Learning Objective 1: The learner will be able to understand culturally different decision-making behaviors toward end-of-life.
Learning Objective 2: The learner will be able to explore the culturally considerate nursing interventions when their patients and their family need to make decisions about end-of-life care.
Methods: The total 1,000 paper-based questionnaires were distributed to elders and their family members in three prefectures in Japan. Such three prectures were randomly selected based on its population size and aging rate. The questionnaire asked for their backgrond, family functions, and wishes for thier end-of-life. Chi-square was used to analysis the data.
Results: The response rate has been around 80% (it's ongoing project). The participants living in larger cities have higher response rate, so that they have more interested in issues in advance directives. One prefecture with smaill population size refused to participate in this research because they had felt barriers to ask end-of-lfe questions to elders. So far, regionally influence was one of the factors of determining the gap. The detailed analysis should be reported after all the questionnaires are returned.
Conclusion: The societal changes has been influencing the cultural decision-making process. Nurses should assess the characteristics of individual's decision-making responses.