Quality Evaluation and Improvement for End-of-life Care toward Residents in Long Term Care Facilities in Japan: A Literature Review
10.2512/jspm.11.401
- VernacularTitle:日本の高齢者ケア施設における看取りの質の評価・改善に関する研究の動向
- Author:
Hirofumi Ogawara
;
Hiroki Fukahori
;
Kayo Hirooka
;
Mitsunori Miyashita
- Publication Type:Journal Article
- Keywords:
end of life care;
long term care facilities;
literature review
- From:Palliative Care Research
2016;11(1):401-412
- CountryJapan
- Language:Japanese
-
Abstract:
Long-term care facilities have important roles providing end-of-life-care in Japan. The purpose of this literature review was to examine the current research trend regarding quality evaluation and improvement for end-of-life-care in Japanese long-term care facilities. From a search of key medical databases, potential articles regarding end of life at long-term care facilities were retrieved. We classified retrieved 23 literatures into four research types; four intervention studies, three surveys for development educational / quality improvement tool, thirteen cross-sectional surveys, three qualitative studies. Despite the current increment of the literatures, intervention studies were a few. Related factors of the death in the facilities included administrators’ policy regarding end of life care, and collaboration with the medical institutions, and clear family decision making regarding end of life care. Some research indicated that staffs in long-term care facilities felt difficulty in collaborating with medical institutions, conducting interdisciplinary work, and confirming residents’ intention regarding end-of-life. The results indicate that conducting quality intervention study, supporting administrators of long-term care facilities, promoting residents and family decision making and education for the staffs in long-term care facilities might be effective to improve quality of end-of-life care in long-term care facilities.
