title: Palliative care for advanced dementia in Japan: knowledge and attitudes.
abstract: This study examined factors contributing to the knowledge and attitudes of nursing home staff regarding palliative care for advanced dementia in Japan. A cross-sectional survey of 275 nurses and other care workers from 74 long-term care facilities was conducted across three prefectures in August 2014. The Japanese versions of the Questionnaire on Palliative Care for Advanced Dementia (qPAD) and Frommelt Attitudes Toward Care of the Dying scale, Form B (FATCOD-B-J) were used. Greater knowledge was exhibited among nursing home staff in facilities that established a manual for end-of-life care. Higher levels of positive attitudes were observed among nursing home staff in facilities that had established a manual and those in facilities with a physician's written opinions on end-of-life care. An organisational effort should be explored to establish end-of-life care policies among nursing home staff for advanced dementia.
authors.affiliation: Chief Researcher, Mental Health and Nursing Research Team, Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science.
authors.forename: Miharu
authors.initials: M
authors.lastname: Nakanishi
authors.affiliation: Associate Professor, Department of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003704:Dementia / Q000451:nursing*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D064946:Hospice and Palliative Care Nursing / Q000592:standards*; D006801:Humans; D007564:Japan; D008297:Male; D009735:Nursing Homes; D010166:Palliative Care; D011795:Surveys and Questionnaires
keywords: Attitude; Dementia; Long-term care; Nurse; Nursing homes; Palliative care