Abstract

The purpose of this study is to clarify the present state of Advanced Care Planning (ACP) implementation in the terminal care of ward nurses. This paper is aimed at general ward nurses in hospitals that provide terminal care in regional cities of Japan, A, B, and C prefectures. The survey items were 1) basic attributes of individuals, 2) ACP practice status. 99 (26.8%) of patients in the final stages of life said they practiced ACP, and 270 (73.2%) said they did not practice it.

It had a weak positive correlation between "ACP practice for subjects in the final stages of life" and "discussions on medical care and medical treatment" for "training on decision support". It became clear that the lack of educational opportunities such as training and preparation of explanatory materials became clear.