End-of-life care practices in Korean nursing homes: A national survey
DC Field | Value | Language |
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dc.contributor.author | Kim, Hyejin | - |
dc.contributor.author | Cho, Jeonghyun | - |
dc.contributor.author | Lee, JungSuk | - |
dc.date.accessioned | 2023-03-08T07:23:18Z | - |
dc.date.available | 2023-03-08T07:23:18Z | - |
dc.date.issued | 2022-05 | - |
dc.identifier.issn | 0020-7489 | - |
dc.identifier.issn | 1873-491X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/61399 | - |
dc.description.abstract | Background: Both globally and nationally, determinants of end-of-life care practices in nursing homes, such as laws and workforce, vary widely, resulting in a huge disparity in the quality of such practices. Despite the rapid growth in the number of nursing homes and increasing social attention being paid to end-of-life care in South Korea, little is known about these practices and how they differ because of nursing home-related regulations and nurse staffing. Objectives: To examine end-of-life care practices in nursing homes and compare them between nursing homes with 30 beds or more and those with fewer than 30 beds (the cut-point where nursing home-related regulations differ) and between nursing homes with and without registered nurses. Design: A cross-sectional exploratory study using data from a national survey conducted by the National Health Insurance Service. Settings: Nursing homes certified by the national long-term care insurance in South Korea. Participants: Nursing representatives from 836 nursing homes. Methods: Measures of end-of-life care practices included the identification of residents’ (or families’) preferences for the place of death and a do-not-resuscitate order, the provision of end-of-life care on-site, and the presence of end-of-life care protocols. Descriptive statistics and logistic regression were used to compare end-of-life care practices by bed size and registered-nurse staffing. Results: Of the 836 nursing homes, 85% and 84.1% identified the preference for the place of death and a do-not-resuscitate order mostly from surrogates, respectively. The most preferred places of death were nursing homes (53.3%) and hospitals (46.0%). Approximately, 72% responded that on-site end-of-life care protocols were present, and 50.8% reported providing end-of-life care on-site. Compared to nursing homes with 10–29 beds, those with 30 beds or more were more likely to identify the preference for a do-not-resuscitate order (OR 2.392, 95% CI 1.643–3.482); have in place end-of-life care protocols (OR 1.829, 95% CI 1.341–2.496); and provide end-of-life care on-site (OR 1.556, 95% CI 1.169–2.072). Compared to nursing homes without registered nurses, those with registered nurses were also more likely to identify the preference for a do-not-resuscitate order (OR 1.717, 95% CI 1.142–2.583) and provide end-of-life care on-site (OR 1.663, 95% CI 1.254–2.206). Conclusions: The findings indicate a huge disparity in end-of-life care practices in nursing homes across South Korea by bed size-based nursing-home regulations and registered-nurse staffing. Law/regulation- and policy-level changes are needed to promote robust end-of-life care in nursing homes. Study registration: Not registered. © 2022 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier Ltd | - |
dc.title | End-of-life care practices in Korean nursing homes: A national survey | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.ijnurstu.2022.104173 | - |
dc.identifier.bibliographicCitation | International Journal of Nursing Studies, v.129 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000820368300001 | - |
dc.identifier.scopusid | 2-s2.0-85126332935 | - |
dc.citation.title | International Journal of Nursing Studies | - |
dc.citation.volume | 129 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordAuthor | Nursing homes | - |
dc.subject.keywordAuthor | Palliative care | - |
dc.subject.keywordAuthor | Policy | - |
dc.subject.keywordAuthor | Registered nurses | - |
dc.subject.keywordAuthor | Survey | - |
dc.subject.keywordAuthor | Terminal care | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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