Journal of Japan Academy of Nursing Science
Online ISSN : 2185-8888
Print ISSN : 0287-5330
ISSN-L : 0287-5330
Original Articles
Effectiveness of the Program of End-of-Life Care for Home Visiting Nurses Training-Trainer (PENUT-T)
Masako Hamatani, Yumi Hirahara, Eri Onuma, Tomoko Arahata, Hanako Numata, Maiko Noguchi-Watanabe, Kazue Hishida, Ryousuke Yamada, Yuko Okamoto, Shiho Takemori, Kayoko Kurita, Noriko Yamamoto-Mitani
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2026 Volume 46 Pages 260-272

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Abstract

Objective: We developed a Program of End-of-life care for home visiting Nurses Training-Trainer (PENUT-T) and examined its effectiveness.

Methods: The PENUT-T is a 1-day program of lectures and exercises. A before-and-after comparative study was conducted with 39 home visiting nurses. We collected responses regarding rubric, the Self-Assessment Facilitator Functions Scale, the End-of-Life Nursing Education Questionnaire, and the perceived feasibility of organizing the PENUT course using a questionnaire survey.

Results: The results revealed significant improvements in “Understanding of the facilitator’s role in role play” as rubric (2.8 ± 1.0, 3.6 ± 0.7), “Efficacy in structuring and facilitating” in the Self-Assessment Facilitator Functions Scale (23.2 ± 5.3, 24.5 ± 4.7), and “Preparation to lead initiatives in end-of-life care” in the End-of-Life Nursing Education Questionnaire (3.0 ± 0.8, 3.3 ± 0.8). Nine respondents reported that they felt able to organize the PENUT course in their community immediately after completing the PENUT-T.

Conclusion: The PENUT-T enhanced self-efficacy for facilitating the PENUT and holding PENUT courses. However, enabling PENUT-T graduates to implement PENUT courses in their communities should be examined in future studies.

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© 2026 Japan Academy of Nursing Science
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