title: The association between nurses' coordination with physicians and clients' place of death.
abstract: OBJECTIVE
  Over 60% of Japanese people hope to die at home; hence, assisting clients in achieving this outcome is an important responsibility of home care providers. This study investigated the effects of nurses' relational coordination with physicians on clients' place of death in home visiting nursing (HVN) agencies.
  
  
  METHODS
  Secondary analysis of a public survey conducted in 2015 by local governments in Kurume city, Fukuoka prefecture, Western Japan. Manager nurses from 17 HVN agencies provided data about themselves and their relational coordination with community physicians and 85 deceased clients.
  
  
  RESULTS
  Among 85 deceased clients, 52 (61.2%) had died at home. Four regression models showed significant positive effects of HVN nurse managers' relational coordination on clients' home death (the odds ratios (95% CI) were 2.488 (1.442-4.293), 2.111 (1.014-4.396), 2.562 (1.409-4.658) and 2.275 (1.079-4.796) in models 1-4, respectively.
  
  
  CONCLUSIONS
  Measuring relational coordination among HVN nursing managers and physicians indicated readiness for home death among HVN clients in an agency or community.
authors.affiliation: Lecturer, Department of Community Health Nursing, Graduate School of Medicine, University of Tokyo.
authors.forename: Takashi
authors.initials: T
authors.lastname: Naruse
authors.affiliation: Doctoral student, Department of Community Health Nursing, Graduate School of Medicine, University of Tokyo.
authors.forename: Natsuki
authors.initials: N
authors.lastname: Yamamoto
authors.affiliation: Department of Health Technology Assessment and Public Policy, Graduate School of Public Policy, University of Tokyo.
authors.forename: Takshi
authors.initials: T
authors.lastname: Sugimoto
authors.affiliation: Research associate, Department of Community Health Nursing, Graduate School of Medicine, University of Tokyo.
authors.forename: Mahiro
authors.initials: M
authors.lastname: Fujisaki-Sakai
authors.affiliation: Associate, Department of Community Health Nursing, Graduate School of Medicine, University of Tokyo.
authors.forename: Satoko
authors.initials: S
authors.lastname: Nagata
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D003643:Death; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D007564:Japan; D008297:Male; D008875:Middle Aged; D064691:Nurses, Community Health; D016017:Odds Ratio; D057240:Patient Preference; D010820:Physicians; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D013727:Terminal Care; D055815:Young Adult
keywords: Collaboration; Home visiting nurse; Place of death