Guideline of decision-making process for terminal care and nurses' attitudes in long-term care setting
- MATSUI Miho
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This study examined nurses' awareness of guidelines in the decision-making process for terminal care, and knowledge and clinical practice about hospice and palliative care for older adults in long-term care settings. A cross-sectional survey was conducted using a questionnaire. A convenience sample of 127 nurses belonging in two hospitals with long-term care wards participated in this study. Survey items included demographics, knowledge and clinical practice about hospice and palliative care, and nurses' attitudes towards death and dying. The mean age was 39.4±9.6 years, 118 (92.9%) female, and 15.2±9.2 years of nursing experience. Awareness of the guideline was that 70 (55.1%) knew it, although 57 (44.9) did not know it at all. Factors associated with awareness were knowledge and clinical practice regarding hospice and palliative care. On the other hand, demographics and attitudes towards death and dying were not significantly related. Knowledge of hospice and palliative care was higher for symptom management and teamwork compared to pain management and providing information about long-term care insurance for discharge. Additionally, lower point of practice regarding hospice and palliative care than knowledge was observed. These results suggest that palliative care skills and good teamwork were indispensable in the decision-making process for terminal care.
Bioethics 19 (1), 106-111, 2009
Japan Association for Bioethics