami, Nozomu

doi:10.1089/jpm.2014.0384

Cited by 13 publications

(21 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Satisfaction in care quality represents trust in the healthcare provider, which is associated with better mental and functional outcomes for the care recipients. 26,27 This trust is earned by family members and staff through compassion and responsiveness, but eroded by incompetent care, lack of communication and cooperation, or lack of concern for family or staff. 26,28,29 Thus, a crisis is like a "magic mirror revealing goblins," differentiating between a "good" and a "bad" facility as per family members' perceptions.…”

Section: Discussionmentioning

confidence: 99%

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

Ting-Chun

Huang²,

Yeh

et al. 2020

Geriatrics Gerontology Int

View full text Add to dashboard Cite

The policy enforcing visiting restriction during the COVID-19 pandemic may cause feelings of social isolation among residents in long-term care facilities. This study aimed to explore family members' concerns for their relatives during the lockdown period, assess their level of acceptance of the visiting restriction policy and determine the associated factors. Methods: From the 156 family members interviewed, demographic data, satisfaction with overall care quality, worry and concerns for their relatives, acceptance of the visiting restriction and arrangement for the residents if cluster infections occur in the facility were recorded. Results: Among the members interviewed, 83 (53.2%) were men; mean age of members was 56.3 AE 9.8; most were offspring of residents in the facility (n = 121, 77.6%), most visited the residents at least once a week (n = 113, 72.4%) before the lockdown. The most common concerns of the family members for their relatives were psychological stress (38.5%), followed by nursing care (26.9%) and daily activity (21.1%). Nearly 84.6% of those interviewed accepted the visiting restriction policy, and a higher satisfaction rating independently associated with acceptance of the visiting restriction policy (odds ratio 2.15). Conclusions: During the lockdown period, staff members should provide more psychological information about residents to their family members. Higher satisfaction rating was found to be independent of the acceptance of the visiting restriction policy. Therefore, good quality of care of the facility wins the trust of family members, and this might mitigate the tension between the family members and staff during a major crisis.

show abstract

Section: Discussionmentioning

confidence: 99%

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

Ting-Chun

Huang²,

Yeh

et al. 2020

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“… 15 , 16 Previously, the authors conducted preliminary studies to confirm its usefulness, especially for palliative home care. 17 , 18 Interestingly, in this study, this tool was found to be useful for the continuation of home care. As demonstrated in previous studies, 4 , 19 home care is not more disadvantageous to end-stage cancer patients in their last days than hospital treatment, but factors explaining this have yet to be clarified.…”

Section: Discussionmentioning

confidence: 60%

Impact of a Six-Year Project to Enhance the Awareness of Community-Based Palliative Care on the Place of Death

Murakami

Tanabe

Morita

et al. 2018

Journal of Palliative Medicine

Self Cite

View full text Add to dashboard Cite

Object: To examine the clinical outcomes of a project to enhance the awareness of community-based palliative care (awareness-enhancing project), focusing on home death and care rates in communities.Methods: A single-center study on community-based intervention was conducted. The awareness-enhancing project, consisting of three intervention approaches (outreach, palliative care education for community-based medical professionals, and information-sharing tool use), was executed, and changes in the home death rate in the community were examined.Results: The home death rate markedly exceeded the national mean from 2010. In 2012–2013, it was as high as 19.9%, greater than the previous 5.9% (p = 0.001). Through multivariate analysis, the participation of home care physicians and visiting nurses in a palliative care education program, and patients' Palliative Prognostic Index values were identified as factors significantly influencing the home death rate.Conclusion: The three intervention approaches time dependently increased the home death rate as a clinical outcome in the community, although they targeted limited areas. These approaches may aid in increasing the number of individuals who die in their homes.

show abstract

“…[9242829] There were also situations where the decision-making did not proceed due to <Difficulty for the patient to talk about the disease conditions and death with medical professionals>[9101516] as illustrated by the reports that it is difficult for patients to ask medical professionals about medical matters,[1016] and that medical professionals make the ideas of patients on death ambiguous. [915] Further, as [Social resources available], <Characteristics of community>,[20252732] <Nursing care services at home>,[92128293334] <Medical professionals patients can consult with>,[113536] and <Support from the family>[910172427282937] were extracted.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, we selected 20 articles from among the identified articles by excluding 334 articles that had no descriptions about the decision-making about a place of death, six articles that focused on childhood cancer patients and their parents, three articles focusing on noncancer patients, and one article focusing on cancer patients with developmental disorders, 27 case study reports, and nine articles addressed at only medical professionals. Adding ten articles from a manual search using commonly known literature and cited articles to the twenty, we reviewed thirty articles[789101115161718192021222324252627282930313233343536373839] in total.…”

Section: Methodsmentioning

confidence: 99%

Decision-Making about the Place of Death for Cancer Patients: A Concept Analysis

Minamiguchi

2020

Asia-Pacific Journal of Oncology Nursing

View full text Add to dashboard Cite

Objective:The objective of the study was to conduct a concept analysis of “decision-making about the place of death for cancer patients” to develop a theoretical definition of the concept and identify its attributes, antecedents, and outcomes.Methods:The Rodgers' evolutionary model of concept analysis was used. A literature search for papers published from 2000 to 2017 was conducted using the keywords: “cancer,” “place,” “death,” and “decision-making” for the search of the electronic databases.Results:Thirty articles were selected for this analysis. As a result, five attributes, six antecedents, and five consequences were extracted. [options to choose as a place of death], [wishes of the patients themselves], [consideration of the burden on the family], [open discussions with other persons concerned], and [best choice according to circumstances] are considered to be the characteristics in the decision-making about the place of death for cancer patients.Conclusions:This concept is defined as “The best choice according to circumstances of the cancer patients among different options for a place of death, resulting from a careful evaluation of the wishes of these patients and the burden on the family, as well as through open discussions with other persons concerned.” Nurses need to assist patients discuss deaths with important others, such as family members, in making decisions about the place of death. Further studies are necessary to elucidate the details of the categories and relationships shown in the attributes in this study, investigating the actual conditions of the patients and their families.

show abstract

Facility-Related Factors Influencing the Place of Death and Home Care Rates for End-Stage Cancer Patients

Cited by 13 publications

References 9 publications

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

Impact of a Six-Year Project to Enhance the Awareness of Community-Based Palliative Care on the Place of Death

Decision-Making about the Place of Death for Cancer Patients: A Concept Analysis

Contact Info

Product

Resources

About