AI Article Synopsis
- Over 60% of Japanese individuals prefer to die at home, highlighting the key role of home care providers in facilitating this outcome.
- A study analyzed data from a 2015 survey of home visiting nursing agencies in Fukuoka, Japan, focusing on nurses' coordination with physicians and its influence on clients' place of death.
- Results indicated that strong relational coordination between nurse managers and physicians significantly increased the likelihood of clients dying at home, with odds ratios suggesting over two-fold higher chances for home deaths.
Article Abstract
Aim: Over 60% of Japanese people hope to die at home; hence, assisting clients in achieving this outcome is an important responsibility of home care providers. This study investigated the effects of nurses' relational coordination with physicians on clients' place of death in home visiting nursing (HVN) agencies.
Method: Secondary analysis of a public survey conducted in 2015 by local governments in Kurume city, Fukuoka prefecture, Western Japan. Manager nurses from 17 HVN agencies provided data about themselves and their relational coordination with community physicians and 85 deceased clients.
Results: Among 85 deceased clients, 52 (61.2%) had died at home. Four regression models showed significant positive effects of HVN nurse managers' relational coordination on clients' home death (the odds ratios (95% CI) were 2.488 (1.442-4.293), 2.111 (1.014-4.396), 2.562 (1.409-4.658) and 2.275 (1.079-4.796) in models 1-4, respectively.
Conclusion: Measuring relational coordination among HVN nursing managers and physicians indicated readiness for home death among HVN clients in an agency or community.
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| http://dx.doi.org/10.12968/ijpn.2017.23.3.136 | DOI Listing |
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