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.

Purpose: An educational program was developed to facilitate advance directive (AD) completion, using the situation of end‐of‐life care for people with dementia. The aim of the study was to examine the effects on AD completion rates of an education program conducted for local community residents. Methods: The design was a quasi‐experimental study with intervention and control groups, respectively. The study population included local welfare officers from two cities in Osaka Prefecture, Japan, of whom 81 persons were allocated to an intervention group and 60 persons to a control group. A 70‐minute intervention program was performed twice for the intervention group. Primary outcomes included AD completion and intention to complete an AD, as indicated by binary “Yes” or “No” responses, and secondary outcomes included knowledge of AD, attitudes towards AD, and knowledge of dementia. Results: The intervention group exhibited a significant increase in the number of people who completed an AD from the baseline assessment compared to the four‐month reassessment (odds ratio = 5.0, 95% confidence interval = 1.0–25.0, p = 0.04). The results showed that the interactions between group and time were statistically significant for scores of both the AD Attitude Survey Test (F = 4.1, p = 0.04) and the Dementia Knowledge Scale (F = 4.6, p = 0.04). Conclusions: The results suggest that this education program to facilitate AD completion may promote 1) AD completion, 2) favorable attitudes towards AD, and 3) knowledge of dementia among local residents.

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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