Current Engagement in Advance Care Planning in Japan and Its Associated Factors

Using the Ministry of Health, Labour and Welfare national data on perspectives toward medical care at the end of life, this study examined the current status of engagement in advance care planning (ACP) activities among physicians and nurses in Japan and associated factors. Only 28.7% of physicians...

Full description

Saved in:
Bibliographic Details
Published in:Gerontology and geriatric medicine 2019-01, Vol.5, p.2333721419892694-2333721419892694
Main Authors: Inoue, Megumi, Hanari, Kyoko, Hamano, Jun, Gallagher, Joshua, Tamiya, Nanako
Format: Article
Language:English
Subjects:
Advance directives
Nurses
Physicians
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Using the Ministry of Health, Labour and Welfare national data on perspectives toward medical care at the end of life, this study examined the current status of engagement in advance care planning (ACP) activities among physicians and nurses in Japan and associated factors. Only 28.7% of physicians and 27.6% of nurses answered that they were engaging their patients/clients in ACP. Multinomial regression analysis revealed that more frequent involvement in caring for dying patients was associated with ACP engagement for both physicians and nurses. Increased years of clinical practice experience and working in a hospital were associated with decreased likelihood of nurses’ ACP engagement. Completion of training designed to promote patient self-determination at the end of life was associated with both physicians’ and nurses’ ACP engagement. It is recommended that health care professionals be encouraged to complete such training to promote patients’ autonomy through ACP.
ISSN:2333-7214
2333-7214
DOI:10.1177/2333721419892694