Nursing Care

Only a few researches relating to ACP were conducted at the nurses’ point of view, and little is knownabout the nurses’ knowledge and their willingness of promoting ACP in China. The aim of this study was toinvestigate oncology nurses’ knowledge and their willingness of promoting ACP, and explore the influencing factors related to knowledge and willingness of promoting ACP.Methods: A questionnaire survey was conducted to investigate 350 nurses in 4 oncology departments of 4 different university hospitals in China. Results: among them, 176 never received hospice care education (60.1%), 213 never heard of ACP (72.7%), and 261 never received training about ACP (89.1%). Nurses with higher position title (χ 2=18.41, p<0.001) , longer working experience ( χ 2=12.25, p=0.001) were more likely to received hospice care education; nurses with higher educational background (χ 2=12.91, p<0.001) , higher position title (χ 2=9.77, p=0.003), and longer working experience (χ 2=7.92, p=0.006) had a greater chance to heard about ACP; nurses with higher position title had more opportunities to received relating training ( χ 2=5.10, p=0.03). “Heard about ACP” ( t=-3.26, p=0.001;B=3.113, p=0.018) and “received training about ACP” (t=-2.71, p=0.007;B=3.894, p=0.04) were associated with “willingness of Promoting ACP”.Conclusion: Our findings indicate that oncology nurses are willing to promote ACP but with very poor knowledge in China, a systematic and adequate training toward ACP for nurses is in urgent need, to build this ACP training fit for Chinese nurses, three important factors as the nurses’level of education, position title and working experience are must be considered,thus, a targeted ACP training for

nurses in different seniority is needed.