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

2017 ◽  
Vol 17 (11) ◽  
pp. 1943-1950 ◽  
Author(s):  
Junko Fujita ◽  
Sakiko Fukui ◽  
Sumie Ikezaki ◽  
Chizuru Otoguro ◽  
Mayuko Tsujimura
2014 ◽  
Vol 2 (3) ◽  
Author(s):  
Mahiro Sakai ◽  
Midori Mizui ◽  
Takashi Naruse ◽  
Satoko Nagata

2015 ◽  
Vol 16 (3) ◽  
pp. 129-140 ◽  
Author(s):  
Noriko Yamamoto-Mitani ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Yukie Takemura ◽  
Miho Suzuki

Good interprofessional work (IPW) is essential to provide quality home-based end-of-life (EOL) care. The purpose of this study was to explore the factors of “good collaboration,” as evaluated separately by home care nurses (HNs), home helpers (HHs), and care managers (CMs). The relationship was examined between their evaluation of good collaboration and their recent actual experience of interprofessional collaborative work for a home-based EOL case. The questionnaire was returned nationwide by 378 HNs, 305 HHs, and 476 CMs, and data were collected on 177 EOL cases from HNs, 84 cases from HHs, and 123 cases from CMs. Evaluation of good collaboration by HNs was associated with working with a CM with whom they had multiple collaborative experiences, the client being independent for their toileting until just before dying, and sharing information regarding the client’s EOL decision with an HH 1 month before dying. Evaluation of good collaboration by HHs was associated with working at an agency that collaborated with fewer CM agencies and working at an agency that allowed staff to visit dying clients. Evaluation of good collaboration by CMs was associated only with the client being dependent for toileting. Our results highlighted the characteristics of how each professional seeks to collaborate depending on their preparedness, contexts, and resultant expectations toward other professionals when entering the IPW for home-based EOL care. To promote good IPW for home-based EOL care further, professionals need to understand these differences among ourselves and try to meet others’ expectations.


AAOHN Journal ◽  
2002 ◽  
Vol 50 (12) ◽  
pp. 553-558
Author(s):  
Kathleen L. Sitzman ◽  
Marjorie A. Pett ◽  
Donald S. Bloswick

Driving is a fundamental function of home care and hospice professionals. This study presents the first published information on occupational health issues related to motor vehicle use in this group. Findings and recommendations should be considered for organizations and visiting staff.


2019 ◽  
Vol 5 (2) ◽  
pp. 89-130
Author(s):  
Sukhee Kim ◽  
◽  
Soongnang Jang ◽  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jessica A. L. Borbasi ◽  
Allison Tong ◽  
Alison Ritchie ◽  
Christopher J. Poulos ◽  
Josephine M. Clayton

Abstract Background End of life care for residents with advanced dementia in the aged care setting is complex. There is prolonged and progressive cognitive decline, uncertain disease trajectory, significant symptom burden and infrequent access to specialist palliative care. Residential aged care managers offer a unique perspective in understanding the experience of providing end of life care for residents with advanced dementia. They bring insight from the coalface to the broader policy context. The aim of this study was to describe the experience and perspectives of residential aged care managers on providing end of life care for residents living with dementia. Methods Focus groups and semi-structured interviews were conducted with residential or care managers from various care homes from one dementia specific aged care organisation in Australia. A comprehensive sampling strategy was used in participating care homes. Transcripts were analysed using thematic analysis. Results 20 residential or care managers from 11 aged care homes in two states of Australia participated in two focus groups (total 16 participants) or individual interviews (4 participants). Six themes were identified: laying the ground work to establish what families understand about dementia, playing the peacemaker in the face of unrealistic family demands and expectations, chipping away at denial and cultivating a path towards acceptance of death, recruiting general practitioners as allies, supporting and strengthening the front line, and dedication to optimal care is relentless but rewarding. Conclusion Aged care manager participants described provision of end of life dementia care as a rewarding but sometimes fraught experience requiring persistent personalisation of care and communication to enable family acceptance of the resident’s terminal condition. The findings suggest that continuous front line aged care staff skill development, iterative family discussions, and partnership building between aged care staff and general practitioners, are all required to promote optimal end of life dementia care in residential aged care settings.


1994 ◽  
Vol 22 (1-2) ◽  
pp. 147-160 ◽  
Author(s):  
Eileen R. Chichin ◽  
Leah Ferster ◽  
Natalie Gordon

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