This study aimed to examine effectiveness of the End-of-life nursing care continuing education program for general ward nurses. A nonrandomized, before-after trial was conducted. The program was implemented for 25 nurses. The contents of the program consisted of the family assessment, general symptom management and practical use of theories and models regarding end-of-life nursing care. The primary outcome, implementation ability of end-of-life nursing care, was significantly improved after the program; improvements continued even at 2 months after. Similar results were obtained for nurses' confidence and knowledge concerning end-of-life nursing care. As for attitude toward end-of-life care, participants' scores were further elevated after the program. The participants rated the usefulness of the program as high. The effectiveness of the program was suggested from these results. In the future, this program should be widely used for in-service training.
BeckstrandRLMooreJCallisterLBondAE. Oncology nurses' perceptions of obstacles and supportive behaviors at the end of life. Oncol Nurs Forum. 2009;36(4):446–453.
3.
OgasawaraCKumeYAndouM. Family satisfaction with perception of and barriers to terminal care in Japan, Oncol Nurs Forum. 2003;30(5):100–105.
4.
YoshiokaSIkeuchiKYamadaMOgasawaraC. “MITORI care” to end-of-life patients with cancer and factors related to “MITORI care”. Osaka Daigaku Kangogaku Zasshi. 2006;12(1):1–10.
5.
SasaharaTMiyashitaMKawaMKazumaK. Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan. Palliat Med. 2003;17(6):520–526.
6.
DeffnerJMBellSK. Nurses’ death anxiety, comfort level during communication with patients and families regarding death, and exposure to communication education: a quantitative study. J Nurses Staff Dev. 2005;21(1):19–23.
7.
InudouM. Research on the mental health on nurses: the verification of the causal model to predict the anxiety of nurses related to cancer nursing and restructuring. Nihon Kango Kagakkaishi. 2002;22(1):1–12.
8.
AulinoFFoleyK. Professional education in end-of-life care: a US perspective. J R Soc Med. 2001;94(9):472–476.
9.
BeckstrandRLCallisterLCKirchhoffKT. Providing a “Good Death”: critical care nurses’ suggestions for improving end-of life care. Am J Crit Care. 2006;15(1):38–45.
TakenouchiS. Kanwa care ya end-of-life care ni tazusawaru kangoshi no tameno kyouiku program—End-of-Life Nursing Education Consortium Japan (ELNEC-J). Kango Kanri. 2009;19(9):782–785.
YoshiokaSMoriyamaM. Factors and structural model related to end-of-life nursing care in general ward in Japan. Am J Hosp Palliat Care. 2013;30(2):146–152.
15.
WrightLMLeaheyM. Nurses and Families: A Guide to Family Assessment and Intervention. 6th ed. Philadelphia, PA: F.A. Davis; 2013.
16.
DoddMJansonSFacioneN. Advancing the science of symptom management. J Adv Nurs. 2001;33(5):668–676.
17.
ShinmuraI, ed. Koujien. 6th ed. Tokyo, Japan: Iwanami Syoten; 2008.
18.
YoshiokaSOgasawaraCNakahashiMItohAIkeuchiKKawachiA. Development of a “MITORI” care scale to evaluate nursing care for patients with end-stage cancer patients and their families. Nihon Kango Kagakkaishi. 2009;29(2):11–20.
19.
InudouM. Research on the caring of the nurses concerned with cancer nursing: investigation of the factors which influence caring along with cancer nursing. Nihon Gan Kango Gakkaishi. 2000;14(2):42–54.
20.
NakaiYMiyashitaMSasaharaTKoyamaYShimizuYKawaM. Factor structure and reliability of the Japanese version of the Frommelt attitudes toward care of the dying scale (FATCOD-B-J). Gan Kango. 2006;11(6):723–729.
21.
RossMMMcDonaldBMcGuinessJ. The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses' knowledge of palliative care. J Adv Nurs. 1996;23(2):126–137.
22.
BanduraA. Self-Efficacy: The Exercise of Control. New York, NY: Worth Publishers; 1997.
23.
StegingaSKDunnJDewarAMMcCarthyAYatesPBeadleG. Impact of an intensive nursing education course on nurses' knowledge, confidence, attitudes, and perceived skills in the care of patients with cancer. Oncol Nurs Forum. 2005;32(2):375–381.
24.
KolbDA. Experimental Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ: Prentice Hall; 1984.
25.
NicolJSReidN. Education and development in palliative care. In: LugtonJMcIntyreR, eds. Palliative Care: The Nursing Role. 2nd ed. Philadelphia, PA: Churchill Livingstone; 2005:33–62.
26.
HerseyPBlanchardKHJohnsonDE. Management of Organizational Behavior: Utilizing Human Resources. Upper Saddle River, NJ: Prentice Hall; 1996.
