The Kitakanto Medical Journal
Online ISSN : 1881-1191
Print ISSN : 1343-2826
ISSN-L : 1343-2826
ORIGINALS
Difficulties in Implementation of Advance Care Planning by Visiting Nurses in Remote Areas and their Countermeasures
Saori HashimotoNaoko TamuraMitsuko Ushikubo
Author information
JOURNAL FREE ACCESS

2025 Volume 75 Issue 1 Pages 41-48

Details
Abstract

Objective: The purpose of this study was to explore the difficulties, their countermeasures, and challenges of conducting advance care planning (ACP) by visiting nurses working in remote areas.

Methods: Six visiting nurses working at a visiting nursing station located in a remote area of Prefecture A participated in semi-structured interviews. We used a qualitative inductive analysis.

Results: 13 categories of difficulties in implementing ACP were extracted, including [inadequate acceptance of medical conditions by patients and their families], [difficulty in finding time to talk to patients], [lack of understanding of home care by hospital doctors], and [lack of hospital and home care personnel and facilities]. 11 categories regarding countermeasures and challenges were extracted, including [explanations according to the level of understanding and preparation without forcing the process], [mutually complementary collaboration between supporters and care offices], [tactics for information sharing among multiple professions], and [awareness raising and staff education to promote ACP].

Conclusion: In remote areas, there are few opportunities to experience practical support, and there is a shortage of resources and manpower, so there is a need for educational opportunities for those involved to improve their ACP qualities and measures to strengthen cooperation among local stakeholders, such as mutually complementary collaboration.

Content from these authors
© © 2025, The Kitakanto Medical Society
Previous article Next article
feedback
Top