@article{oai:koka.repo.nii.ac.jp:00000380,
 author = {NAKAMURA（AOTA), Masako and YAMAMOTO, Miwa and MIZUNO, Sizue and SUZUKI, Noriko},
 issue = {1},
 journal = {International journal of Japanese Nursing care practice and study, International journal of Japanese Nursing care practice and study},
 month = {Apr},
 note = {Purpose: The purpose of this study was to identify and clarify nurse and care worker attitudes and approaches toward terminal care provided to nursing home residents., Method: Using the KJ method, a qualitative approach, seven nurses and seven care workers working in a nursing home for the elderly were interviewed about end of life care and terminalcare., Results and conclusions: After analyzing content from the interviews with nurses and care workers using the KJ method, we extracted seven symbolic keywords.Nurses defined terminal care at nursing homes as [care geared toward various types of terminal phases], [coordination with care workers], [anticipating and addressing pain], [family-like care] and [care that considers the elderly as a whole]. Nurses also approached terminal care while experiencing [difficulties understanding the terminal stage], and realized that this is an [era in which society provides terminal care].
Care workers defined terminal care at nursing homes as [end of life care in the nursing home], [performing care that does not rely on aggressive medical treatment], [care that maintains human dignity], and [care that fosters a sense of family-like unity among care workers]. At the same time, care workers felt [the limitations of care and feeling conflicted] and recognized the [need for younger staff education and training], and desired [third party evaluations] of terminal care. With regard to approaches to terminal care shared by nurses and care workers, both experienced worries about the provision of care specific to their profession. In terms of methods of terminal care, both types of workers
exhibited approaches that stressed the need for coordinated care, interacting with the family members, interacting like family members, and care that values the individuality of the elderly person. A characteristic of the nurses'approach to
end of life and terminal care was their focus on “palliative care for pain,” while care workers focused on end of life care leading to
“a natural death.”},
 pages = {1--5},
 title = {End of life care and terminal care for the elderly performed by care workers and nursesin Japanese nursing homes},
 volume = {1},
 year = {2013}
}