Affiliation:
1. Faculty of Nursing and Medical Care Keio University Fujisawa Japan
2. Graduate School of Nursing Chiba University Chiba Japan
3. Graduate School of Health Care Science Tokyo Medical and Dental University Tokyo Japan
Abstract
AimTo 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.MethodsThis 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. Multinomial logistic regression analysis examined the relationships between identified classes, residents' characteristics, facilities, and services provided by visiting nurses.ResultsThree service patterns were identified as follows: Class 1, observational and follow‐up care (37.1%); Class 2, chronic disease care (35.7%); and Class 3, end‐of‐life care (27.2%). Class 1 comprised fewer nursing services than the other classes and primarily involved the observation of medical conditions, whereas Classes 2 and 3 involved higher care‐need levels and provided diverse nursing care support. Specifically, Class 3 was associated with the inclusion of family (odds ratio: 2.42) and a visiting nurse at the attached facility (odds ratio: 4.88).ConclusionsThe three identified classes describe the older residents' healthcare needs. Additionally, the factors associated with the end‐of‐life care class suggest that older residents with these factors may have difficulty accessing end‐of‐life care by visiting nurses. Geriatr Gerontol Int 2023; 23: 326–333.
Reference26 articles.
1. Japanese Cabinet Office. Annual Report on the Ageing Society [Summary] FY2021;2021[Cited 11 Feb 2022]. Available from:https://www8.cao.go.jp/kourei/english/annualreport/2021/pdf/2021.pdf.
2. National Institute of Population and Social Security Research. Population and Social Security in Japan. Japan;2019[cited 11 Feb 2022]. Available from:http://www.ipss.go.jp/s-info/e/pssj/pssj2019.pdf.
3. What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death
4. Long-term care
5. PhillipsCD HawesC SpryK RoseM. Residents Leaving Assisted Living: Descriptive and Analytic Results from a National Survey: U.S. Department of Health and Human Services;2000[Cited 11 Feb 2022]. Available from:https://aspe.hhs.gov/reports/residents-leaving-assisted-living-descriptive-analytic-results-national-survey-1.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献