Our objectives were to classify the characteristics of clients such as their diseases and the period of services provided to clients who are using home visiting nurse agency (HVNA) services at nighttime. The nighttime HVNA services provided to 31 clients were analyzed. Two major reasons for cancellation of nighttime and early morning HVNA service were identified: (1) cancellation due to death, and (2) cancellation as a result of achieving goals for receiving the service. As to the former reason, those who died of terminal cancer used the service for approximately 2 months, whereas those who died of other causes used the service for approximately 11 months. The establishment of such a service system requires the development of a method to achieve stable management of an HVNA.
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2.
MurashimaSTaguchiASatokoNNaruseTKuwaharaTFukudaT. Homonkngo suteshon-ni okeru yakan soutyou sabisu teikyoutaisei-no henka -2003nen-to 2009nen-no zenkokutyousa kara [Changes in the nighttime and early morning service provision system in visiting nursing agency—from a national survey in 2009 and 2003]. J Health Welf Stat. 2013;60(2):1-9.
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Japanese Nursing Association. Yakin no futankeigen to tyoujikanroudou no zesei wo mezashite [Aim to improve the overburden and long hours in night work of nurses]. Jpn Nurs Assoc News Letter. 2011;528(6):9-12.
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TaguchiANaruseTKuwaharaYSatokoNMurashimaS. Home visiting nurse agencies for community dwelling elderly at nighttime in Japan. Home Health Care Manag Pract. 2013;25(6):256-263.
5.
MurashimaS. Fukusu-no homon kango suteishon niyoru chiikitanni no 24jikan houmonkaigo, kango-no koukateki kouritutekina jisshi houho-no kaihatsu kenkyu [Development of Effective and Efficient Care System: The Collaboration of Visiting Nurse Offices for the Around the Clock in-Home Care]. Tokyo, Japan: Department of Community Health Nursing, University of Tokyo; 2008. Health Labor Sciences Research Report 13-115.
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HirakawaYMasudaYKimataTUemuraKKuzuyaMIguchiA. Effects of home massage rehabilitation therapy for the bed-ridden elderly: a pilot trial with a three-month follow up. Clin Rehabil. 2005;19:20-27.
7.
OnishiJSuzukiYUmegakiHNakamuraAEndoHIguchiA. Influence of behavioral and psychological symptoms of dementia (BPSD) and environment of care on caregivers’ burden. Arch Gerontol Geriatr. 2005;41(2):159-168.
8.
HirookaKKarinoHWatanabeMKawagoeH. Zaitaku makkigan kanjya-no kaigohoken sabis-no riyoujokyo-to kadai [Challenges and usage of long-term care insurance services for patients with terminal cancer at home]. Home Visit Nurs Care. 2012;17(7):608-612.
9.
YedidiaMJTiedemannA. How do family caregivers describe their needs for professional help?J Soc Work Educ. 2008;44:43-47.
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PeetersJMVan BeekAPAMeerveldJHCSpreeuwenbergPMMFranckeAL. Informal caregivers of persons with dementia, their use of and needs for specific professional support: a survey of the National Dementia Programme. BMC Nurs. 2010;9:9.
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MakizakoHAbeTShimadaHOhnumaTFurunaTNakamuraY. Combined effect of factors associated with burdens on primary caregiver. Geriatr Gerontol Int. 2009;9(2):183-189.
12.
DunerA. Care planning and decision-making in teams in Swedish elderly care: a study of interprofessional collaboration and professional boundaries. J Interprof Care. 2013;27(3):246-253.
SatokoNMurashimaS. Koureikanja-ga taiinmae taiingo-ni yusuru fuan komarigoto-to sonokanrenyouin [Anxieties and problems of elderly patients discharge from the hospital—a comparison between pre- and post-discharge and evaluation of related factors]. J Jpn Soc Healthc Adm. 2007;44(4):323-335.
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CainCHNeuwirthEBellowsJZuberCGreenJ. Patient experiences of transitioning from hospital to home: an ethnographic quality improvement project. J Hosp Med. 2012;7(5):382-387.
16.
IshizukaYNagataSTomuraHMurashimaS. Naikabyoutou-ni okeru junkanki kokyukisikkan-o yusuru koreisya-no keikakugai sainyuin-no bunrui-to sainyuin yobousaku-no kentou [Classification of unplanned readmission processes and prevention of readmission among elderly patients for circulatory or respiratory problems in internal medicine wards]. J Jpn Acad Community Health Nurs. 2012;14(2):14-23.
17.
National Institute of Population and Social Security Research. Table 5. Trends in live births, deaths, and natural increase, 2001-2050: medium variant. In: Population Projections for Japan: 2001-2050; 2002. http://www.ipss.go.jp/pp-newest/e/ppfj02/t_5_e.html. Accessed May 5, 2014.
