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Around-the-clock nursing care for the elderly in Japan

S Murashima1, J V Zerwekh, M Yamada

  • 1Department of Community Health Nursing, Faculty of Medicine, University of Tokyo, Japan.

Image--The Journal of Nursing Scholarship
|April 29, 1998
PubMed
Summary

Around-the-clock care (ACC) in Japan stabilizes patient health and reduces caregiver burden. This community-based long-term care model shows promise for future Japanese health policy.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Nursing

Background:

  • Developing effective community-based long-term care models is crucial for aging populations.
  • Japan faces unique demographic challenges requiring innovative care solutions.

Purpose of the Study:

  • To describe the initial phase of creating a Japanese community-based long-term care model: around-the-clock care (ACC).
  • To operationally define ACC components, eligibility, planning, organization, and outcomes.

Main Methods:

  • Exploratory evaluation of frail elderly Japanese citizens living at home.
  • Convenience sample of 44 patients from four visiting-nurse stations over 3 months in 1994.
  • Data collection via needs assessments, patient encounter records, and evaluations by patients, families, and nurses.

Main Results:

  • Nurses reported ACC stabilized medical status, reduced treatment burdens, and improved hygiene.
  • ACC decreased family caregiving burdens and caregiver employment stress.
  • Patients with complex needs rated ACC highest; home nursing enabled early problem identification.

Conclusions:

  • 24-hour nurse-home helper teamwork shows potential as an effective community-based long-term care system.
  • ACC should be considered a key element in future Japanese health policy.

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