Characteristics of Home Nursing Agencies for Nurses Which Recognize That They Provide Quality Terminal Care : Relationship to Profitability, Cooperation with Medical Institutions, and User Characteristics

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  • Osono Yasufumi
    Juntendo University Faculty of Health Care and Nursing
  • Fukui Sakiko
    Department of Community Health Nursing, Graduate School of Nursing, The Japanese Red Cross University

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Other Title
  • 終末期を得意とする訪問看護事業所の特徴 : 経営管理状況,医療機関との連携,および利用者の特性との関連
  • シュウマツキ オ トクイ ト スル ホウモン カンゴ ジギョウショ ノ トクチョウ : ケイエイ カンリ ジョウキョウ,イリョウ キカン ト ノ レンケイ,オヨビ リヨウシャ ノ トクセイ ト ノ カンレン

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Objective: The objective of this study was to clarify the relationship between home nursing agencies for nurses which recognize that they provide quality terminal care and the profitability, cooperation with medical institutions, and user characteristics. Method: A questionnaire survey was conducted with visiting nurses at 2,750 home nursing service providers nationwide. The relationship between the characteristics of users of home nursing services was examined specifically in terms of patient care, and the facility background of home nursing agencies for nurses that recognize they provide quality terminal care was analyzed using a logistic regression formula. Results: Ninety home nursing services listed terminal illness as a characteristic of users, by which they demonstrated their recognition that they provide quality terminal care. The home nursing agencies for nurses which recognized that they provide such quality terminal care had the following qualities compared with other services: an additional charge for a 24-hour support system on insurance claims had been filed (OR = 3.89 ; 95%, CI: 1.71-8.83), more users ranked C on the scale of independent living (health insurance) (OR = 2.0 ; 95%, CI: 1.16-3.43), more medical institutions (home care support clinics) issued written orders (OR = 2.11 ; 95%, CI: 1.33-3.35), more reports were submitted to discharging hospitals and institutions (OR = 1.65 ; 95%, CI: 1.04-2.62), and more summaries were written at the time of admission to hospitals and institutions (OR = 1.1 ; 95%, CI: 1.01-1.21). Conclusion: This study revealed that home nursing agencies that offer 24-hour support, as well as services that actively cooperate with home care support clinics and hospitals by providing support upon discharge and admission, demonstrated the recognition that they provide quality terminal care.

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