Journal of Japan Society for End-of-Life Care
Online ISSN : 2758-3570
Print ISSN : 2433-2763
Original Articles
Visiting Nurses’ Practice Aiming at “Intention-expression and Decision-making Support” for Older Adults with Non-cancer Diseases at Their End-of-Life Recuperation Stage
Rieko Kitaura Eriko OotakeShigeaki Watanuki
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2023 Volume 7 Issue 1 Pages 47-58


[ Purpose] The purpose of this study was to clarify visiting nurses’ support of intention-expression for older adults with non-cancer diseases at their end-of-life recuperation stage.

[ Methods] A qualitative descriptive design was adopted. Ten visiting nurses with over three years of experience in their field were recruited for the study. Semi-structured interviews were conducted to clarify their nursing strategies for supporting decision-making processes and communicating their care intentions for older adult patients with non-cancer diseases at their end-of-life recuperation stage.

[ Results] Visiting nurses played a key role in “creating a safe environment where patients feel free to express themselves,” whilst “building a team that supports patient individuality.” Visiting nurses could do this while being near and supporting the patients’ individual day-to-day living to accomplish their lifetime goals. Visiting nurses also provided professional support in “reinforcing patients’ core beliefs through various activities” and “validating patient philosophies of life to give them a sense of worth until they pass.”

[ Conclusions] Based on the course of the non-cancer diseases, visiting nurses built a foundation for relationships, being present at the right time to listen and understand patient values. These actions are required for patients to view the nurses as trusted individuals to whom they would want to talk. Visiting nurses formed and fostered a multidisciplinary team that was well-prepared to help the patients through to the end of life.

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© 2023 Japan Society for End-of-Life Care
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