Intervention and Implementation Studies on Integrated Care Pathway for End-of-Life Care in Long-term Care Facilities: A Scoping Review

Chihiro Yamagata; Kayo Hirooka; Yusuke Kanno; Atsuko Taguchi; Sachiko Matsumoto; Mitsunori Miyashita; Hiroki Fukahori

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Intervention and Implementation Studies on Integrated Care Pathway for End-of-Life Care in Long-term Care Facilities: A Scoping Review

VernacularTitle:高齢者ケア施設におけるエンド・オブ・ライフケアのIntegrated Care Pathwayに関する介入・実装研究：スコーピングレビュー
Author: Chihiro YAMAGATA ¹ ; Kayo HIROOKA ² ; Yusuke KANNO ³ ; Atsuko TAGUCHI ⁴ ; Sachiko MATSUMOTO ⁵ ; Mitsunori MIYASHITA ⁶ ; Hiroki FUKAHORI ⁷
Author Information

1. Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University
2. Mental Health Promotion Project Tokyo Metropolitan Institute of Medical Science Funabori Home Nurse Niji
3. Division of Psycho-Oncology, Exploratory Oncology Research&Clinical Trial Center, National Cancer Center
4. Department of Public Health Nursing, Division of Health Sciences, Graduate School of Medicine, Tohoku University
5. Seirei Social Welfare Community Seirei Fujisawa Welfare Town
6. Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
7. Division of Gerontological Nursing, Faculty of Nursing and Medical Care, Keio University
Keywords: residential facilities; end of life care; critical pathways; review
From:Palliative Care Research 2018;13(4):313-327
CountryJapan
Language:Japanese
Abstract: Purpose: Integrated care pathway (ICP) is structured multidisciplinary care plan that aim to improve the quality of care. ICP could be effective in providing quality End-of-Life (EOL) care in long-term care facilities (LTCFs). However, the outcomes and components of ICP for EOL care in LTCFs are not clear. Methods: We conducted a scoping review to identify the outcomes and components. We searched electronic databases (PubMed, CINAHL, Cochrane Library, PsycINFO, Ichushi) and conducted an additional hand search for relevant journal articles related to EOL care. We searched intervention and implementation studies for ICP in EOL care in LTCFs. Results: Thirteen papers met the inclusion criteria. We identified the following components of ICP: documents, education regarding EOL care and ICP, support by experts, and regular conferences among care providers. The effects of ICP were reported as reductions in transfers to hospitals and improvement in staff confidence regarding EOL care. Conclusion: With reference to the components of ICP identified in this study, ICP should be developed based on the characteristics of LTCFs, and the effects of intervention or implementation studies using a more robust design should be examined.