Premium
Consensus development of quality indicators for end‐of‐life care for elders in J apan
Author(s) -
Masaki Harue,
Kawai Nobuko,
Matsumoto Keiko,
Kuwata Miyoko,
Yoshioka Sachiko,
Nishiyama Midori,
Uchino Ryoko,
Nagae Hiroko,
Teshima Megumi,
Sakai Sayuri,
Endo Kazuko
Publication year - 2017
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12562
Subject(s) - delphi method , context (archaeology) , nursing , quality (philosophy) , quality of life (healthcare) , geriatrics , medicine , end of life care , perspective (graphical) , delphi , psychology , gerontology , palliative care , paleontology , philosophy , statistics , mathematics , epistemology , artificial intelligence , psychiatry , computer science , biology , operating system
Aims and objectives Quality 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. Methods To develop the quality indicators, we used a literature review, expert panel process, and the Delphi technique among clinical nurse specialists in geriatrics. Results Quality 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. Conclusions These quality indicators represent the first attempt to develop a best practices approach toward improving the quality of elderly end‐of‐life care in nursing.