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Advance Care Planning of Nurses to Cancer Patients Mari Tashiro 1 , Sawa Fujita 2 1Japan Community Health care Organization Tokyo Shinjuku Medical Center 2University of Kochi Faculty of Nursing Keyword: アドバンスケアプランニング , 意思決定 , エンドオブライフケア , がん患者 , Advance Care Planning , decision-making , end of life care , cancer patients pp.45-53
Published Date 2019/12/31
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 The purpose of this study is to investigate what type of nursing support are provided as a part of advanced care planning (ACP) so that patients can live with autonomy and dignity until their deaths. A semi-structured interview was conducted with 12 nurses, and the data was analyzed qualitatively and inductively.

 The following four aspects were extracted on nursing support in ACP with cancer patients: Respect for the values of patients, Assistance with decision-making, Arrangement for end of life care, and Ongoing support. While understanding patients' values through daily communication, nurses were involved in addressing patients' future concerns and providing decision-making support through multiple types of approaches, including multidisciplinary team collaboration, coordination of social resources and family care.

 The areas of decision-making assistance revolved around end of life care, places to live while receiving treatment and care, and arrangements of surrogate decision makers. Additionally, ACP was carried out throughout the care process instead of being completed it once a plan was made, which suggests the importance of nurses' continuous involvement in the ACP proces.


Copyright © 2019, Japanese Society of Cancer Nursing All rights reserved.

基本情報

電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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