Conflicts in the end-of-life care: Interviews with care staff by Buddhist priests and researchers

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  • Okamura Tsuyoshi
    Tokyo Metropolitan Institute of Gerontology, Research Team for Promoting Independence and Mental Health
  • Ogawa Yukan
    Taisho University, Institute of Regional Development
  • Takase Akinori
    Taisho University, Faculty of Socio-Symbiosis
  • Shimmei Masaya
    Den-en Chofu University, Department of Psychology and Welfare, Faculty of Human Welfare
  • Toishiba Shiho
    Japan Society for the Promotion of Science
  • Ura Chiaki
    Tokyo Metropolitan Institute of Gerontology, Research Team for Promoting Independence and Mental Health

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Other Title
  • 死が近い高齢者をケアする際の葛藤：ケアスタッフが僧侶と研究者に語ったこと
  • シ ガ チカイ コウレイシャ オ ケア スル サイ ノ カットウ : ケアスタッフ ガ ソウリョ ト ケンキュウシャ ニ カタッタ コト

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Abstract

<p>Aim: Interprofessional communication and collaboration is essential for a better end-of-life and death, where individual dying people are respected and their satisfaction is the goal. The aim of this study is to explore 1) ethical conflicts viewed by care staff of geriatric institutions, 2) their views about geriatric medicine, and 3) their views about religion in the context of institutional end-of-life care.</p><p>Methods: Semi-structured interviews were conducted by Buddhist priests and researchers with nine care workers who worked in nursing homes or long-stay geriatric hospitals. This interview was conducted as part of a research project that investigated the feasibility of the engagement of religious workers in the geriatric care setting.</p><p>Results: Regarding ethical conflicts, six themes were merged: difficulty in knowing the will of the person being cared for, dissonance with the family, older person's wish to die, losing the purpose for living, staff not being used to death, and families not being used to death. Regarding geriatric medicine, eight themes were merged: gratitude for cooperation, persuasive explanation, not accepting death, not allowing patients to share a peer's death, cold attitude, being drug therapy centered, not being person-centered, and heavy burden for patients. Regarding religion, five themes were merged: expectation for salvation, barrier to hospitals, already involved in nursing homes, explicit religious traits are acceptable, and favorable character of religious workers in institutions.</p><p>Conclusions: Communication between geriatric physicians, care staff, and mainstream religious workers, with the aim of providing a better quality of end-of-life and death, is beneficial in a super-aged society.</p>

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