@article{oai:saku.repo.nii.ac.jp:00000075,
 author = {根本, 秀美},
 journal = {信州短期大学紀要, BULLETIN OF SHINSHU JUNIOR COLLEGE},
 month = {Mar},
 note = {With the aim of exploring the current state of end-of-life care, we compared care services in two facilities: one provided care for residents who died in the facility (Facility A), and the other had no such experiences (Facility B). We conducted an interview survey with supervisors of each facility, and a questionnaire survey involving nursing staff (Facility A: n=37, Facility B: n=17). The following results were obtained:
1) A greater level of satisfaction regarding deathbed care was found in those of Facility A than Facility B.
2) Regarding challenges associated with end-of-life care, Facility A indicated a diffi culty in identifying the residents’intentions.
Facility B indicated inadequate systems and a lack of human resources and equipment.
3) Psychological support was of primary importance in end-of-life care.
4) Regarding the sense of psychological distance, the nursing staff had a not-too-close or not-too-distant mental proximity to the
residents. They took a well-balanced (humanistic and technical) approach to care with compassion and affectionate regard, and
were willing to be present at the moment of death of the residents.
5) Of those engaging in deathbed care, 40% did not provide care after death, because they did not see it as part of their roles. Care
after death (referred to as‘angel care’in Japan) serves as an opportunity to conceptualize life and death, and is an evaluation
item of nursing care. Nursing staff are, thus, expected to offer such care.
6) End-of-life care is provided as a team. Nursing staff should play a part in the decision-making of end-of-life care delivery and
strategies, and work with other professionals to implement mutually agreed nursing care plans.},
 pages = {16--25},
 title = {特別養護老人ホームの終末期介護 ―2施設の実態調査から看取りをめざして―},
 volume = {23},
 year = {2012}
}