Practice and Perceived Importance of Advance Care Planning and Difficulties in Providing Palliative Care in Geriatric Health Service Facilities in Japan: A Nationwide Survey

  • Shoji Yokoya, Yoshiyuki Kizawa, Takami Maeno
  • American Journal of Hospice and Palliative Medicine®, August 2017, SAGE Publications
  • DOI: 10.1177/1049909117723859

Providing education to nurses may increase advance care planning practices

What is it about?

Advance care planning (ACP) is one of the most important issues to provide quality end-of-life (EOL) care. We asked nurses at long-term care facilities throughout Japan about their practices regarding ACP, their recognition of its importance, and their difficulties in providing palliative care. We also analyzed the relationship between these factors and EOL care education.

Why is it important?

We found a large discrepancy between nurses’ practice of ACP and their recognition of its importance. Head nurses working at EOL care education–providing facilities practiced ACP significantly more frequently and had significantly fewer difficulties in providing palliative care. The EOL care education especially about ACP and palliative care is important to resolve the discrepancies between recognition of their importance and their actual implementation.


Shoji Yokoya
Tsukuba Daigaku

While individuals who require care prefer to live at home for as long as possible, they cannot always to do so until death because of difficulties involving family-provided care. In such cases, many enter long-term care facilities. I hope this article helps improve the quality of EOL care in long-term care facilities.

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The following have contributed to this page: Shoji Yokoya