A study for developing a nursing care model of end of life for elderly people who live in institution.

本研究的目的是尝试建立院内老年临终护理模式。创建模式的目的是为了发展护士的护理能力，旨在提高住院老人的临终护理质量。该模型是通过对院所护士的调查而建立的。并将其作为临终关怀课程实施，制定临终关怀指南p，构建院所护士支持小组。每年开展两次临终关怀课程。共有491人参加。临终关怀指南p被印制为小册子，共9部分79页。机构护士支持小组在长野县有123名成员。支援小组正致力于每年出版两次新书，这一模式可能是发展护士护理能力的有效途径，旨在提高住院老人的临终关怀质量。尤其是改变了护理人员对院内临终老人被拒之门外的观念和价值观。此外，本研究还提示，护理技能的提高对住院老人临终关怀质量的提高具有重要意义。

The purpose of this study was to try establishing the nursing care model of end of life for elderly people in institution. The aim of model creation is aiming at development of the care capability of nurses aiming at improvement in the quality of end of life care of the elderly people who live in institution. This model was developed by an investigation for nurses in institution. And it was carried out as the courses of end of life care, making up the guideline p of end of life care, structuring the Support Group for nurses in institution. The courses of end of life care were carried out two times in year. The total of participants were 491 peoples. The guideline p of end of life care was printed as the booklet that was 79pages of 9 parts. And the Support Group for nurses in institution had 123 members in Nagano Pref. The Support Group is working to publish New Letter two times in year.The model may be an effective way to development of the care capability of nurses aiming at improvement in the quality of end of life care of the elderly people who live in institution. Especially, the model had changed the perception and values of nurses who were rejected care of the elderly people who was end of life in institution. Furthermore, this study has suggested that it was important to focus on care skill-up of nurses in the quality of end of life care of the elderly people who live in institution.