Factors Associated with General Hospital Nurses’ Self-evaluations of End-of-life Care Practices for Non-cancer Patients
- VernacularTitle:一般病院の看護師による非がん疾患患者へのエンドオブライフケアの実践の自己評価に関連する要因
- Author:
Yumi AKUTA
1
;
Mariko TANIMOTO
2
;
Sumie IKEZAKI
3
Author Information
- Keywords: non-cancer; end-of-life care; nurse; self-evaluation; team care
- From:Palliative Care Research 2024;19(2):99-107
- CountryJapan
- Language:Japanese
- Abstract: Purpose: To elucidate the factors associated with self-evaluations of end-of-life care (EOLC) practices for non-cancer patients experienced by nurses in general hospitals. Methods: A questionnaire survey was conducted involving 1161 nurses from general hospitals. Results: Comparing the realities of 648 cancer cases with those of 306 non-cancer cases in terms of end-of-life care practices, it was found that significantly lower EOLC self-evaluation scores (on a 10-point scale), fewer instances of eliciting patients’ intentions or wishes, and fewer team discussions related to EOLC practices were observed in the non-cancer cases. (p<0.001). For each disease, pneumonia and heart disease tended to be lower. Self-evaluation of EOLC practices was consistently associated with eliciting patients’ intentions and wishes (β=0.21 for cancer, β=0.16 for non-cancer), and team discussions (β=0.25 for cancer, β=0.35 for non-cancer) for both cancer and non-cancer cases. Conclusion: General hospital nurses’ self-evaluations of EOLC practices for non-cancer patients were lower compared to those for cancer patients. It is necessary to enhance their skills in eliciting patients’ intentions and wishes and to implement a system of care for team discussion.
