End-of-life nursing care practice in long-term care settings for older adults: A qualitative systematic review

Katsumi Nasu, Rie Konno, Hiroki Fukahori

Research output: Contribution to journalReview article

Abstract

Aim: To synthesize qualitative evidence on nurses' end-of-life care practices in long-term care settings for older adults. Background: Qualitative evidence on how nurses describe their own end-of-life care practice has not been reviewed systematically. Design: Qualitative systematic review. Data Sources: Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. Methods: The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta-aggregation. Results: Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. Conclusion: Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end-of-life care that ensures residents die with dignity.

Original languageEnglish
Article numbere12771
JournalInternational journal of nursing practice
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Terminal Care
Long-Term Care
Nursing Care
Nurses
Information Storage and Retrieval
Midazolam
MEDLINE
Emotions
Databases
Delivery of Health Care

Keywords

  • end-of-life
  • long-term care
  • meta-aggregation
  • nursing
  • qualitative systematic review

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{cb67aa0a668a4a409e538e9fc07a81c7,
title = "End-of-life nursing care practice in long-term care settings for older adults: A qualitative systematic review",
abstract = "Aim: To synthesize qualitative evidence on nurses' end-of-life care practices in long-term care settings for older adults. Background: Qualitative evidence on how nurses describe their own end-of-life care practice has not been reviewed systematically. Design: Qualitative systematic review. Data Sources: Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. Methods: The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta-aggregation. Results: Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. Conclusion: Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end-of-life care that ensures residents die with dignity.",
keywords = "end-of-life, long-term care, meta-aggregation, nursing, qualitative systematic review",
author = "Katsumi Nasu and Rie Konno and Hiroki Fukahori",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/ijn.12771",
language = "English",
journal = "International Journal of Nursing Practice",
issn = "1322-7114",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - End-of-life nursing care practice in long-term care settings for older adults

T2 - A qualitative systematic review

AU - Nasu, Katsumi

AU - Konno, Rie

AU - Fukahori, Hiroki

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Aim: To synthesize qualitative evidence on nurses' end-of-life care practices in long-term care settings for older adults. Background: Qualitative evidence on how nurses describe their own end-of-life care practice has not been reviewed systematically. Design: Qualitative systematic review. Data Sources: Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. Methods: The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta-aggregation. Results: Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. Conclusion: Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end-of-life care that ensures residents die with dignity.

AB - Aim: To synthesize qualitative evidence on nurses' end-of-life care practices in long-term care settings for older adults. Background: Qualitative evidence on how nurses describe their own end-of-life care practice has not been reviewed systematically. Design: Qualitative systematic review. Data Sources: Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. Methods: The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta-aggregation. Results: Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. Conclusion: Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end-of-life care that ensures residents die with dignity.

KW - end-of-life

KW - long-term care

KW - meta-aggregation

KW - nursing

KW - qualitative systematic review

UR - http://www.scopus.com/inward/record.url?scp=85070469651&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070469651&partnerID=8YFLogxK

U2 - 10.1111/ijn.12771

DO - 10.1111/ijn.12771

M3 - Review article

AN - SCOPUS:85070469651

JO - International Journal of Nursing Practice

JF - International Journal of Nursing Practice

SN - 1322-7114

M1 - e12771

ER -