Integrative Review of Advance Care Planning Research in Japan

Tanimoto, Mariko; Akuta, Yumi; Izumi, Shigeko

doi:10.2512/jspm.13.341

Cited by 10 publications

(7 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in Japan, it remains unclear how ACP should be defined and implemented in actual clinical practice. [ 9 ] Therefore, HCPs struggle to determine the most suitable way to practice ACP. [ 10 ] Although the number of ACP studies in Japan has increased dramatically since 2010, it has been pointed out that many of them are commentaries that only highlight the importance of ACP, without concrete implications.…”

Section: Introductionmentioning

confidence: 99%

“…Unlike in western countries where ACP is developed with an emphasis on an individual's right to self-determination, Japan has unique values and family relationships which emphasize harmony for patients and families. [ 7 9 ] Furthermore, Japan has its own cultural background, healthcare system, legal system, and social issues related to having the largest rapidly aging population worldwide. [ 7 ] Therefore, it is necessary to consider Japanese cultural and social aspects when introducing ACP to Japan.…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] Therefore, it is necessary to consider Japanese cultural and social aspects when introducing ACP to Japan. [ 9 ]…”

Section: Introductionmentioning

confidence: 99%

“…However, specific clinical implications still need to be addressed. Additionally, Tanimoto, Akuta, and Shigeta[ 9 ] conducted an integrative literature review of ACP research in Japan limited to 2011_2017 and reported a lack of detailed information regarding the definition of and strategies for ACP in a Japanese context. In these two review studies, “advance care planning” was used as a keyword in the searches, and no search terms strongly associated with ACP were used, such as “advance directive,” “end of life discussion,” and “do not attempt resuscitation (DNAR).” Therefore, it remains unclear whether the concept of ACP was comprehensively searched.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Definition and recommended cultural considerations for advance care planning in Japan: A systematic review

Chikada

Takenouchi

Nin

et al. 2021

Asia-Pacific Journal of Oncology Nursing

View full text Add to dashboard Cite

Although Delphi studies in Western countries have provided a consensus for practices pertaining to advance care planning (ACP), their findings may not be applicable to Asian countries with distinct, family-oriented cultures. This systematic review aimed to synthesize the definitions of and evidence for ACP and analyze recommended practices in Japan. We conducted a systematic review using narrative synthesis in December 2018. Key words were searched from Ichushi-Web by NPO Japan Medical Abstracts Society, Citation Information by the National Institute of Informatics, and Japanese Institutional Repositories Online databases. In addition, in August 2019, we conducted hand searching using Google Scholar and Google. We included original Japanese articles that addressed factors regarding ACP (e.g. definitions, elements, roles and tasks, and timing of ACP). Data were synthesized using thematic analysis. The study protocol was registered prospectively (PROSPERO: CRD42020152391). Of the 3,512 studies screened, 27 were included: 22 quantitative and 5 qualitative. Five-position statements/guidelines were added by hand searching. Definitions and several distinct practice patterns of ACP and the importance of families' roles were identified. Unique recommendations addressed the importance of properly eliciting patients' preferences that are the best for both patients and families, engaging the public to raise awareness of ACP, and developing policies and guidelines for ACP. We identified the definition of and unique recommendations for ACP based on Japanese cultural values and norms. Further research is needed to evaluate the recommendations provided in this systematic review.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] Therefore, it is necessary to consider Japanese cultural and social aspects when introducing ACP to Japan. [ 9 ]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Definition and recommended cultural considerations for advance care planning in Japan: A systematic review

Chikada

Takenouchi

Nin

et al. 2021

Asia-Pacific Journal of Oncology Nursing

View full text Add to dashboard Cite

show abstract

“…2 However, even if such a system is established, people face a shortage of trained personnel to assist those who experience unsolvable, incurable suffering at the end of life. [2][3][4] Furthermore, there have been few opportunities to learn from a multidisciplinary perspective about the structure of suffering and resilience building. Although many workshops regarding palliative and self-mental care are occasionally held, their effects remain unclear.…”

mentioning

confidence: 99%

Can We Be at Peace With Unsolvable Suffering? A Qualitative Study Exploring the Effectiveness of Supportive Communication and Resilience Building

Nagano¹,

Chida²,

Ozawa³

2022

J Hosp Palliat Nurs

View full text Add to dashboard Cite

The authors provided six 180-minute interpersonal assistance workshops using teaching materials from the End-of-Life Care Association: 90 minutes each on supportive communication and role-playing. The content included the following:・ Suffering people are “at peace” with someone who understands their suffering, which starts with building a relationship through empathetic listening. The goal is not to “understand them” but for them to “feel understood.”・ Realizing the suffering of others and recognizing the internal moral and emotional strength of those who live with suffering.・ Resilience building: helping caregivers face difficulties even when helpless; remembering one's support networks and valuing oneself.Participants (n = 114) wrote reflective journals after each session. Two domains and 10 key themes were identified through thematic analysis. The domains comprised topics on the importance of using listening techniques, such as repetition, waiting in silence, and asking questions (not to understand but for dialogue). The 3-month postinterviews revealed that participants could ease their sense of weakness by helping suffering people, which is relevant to work, grief care, and daily life. Changes in relationships between participants and patients were also identified. Role-playing can teach supportive communication, such as listening attentively and accepting others, which may help supporters engage with people experiencing incurable suffering.

show abstract

Feasibility and acceptability of advance care planning facilitated by nonphysician clinicians in Japanese primary care: Implementation pilot study

Mochizuki

Yamashita

Miura

et al. 2022

J of Gen and Family Med

View full text Add to dashboard Cite

Background Implementation of advance care planning (ACP) is urgently needed in Japan, which is one of the most aging countries. This study tested the feasibility and acceptability of ACP facilitated by nonphysician clinicians, and identified barriers and enablers to implementing ACP into Japanese primary care. Methods We trained 10 nonphysician clinicians (seven registered nurses, two medical social workers, and one care manager) in four primary care clinics as ACP facilitators. From April to June 2019, the trained facilitators had 19 ACP conversations with their patients. We conducted semistructured interviews and surveys regarding satisfaction and appropriateness of the ACP with patients, family members, ACP facilitators, and primary care physicians (PCPs) regarding their perceptions about ACP facilitated by nonphysician clinicians. Survey data were analyzed using descriptive statistics, and interviews were analyzed using a qualitative content analysis approach. Results Majority of patients (75%) and family members (71%) were satisfied with ACP facilitated by nonphysician clinicians. In 71%, ACP facilitators and PCPs thought their ACP facilitation was appropriate and acceptable. Patients stated that they felt comfortable having ACP conversations with nonphysician clinicians. Identified barriers and enablers for ACP included: time restraints, size and organization of the clinics, settings for ACP conversations (ACP at the patient's home), team collaboration, and use of existing system to trigger ACP. Conclusions Advance care planning facilitated by nonphysician clinicians was feasible and acceptable in Japanese primary care. Further studies are needed to explore strategies to overcome the barriers and enhance the enablers identified in this study.

show abstract

Integrative Review of Advance Care Planning Research in Japan

Cited by 10 publications

References 32 publications

Definition and recommended cultural considerations for advance care planning in Japan: A systematic review

Definition and recommended cultural considerations for advance care planning in Japan: A systematic review

Can We Be at Peace With Unsolvable Suffering? A Qualitative Study Exploring the Effectiveness of Supportive Communication and Resilience Building

Feasibility and acceptability of advance care planning facilitated by nonphysician clinicians in Japanese primary care: Implementation pilot study

Contact Info

Product

Resources

About