Article Text

Download PDFPDF

PP12.001 Current state and nurses’ practical knowledge on advance care planning for patients with hematologic malignancies in Japan: a qualitative interview
  1. Miki Fujimoto1,
  2. Masahiro Kobayashi2 and
  3. Yukihiro Sakaguchi3
  1. 1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, The UK
  2. 2Faculty of Nursing, Musashino University, Japan
  3. 3School of Human Welfare Studies, Kwansei Gakuin University, Japan


Aim To explore the current state of nurses’ practical knowledge on advance care planning (ACP) for patients with hematologic malignancies (HMs).

Method We conducted qualitative semi-structured interviews with nurses who are, or had been, working with patients with HMs. Data were analyzed using content analysis.

Results A total of 10 nurses were interviewed. Four major themes were extracted, ‘Difficulties in exploring patient‘s value through their behavior’; ‘Building a multidisciplinary team that can cooperate while engaging the patient’s decision-making’; ‘Implementation of shared decision-making by bridging the gap between patients, families, and healthcare professionals’ and ‘Continuous conversations focusing on the planning for current care’. Lack of time due to continuous aggressive treatments and difficulties in understanding the pathology of HMs were identified as the main obstacles affecting ACP. The nurses reported the importance of building rapport with patients through daily care, bridging the gap between patients, their families, and healthcare professionals to find a middle ground, cooperation within a multidisciplinary team, and conversations about current values and preferences.

Conclusion The difficulties in ACP are related to the unique characteristics of HMs. Therefore, a strategic approach for nurses based on these characteristics, and the nurses’ practical knowledge, is needed.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.