Development of checklist and education program for an integrated care pathway for end-of-life care in the community

• Project/Area Number: 26671029
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Community health nursing
• Research Institution: Tohoku University
• Principal Investigator: Taguchi Atsuko 東北大学, 医学系研究科, 准教授 (70359636)
• Co-Investigator(Kenkyū-buntansha): 深堀 浩樹 東京医科歯科大学, 保健衛生学研究科, 准教授 (30381916)
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: 在宅看取り / 施設看取り / 訪問看護 / 施設ケア / ケアの質 / 高齢者施設ケア / 終末期ケア / 地域看護学 / ツール開発 / ケアの質の担保 / 教育プログラム / チェックリスト

Outline of Final Research Achievements

We aimed to develop education program and checklist for end-of-life (EOL) care in home visiting nurse agencies and long-term care facilities. The checklist for EOL was one of components of an integrated care pathway for quality EOL care. The education program for EOL was conducted 19 nurses eight times in 1-hour sessions. After the intervention nurses showed significant improvement in knowledge of EOL care compared with before the intervention (16.4 to 19.5, p = 0.004). However, attitude and practice for EOL were not showed significant improvement.
We conducted a narrative literature review on EOL care in long-term care facilities. Further, group discussion was conducted both face-to-face and via email to discuss the appropriateness of the initial checklist among EOL experts. The resulting checklist is composed of six types of sheets in accordance with the trajectory of death, with items on physical symptoms and care contents, the EOL care that each resident requires, and family hope.

Research Products

• [Presentation] 在宅緩和ケアの質担保に向けた教育プログラムの開発 (2016)
  • Author(s): 沖永美幸, 白川美弥子,藤春千恵美, 佐伯由美, 矢津剛, 伊藤うらら, 田口敦子, 深堀浩樹, 山縣千尋, 菅野雄介, 宮下光令
  • Organizer: 第21回日本緩和医療学会学術集会
  • Place of Presentation: 京都（国立京都国際会館）
  • Year and Date: 2016-06-17
• [Presentation] Development of a checklist for an integrated care pathway for end-of-life care in a private nursing home in Japan (2016)
  • Author(s): Chihiro Yamagata
  • Organizer: 19th East Asia Forum of Nursing Scholars
  • Place of Presentation: Chiba (Makuharimesse)
  • Year and Date: 2016-03-14
• [Presentation] 在宅緩和ケアの質担保に向けたチェックリストおよび教育プログラムの開発（第１報）－文献検討－ (2015)
  • Author(s): 田口敦子
  • Organizer: 日本緩和医療学会
  • Place of Presentation: 横浜（パシフィコ横浜）
  • Year and Date: 2015-06-18
• [Presentation] 在宅緩和ケアの質担保に向けたチェックリストおよび教育プログラムの開発（第３報） (2015)
  • Author(s): 矢津剛
  • Organizer: 日本緩和医療学会
  • Place of Presentation: 横浜（パシフィコ横浜）
  • Year and Date: 2015-06-18
• [Presentation] 在宅緩和ケアの質担保に向けたチェックリストおよび教育プログラムの開発（第２報）ー訪問看護師調査による検討ー (2015)
  • Author(s): 白川美弥子
  • Organizer: 日本緩和医療学会
  • Place of Presentation: 横浜（パシフィコ横浜）
  • Year and Date: 2015-06-06