Background: Advance care planning is a crucial end-of-life care practice. However, an advance care planning educational programme for practitioners in an acute care setting has not yet been established. Consequently, we examined the effects of an advance care planning educational programme in an acute hospital in the hope of achieving increased awareness of end-of-life care. Design: A mixed-methods, pre- and post-design was employed to evaluate the change in attitudes of practitioners post-programme. The intervention programme was conducted thrice over 3 months in 90-min sessions. Setting/participants: This study included 85 participants in the baseline assessment working at B acute hospital in Osaka. Results: Participants’ scores on the ‘Positive attitude for end-of-life care’ subscale on the short version of the Frommelt Attitude Toward Care of Dying scale significantly increased after the 6-month intervention. A ‘Positive attitude for end-of-life-care’ implies that participants would not be afraid to practice end-of-life care. Further, participants’ scores on the ‘Death relief’ subscale of the Death Attitude Inventory also significantly increased. The term ‘Death relief’ means that death helps in ending suffering. It means participants are not afraid of death. Qualitative results implied that participants believed advance care planning implementation and communicating with patients and patients’ families were critical. Conclusions: Six months post-intervention, participants displayed sustained positive attitudes towards end-of-life care. These results suggest that the present programme was effective at improving practitioners’ attitudes towards patients’ end-of-life care.

ConclusionThe current best evidence to guide decisions regarding interventions to manage treatment adherence of heart transplant patients are weak and scant. There is weak evidence that psycho-educational interventions other than the usual care do not impact adherence behaviour of heart transplant patients, and also weak evidence that decreasing treatment complexity, by means of decreasing daily dose of the immunosuppressant drug, improves the adherence behaviour of heart transplant patients.Implications Randomized clinical trials with high methodological rigor are key to obtain more robust evidence regarding treatment adherence management in heart transplants. Interventions to limit treatment complexity, although obvious, are recommended to manage adherence of heart transplant patient based on the best evidence available.Objectives The purpose of this study is to examine the effectiveness of multifaceted translating research into practice (TRIP) intervention promoting the adoption of evidencebased (EB) delirium prevention care for hospitalized older adult. The TRIP intervention model addresses four characteristics; the innovation (EB delirium prevention care), the users of the EBPs, the social system, and the communication. MethodsThe study design was a quasi-experimental design with no control group. The study setting was two general hospitals in urban area in Japan. The subjects were

Aims:The aims was to clarity the current situation of educational adjustment of clinical training at nursing universities and faculty members recognition of it. Educational adjustment refers to providing the necessary support for students with disabilities or some characteristics of disabilities in clinical practice education.Methods: The questionnaire survey targeted representatives of nursing education at 277 member schools of the Japan Association of Nursing Program in Universities, and surveyed the recognition of educational adjustments of universities. The next questionnaire survey surveyed all faculty members from 15 universities regarding their recognition of educational adjustments. This study was conducted with the approval of the Research Ethics Review Board.Results: Educational adjustment of students was examined by the Academic Affairs Committee and the Student Support Committee. The number of students who needed educational adjustments was relatively high the development disorders and mental disorders. Teachers were very interested in educational adjustment and thought that information and countermeasures could be shared among teachers. One the other hand, teachers felt a strong need to improve their teaching ability of practical training and management skills.Conclusions: At nursing universities, committees and other organization examined educational adjustment, and faculty members were working on sharing information and considering countermeasures.

between paediatric patients and their parent. A process evaluation will provide more information about the underlying mechanisms of the intervention.