Consensus development of quality indicators for end-of-life care for elders in Japan.

Autor: Masaki, Harue, Kawai, Nobuko, Matsumoto, Keiko, Kuwata, Miyoko, Yoshioka, Sachiko, Nishiyama, Midori, Uchino, Ryoko, Nagae, Hiroko, Teshima, Megumi, Sakai, Sayuri, Endo, Kazuko
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Zdroj: International Journal of Nursing Practice (John Wiley & Sons, Inc.); Jun2017 Supplement 1, Vol. 23, pn/a-N.PAG, 27p
Abstrakt: Aims and objectives Quality indicators for end-of-life care have been published; however, none have been developed specifically for nursing in the cultural and traditional context of Japan. This study aimed to develop and build a consensus of quality indicators for end-of-life care for elders in Japan from the perspective of nursing science. Methods To develop the quality indicators, we used a literature review, expert panel process, and the Delphi technique among clinical nurse specialists in geriatrics. Results Quality indicators were identified in 7 major areas: advance directives and surrogate continuity, ethical daily care, care preferences and decisions about life-sustaining treatment, assessment and management of pain and other symptoms, daily care for the dying, family care, and institutional systems for end-of-life care. Conclusions These quality indicators represent the first attempt to develop a best practices approach toward improving the quality of elderly end-of-life care in nursing. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index