Journal of Japan Society for End-of-Life Care
Online ISSN : 2758-3570
Print ISSN : 2433-2763
Research Reports
Why Certified Nurse Specialists in Gerontological Nursing Succeed in Advance Care Planning for Elderly People with Non-Cancers and Their Families Despite Hesitation
Aya Yoshizaki Kazuyo KawashimaJunko Nakamichi
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2023 Volume 7 Issue 1 Pages 67-77


[ Purpose] To identify reasons why certified nurse specialists (CNS) in gerontological nursing succeeded in implementing Advance Care Planning (ACP) for elderly people with non-cancer disease and their families despite hesitation on their part.

[ Methods] Interview surveys were conducted with CNS in gerontological nursing; these surveys were analyzed qualitatively and inductively.

[ Results] The participants’ desire for patients to spend their final days as they wish and the formers’ prediction that patients will be unable to do so in their current circumstances—a desire and a prediction shaped by experience—participants judged that ACP must be performed based on the patient’s physical condition, speech, behavior, social background, status, and disease outlook. In addition, CNS in gerontological nursing implemented ACP despite hesitation from patients and their families due to a sense of vocation and confidence in their ability to discuss issues.

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© 2023 Japan Society for End-of-Life Care
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