Patterns of visiting nurse services for older adults in Japanese residential facilities: A latent class analysis.

Aim: To examine the patterns of the visiting nurse services provided to older adults in a type of residential facility in Japan and to identify associated factors.

Methods: This secondary analysis used past survey data from visiting nurse service agencies providing services to older adults in residential facilities with few nurses, known as non-specified facilities in Japan. Approximately 515 cases were used to determine the patterns of visiting nurse services using latent class analysis.

Key strategies for managing nursing care under the COVID-19 pandemic: A multiple-case study of nursing directors.

Aim: We aim to identify measures implemented by hospital nursing directors early in the COVID-19 pandemic and enabling factors.

Background: Managerial factors affect nurses' physical and mental health and willingness to work, especially early in a pandemic.

Method: We used multiple-case study of 15 hospitals, comparing management approaches by interviewing 28 nursing directors and their assistants from August to December 2020.

Provision and related factors of end-of-life care in elderly housing with care services in collaboration with home-visiting nurse agencies: a nationwide survey.

Background: Japan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide. As such, solutions to potential obstacles must be studied to maintain healthy, productive lives for older adults. In 2011, the Japanese government has started a policy to increase "Elderly Housing with Care Services (EHCS)", which is one of a private rental housing, as a place where safe and secure end-of-life care can be provided.

[Feelings of difficulty experienced by home healthcare support workers in collaborative practice with medical professionals: Scale development].

Objective　Healthcare support workers play an important role in team healthcare. The objective of this study was to develop scales for measuring feelings of difficulty among home healthcare support workers when in collaborative practice with medical professionals.Methods　Scale drafts consisting of 10 questions were developed by an expert panel, using qualitative data from previous studies.

Effect of a multidisciplinary end-of-life educational intervention on health and social care professionals: A cluster randomized controlled trial.

Background: The aging of populations is rapidly accelerating worldwide. Especially, Japan has maintained the highest rate of population aging worldwide. As countermeasures, the Japanese government prioritized the promotion of local comprehensive care systems and collaboration in medical care and social (long-term) care.

Evaluation of the elements of interprofessional education for end-of-life care among homecare nurses, care managers, and head care workers: A cluster-randomized controlled trial.

Our group developed an interprofessional education (IPE) program for home-based end-of-life (EOL) care among health and welfare professionals, with the purpose of understanding professional roles in EOL care and promoting mutual respect among team members. This study aimed to verify the understanding and awareness of the elements of IPE. Seven districts in a city in Japan were cluster-randomized into an education group or a control group.

Job satisfaction and related factors of nurses in university hospitals: Focusing on collaborative competency factors.

Aim: This study aimed to clarify the association between nurses' job satisfaction, interprofessional collaborative competency and other related factors in university hospitals in Japan.

Background: Enhancing a team's function in the university hospital setting requires strengthening each professional's competency: high-level professional competency leads to high job satisfaction.

Methods: In 2014, self-administered questionnaires were sent to all nurses working at two university hospitals in Japan.

Analysis of team types based on collaborative relationships among doctors, home-visiting nurses and care managers for effective support of patients in end-of-life home care.

Aim: To define the team types consisting of doctors, home-visiting nurses and care managers for end-of-life care by measuring the collaboration relationship, and to identify the factors related to the team types.

Methods: A questionnaire survey of 43 teams including doctors, home-visiting nurses and care managers was carried out. The team types were classified based on mutual evaluations of the collaborative relationships among the professionals.

Life-space mobility and social support in elderly adults with orthopaedic disorders.

The purpose of this cross-sectional survey was to explore relationships between life-space mobility and the related factors in elderly Japanese people who attend orthopaedic clinics. The study measures included surveys of life-space mobility (Life-space Assessment (LSA) score), social support (social network diversity and social ties), physical ability (instrumental self-maintenance, intellectual activity, social role), orthopaedic factors (diseases and symptoms) and demographic information. The questionnaire was distributed to 156 subjects; 152 persons responded, yielding 140 valid responses.

Determinants of financial performance of home-visit nursing agencies in Japan.

Background: Japan has the highest aging population in the world and promotion of home health services is an urgent policy issue. As home-visit nursing plays a major role in home health services, the Japanese government began promotion of this activity in 1994. However, the scale of home-visit nursing agencies has remained small (the average numbers of nursing staff and other staff were 4.

Nursing homes and end-of-life care in Japan.

Objectives: To describe end-of-life care in Japanese nursing homes by comparing facility and characteristics of residents dying in nursing homes with those who had been transferred and had died in hospitals, and by comparing the quality of end-of-life care with hospitals and with their respective counterparts in the United States.

Setting: National sample of 653 nursing homes with responses from 371 (57%) on their facility characteristics, 241 (37%) on their resident characteristics, and 92 (14%) on the residents' quality of life. All 5 hospitals in a city 80 miles from Tokyo cooperated.

Japan's policy of promoting end-of-life care in nursing homes: impact on facility and resident characteristics associated with the site of death.

Objective: To evaluate the impact of the policy to encourage nursing homes to provide end-of-life care by comparing facility and resident variables associated with dying within the nursing home and not in hospitals, and by comparing life sustaining treatment (LST) respectively provided.

Method: Questionnaires mailed to an 11% random sample of 653 nursing homes in 2009. Facility characteristics from 371 nursing homes (57%) and resident characteristics of the 1158 who had been discharged due to death were obtained from 241 facilities (37%).

Predictors of dying at home for patients receiving nursing services in Japan: A retrospective study comparing cancer and non-cancer deaths.

Background: The combined effects of the patient's and the family's preferences for death at home have in determining the actual site of death has not been fully investigated. We explored this issue on patients who had been receiving end-of-life care from Visiting Nurse Stations (VNS). In Japan, it has been the government's policy to promote end-of-life care at home by expanding the use of VNS services.

Life sustaining treatment at end-of-life in Japan: do the perspectives of the general public reflect those of the bereaved of patients who had died in hospitals?

Objective: To compare the perspectives of the general public and of the bereaved of patients who had died in hospitals on life sustaining treatment (LST).

Method: Two self-administered questionnaire surveys were conducted in a city in Japan. The general public survey was mailed to a stratified sample of 1000 residents aged 20 and over, of which 419 (42%) responded.