Factors associated with quality of end-of-life care in the long-term care setting

• Project/Area Number: 18K17633
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Tokyo Medical and Dental University
• Principal Investigator: Morioka Noriko 東京医科歯科大学, 大学院保健衛生学研究科, 講師(キャリアアップ) (70805746)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Project Status: Completed (Fiscal Year 2021)
• Budget Amount: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
• Keywords: 看護ケアの質 / 認知症ケア / DPCデータ / 長期療養施設 / ケアの質 / 看護配置 / 長期療養 / 看取り / 看護の質

Outline of Final Research Achievements

In this study, we focused on quality of nursing care in the long-term care setting where people live their end-of-life in the aging society. We obtained three findings using nationwide large sample administrative data:1) home deaths were fewer prevalent in municipalities with greater long-term care resources; 2) long-term care facilities without physical restraint use were more likely to having a manual for physical restraint; and 3) adverse events are more likely to occur in older adults with dementia than in those without dementia after hip surgery.

Academic Significance and Societal Importance of the Research Achievements

本研究にて明らかとなった全国規模のデータを用いた成果は、今後益々ニーズが高まる長期療養施設における質の高い看護ケアを持続可能な形で提供するための効果的な政策提言に資する基礎資料となることが期待できる。

Research Products

• [Journal Article] Dementia and patient outcomes after hip surgery in older patients: A retrospective observational study using nationwide administrative data in Japan (2021)
  • Author(s): Morioka Noriko、Moriwaki Mutsuko、Tomio Jun、Fushimi Kiyohide、Ogata Yasuko
  • Journal Title: PLOS ONE Volume: 16 Issue: 4 Pages: e0249364-e0249364
  • DOI: 10.1371/journal.pone.0249364
  • Peer Reviewed / Open Access
• [Journal Article] Structure and process of dementia care and patient outcomes after hip surgery in elderly people with dementia: A retrospective observational study in Japan (2020)
  • Author(s): Morioka Noriko、Moriwaki Mutsuko、Tomio Jun、Kashiwagi Masayo、Fushimi Kiyohide、Ogata Yasuko
  • Journal Title: International Journal of Nursing Studies Volume: 102 Pages: 103470-103470
  • DOI: 10.1016/j.ijnurstu.2019.103470
  • Peer Reviewed
• [Journal Article] Training opportunities and the increase in the number of nurses in home-visit nursing agencies?in Japan: a panel data analysis (2019)
  • Author(s): Morioka Noriko、Okubo Suguru、Yumoto Yoshie、Ogata Yasuko
  • Journal Title: BMC Health Services Research Volume: 19 Issue: 1 Pages: 1-13
  • DOI: 10.1186/s12913-019-4225-8
  • Peer Reviewed / Open Access
• [Journal Article] 【病院データは"宝の山"! データ分析に基づく看護マネジメント日々の数字を根拠に,現場を改革するために】病院データを用いて,提供した看護の質を評価する 大腿骨手術を受けた高齢患者のアウトカムと看護提供体制を例に (2019)
  • Author(s): 森岡 典子
  • Journal Title: 看護管理 Volume: 29(7) Pages: 628-634
• [Journal Article] Association between local-level resources for home care and home deaths: a nationwide spatial analysis in Japan (2018)
  • Author(s): Morioka, N., Tomio, J., Seto, T., Yumoto, Y., Ogata, Y. and Kobayashi, Y.
  • Journal Title: PLoS ONE Volume: 13(8) Issue: 8 Pages: 1-13
  • DOI: 10.1371/journal.pone.0201649
  • Peer Reviewed / Open Access
• [Journal Article] 介護保険施設における身体拘束実施の施設要因及び各都道府県の身体拘束実施割合の比較 (2018)
  • Author(s): 平谷 七美, 森岡 典子, 佐々木 美樹, 湯本 淑江, 緒方 泰子
  • Journal Title: 日本看護評価学会誌 Volume: 8 (1) Pages: 11-19
  • Peer Reviewed
• [Presentation] RWDを用いた政策効果検証ー認知症ケア加算の効果評価に関する研究ー (2021)
  • Author(s): 森岡典子
  • Organizer: 第25回日本看護管理学会学術集会
  • Invited
• [Presentation] 大腿骨手術症例を対象とした看護配置と患者アウトカムの関連－DPCデータを用いた後ろ向きコホート研究－ (2019)
  • Author(s): 森岡典子, 森脇睦子, 緒方泰子.
  • Organizer: 第23回日本看護管理学会学術集会
• [Presentation] 介護保険施設における身体拘束の廃止に関する都道府県の取り組みの実態ーインターネット公開資料からー (2019)
  • Author(s): 平谷七美,森岡典子,佐々木美樹,湯本淑江,緒方泰子
  • Organizer: 第9回 日本看護評価学会学術集会