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Updated: Apr 18, 2026
Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
["Manual on physician behavior at the time of death certification" created through collaboration with different local
Akihiko Kusakabe1, Kazue Hirano, Keiko Ikenaga
1Mirai Zaitaku Clinic.
Insights
Physician behavior during death certification impacts bereaved grief. A collaboratively developed manual guides physicians, aiming to improve end-of-life care and support grieving families.
Area of Science:
- Medical education
- Bereavement studies
- Palliative care
Context:
- Physician conduct during death certification significantly affects bereaved individuals' grief.
- Home medical care settings present unique challenges for death certification.
- Interdisciplinary collaboration is crucial for enhancing end-of-life care practices.
Purpose:
- To develop a manual guiding physician behavior at the scene of death certification.
- To educate residents and medical students on sensitive death certification practices.
- To improve the quality of care and support for grieving families.
Summary:
- A manual was created to standardize and improve physician conduct during death certification.
- The manual's development involved collaboration with visiting nurses and pharmacists.
- Interviews with home care physicians and nurses informed the manual's content, ensuring practical relevance.
Impact:
- The developed manual was well-received in a trial, indicating potential for widespread adoption.
- Collaborative development fostered stronger regional alliances among healthcare professionals.
- This initiative is expected to enhance physician preparedness and improve patient and family experiences during bereavement.
Abstract:
It is thought that physicians' behavior at the scene of death certification has a considerable influence on the grief of the bereaved. We constructed a manual to guide the physician's behavior at death certification and educate residents and medical students. We collaborated locally across several occupations(e.g., visiting nurse, visiting pharmacist)for the purpose of upgrading the manual. We conducted interviews with physicians and nurses who perform home medical care in this area regarding the scene at a real death certification in making our manual. It was evaluated well in this trial, and participants were cooperative with the interview. We can conduct many collaborations locally in various forms. The regional alliances become smoother as a function of such collaborations. In addition, it is thought that the manual that was constructed following this process will be easily received in the area.
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