Quality Evaluation and Improvement for End-of-life Care toward Residents in Long Term Care Facilities in Japan: A Literature Review

Ogawara, Hirofumi; Fukahori, Hiroki; Hirooka, Kayo

doi:10.2512/jspm.11.401

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Globally, many studies conducted in long-term care facilities have focused on the effectiveness of palliative care interventions for improving staff knowledge and staff and family satisfaction (Ogawara et al ., 2016; Iida et al ., 2021). The importance of understanding patients' and families' beliefs regarding pain has been highlighted (Martin and Barkley, 2016; Giezendanner et al ., 2017), in addition to the influence of culture on palliative care provision in long-term care facilities (Cable-Williams and Wilson, 2017).…”

Section: Introductionmentioning

confidence: 99%

An exploration of the views of staff on cultural aspects of end-of-life care in Japanese long-term care facilities: a qualitative study

et al. 2022

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Long-term care facilities are increasingly important places for palliative and end-of-life care provision in Japan. While the importance of culture has been noted for palliative and end-of-life care, an exploration of its influence on care provision in long-term care settings has received little direct attention in Japan. Exploring staff views and beliefs in palliative and end-of-life care in these settings can potentially enhance our understanding of culturally oriented care and facilitate the development of tailored and more effective support practices. This study aimed to explore the cultural views and beliefs regarding palliative and end-of-life care among the staff in Japanese long-term care facilities. A qualitative exploratory study was conducted using focus groups with facility staff (N = 71) and semi-structured interviews with facility managers (N = 10) in the Kanto region of Japan. Thematic analysis was conducted according to Braun and Clarke's approach. The findings are presented in five key themes: ‘Changes in society's and family's end-of-life perspectives’, ‘Values and beliefs regarding death and dying’, ‘Anxiety and regret’, ‘Tensions in doing the right thing’ and ‘Ways of alleviating pressure’. The findings indicate that the provision of palliative and end-of-life care is underpinned by cultural nuances that influence care providers' approach and delivery. Recognising and understanding the cultural beliefs of staff around death, dying and end-of-life care are important in meeting the needs of residents. Palliative care education for staff in these settings should include cultural considerations that reflect changing societal views on death and dying.

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Section: Introductionmentioning

confidence: 99%

An exploration of the views of staff on cultural aspects of end-of-life care in Japanese long-term care facilities: a qualitative study

et al. 2022

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“…As a result, the involvement of nurses and care workers in end-of-life care in LTCFs is expected to increase in the future. However, education regarding end-of-life care is insufficient, especially for care workers [ 6 , 7 , 32 ], and interventions to improve end-of-life care in LTCFs are scant in Japan [ 33 ]. Additionally, care workers have high anxiety toward end-of-life care and feel it to be a burden [ 7 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Effect and Acceptability of an Intervention to Improve End-of-Life Care in Long-Term-Care Facilities: A Feasibility Study

et al. 2021

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The number of deaths of older adults in long-term care settings will increase with the aging population. Nurses and care workers in these settings face various challenges in providing end-of-life care, and interventions for quality end-of-life care may be useful. This feasibility study aims to explore the preliminary effect and acceptability of an intervention named the EOL Care Tool to improve end-of-life care in long-term-care facilities. We conducted a single-arm quasi-experimental study using mixed methods. This tool consisted of multiple components: professionalized lectures, newly developed structured documents, regular conferences regarding end-of-life care, and educational support from administrators. Twenty-four nurses and fifty-five care workers employed in a long-term care facility participated. For nurses, improvement in attitudes toward end-of-life care (p < 0.05) and interdisciplinary collaboration (p < 0.05) were shown quantitatively. Regarding acceptability, nurses and care workers evaluated the tool positively except for the difficulty of using the new documents. However, qualitative results showed that care workers felt the reluctance to address the work regarding end-of-life care. Therefore, a good preliminary effect and acceptability for nurses were indicated, while acceptability for care workers was only moderate. Revision to address the mentioned issues and evaluation of the revised tool with a more robust research design are required.

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“…In addition, more than 60% of residents’ family members wish for the residents to spend their final days in the group home, with which they are familiar [ 6 ]; this is expected to further promote end-of-life care. To improve the quality of end-of-life care in these facilities, the practice of advance care planning (ACP) is comparably important to the home facilities themselves [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Implementation of an Advance Care Planning Inventory and Its Possible Effect on Quality of Dying: A Nationwide Cross-Sectional Study in Group Homes for Persons with Dementia in Japan

et al. 2021

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This study aimed to develop an inventory for advance care planning implementation for persons with dementia in group homes and to examine the association between inventory implementation and residents’ quality of dying. A nationwide cross-sectional study was conducted via questionnaires mailed from 2000 group homes in Japan, selected through stratified random sampling. Participants were managers and care planners who had provided end-of-life care for recently deceased residents. The newly developed inventory was used to assess advance care planning implementation for persons with dementia, and the Quality of Dying in Long-term Care Scale was used to evaluate quality of dying. The valid response rate was 28.5% (n = 569). The factor structure of the newly developed Advance Care Planning Practice Inventory and the association between its implementation and quality of dying were verified using factor analysis and internal consistency, and logistic regression, respectively. The composite score and the factor score of the newly developed inventory were significantly associated with quality of dying (p < 0.05). The implementation of advance care planning improves the quality of dying. These findings can be used in development of educational programs, as well as research on advance care planning for care providers.

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Quality Evaluation and Improvement for End-of-life Care toward Residents in Long Term Care Facilities in Japan: A Literature Review

Cited by 5 publications

References 6 publications

An exploration of the views of staff on cultural aspects of end-of-life care in Japanese long-term care facilities: a qualitative study

An exploration of the views of staff on cultural aspects of end-of-life care in Japanese long-term care facilities: a qualitative study

Preliminary Effect and Acceptability of an Intervention to Improve End-of-Life Care in Long-Term-Care Facilities: A Feasibility Study

Implementation of an Advance Care Planning Inventory and Its Possible Effect on Quality of Dying: A Nationwide Cross-Sectional Study in Group Homes for Persons with Dementia in Japan

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