4.2 Article

Consensus development of quality indicators for end-of-life care for elders in Japan

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出版社

WILEY
DOI: 10.1111/ijn.12562

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consensus development; Delphi method; end-of-life; geriatrics; guidelines; nursing care

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  1. Japan Society for the Promotion of Science

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Aims and objectivesQuality indicators for end-of-life care have been published; however, none have been developed specifically for nursing in the cultural and traditional context of Japan. This study aimed to develop and build a consensus of quality indicators for end-of-life care for elders in Japan from the perspective of nursing science. MethodsTo develop the quality indicators, we used a literature review, expert panel process, and the Delphi technique among clinical nurse specialists in geriatrics. ResultsQuality indicators were identified in 7 major areas: advance directives and surrogate continuity, ethical daily care, care preferences and decisions about life-sustaining treatment, assessment and management of pain and other symptoms, daily care for the dying, family care, and institutional systems for end-of-life care. ConclusionsThese quality indicators represent the first attempt to develop a best practices approach toward improving the quality of elderly end-of-life care in nursing.

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