Actual Situations and Factors Related to Nursing Activities in Supporting the Transition to Homecare Settings for End-Stage Cancer Patients in General Wards in Japan
| Autor: | Harumi Katayama, Saori Yoshioka |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Response rate (survey)
Terminal Care business.industry General Medicine Home Care Services Nonverbal communication Interpersonal relationship Cross-Sectional Studies Japan Nursing Neoplasms Scale (social sciences) Patients' Rooms Humans Medicine Nurse education business End-of-life care Educational program End stage cancer |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 38:750-757 |
| ISSN: | 1938-2715 1049-9091 |
| Popis: | This study aimed to investigate actual situations of nursing activities in supporting the transition to homecare settings for end-stage cancer patients and to determine factors related to executing such nursing activities from the perspectives of communication skills and interprofessional collaboration. A cross-sectional study was conducted with 513 nurses who worked at designated cancer care hospitals in Japan. A total of 318 valid responses were obtained (valid response rate: 62.0%). Scores for nursing activities were higher for the following items: sharing information regarding the transition to homecare settings, intentionally engaging with patients after their medical conditions were explained, providing care for families, and understanding a patient's will about the transition to homecare settings. On the other hand, scores were lower for items that were related to guiding juniors and self-improvement. A multiple regression analysis was performed with nursing activities as the dependent variable. 8 factors related to nursing activities were determined: experience in supporting the transition to homecare settings as a primary nurse, contribution to a team (Team Approach Assessment Scale [TAAS]), years of nursing experience, function of a team (TAAS), regulation of interpersonal relationship (ENDCOREs communication skills scale), experience of participation in homecare nursing education or seminars, verbal communication skills for good communication (End-of-life Care Nurses’ Communication Skills scale), and educational background. Future challenges include developing an educational program based on the results of the present study and promoting educational intervention studies. |
| Databáze: | OpenAIRE |
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