University of Tokyo, Bunkyo-ward, Tokyo, Japan.
Qual Health Res. 2011 Feb;21(2):199-213. doi: 10.1177/1049732310383866. Epub 2010 Sep 17.
In this article we describe our study of assistance for family decisions and caregiving by Japanese home care nurses to families of elderly relatives at the end of life. The participants were 31 nurses who had been evaluated as providing good end-of-life care. We carried out semistructured interviews concerning the practice of family support in two cases (cancer and noncancer). We conducted a qualitative analysis using the constant comparative approach and derived several categories inductively. Home care nurses are responsible for (a) estimating the possibility of dying at home, (b) visualizing what is coming and what can be done, (c) proposing where and how the family can say goodbye, (d) building family consensus, (e) coordinating resources, and (f) offering psychological support for end-of-life care. End-of-life family care by home care nurses is a process in which multiple components of care are provided with changing content as death approaches.
在本文中，我们描述了对日本家庭护理护士为临终老年亲属家庭提供家庭决策和护理支持的研究。参与者是 31 名被评估为提供良好临终关怀的护士。我们对两个案例（癌症和非癌症）的家庭支持实践进行了半结构化访谈。我们使用恒定比较方法进行了定性分析，并归纳出几个类别。家庭护理护士负责：（a）估计在家中死亡的可能性，（b）设想即将发生的事情和可以做的事情，（c）提出家庭可以在哪里以及如何道别，（d）建立家庭共识，（e）协调资源，以及（f）为临终关怀提供心理支持。家庭护理护士的临终家庭护理是一个过程，随着死亡的临近，护理的多个组成部分会提供不断变化的内容。
