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Introduction

Advance care planning (ACP) is a process that involves discussing and documenting an individual’s preferences for future medical care, especially in the context of end-of-life decision making. In long-term care settings, such as nursing homes, nurses play a crucial role in promoting ACP and facilitating discussions about end-of-life care with residents and their families. This thesis aims to explore the role of nursing in promoting ACP and end-of-life decision making in long-term care settings, and to understand the challenges and barriers that nurses face in this process.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitations of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Overview of Advance Care Planning
2.2 The Role of Nursing in ACP
2.3 End-of-Life Decision Making in Long-Term Care Settings
2.4 Barriers to ACP in Long-Term Care Settings
2.5 Strategies to Promote ACP in Long-Term Care Settings
2.6 Ethical Considerations in ACP
2.7 Communication Skills for ACP
2.8 Cultural Considerations in ACP
2.9 Legal Issues in ACP
2.10 Impact of ACP on Quality of Care

Chapter 3: Research Methodology
3.1 Research Design
3.2 Sampling
3.3 Data Collection Methods
3.4 Data Analysis
3.5 Ethical Considerations
3.6 Validity and Reliability
3.7 Researcher Bias
3.8 Limitations of the Research

Chapter 4: Discussion of Findings
4.1 Nurses’ Perceptions of ACP in Long-Term Care Settings
4.2 Challenges Faced by Nurses in Promoting ACP
4.3 Strategies Used by Nurses to Facilitate ACP Discussions
4.4 Impact of ACP on Resident Care
4.5 Recommendations for Improving ACP in Long-Term Care Settings

Chapter 5: Conclusion and Summary
5.1 Summary of Findings
5.2 Implications for Nursing Practice
5.3 Recommendations for Future Research
5.4 Conclusion

Thesis Overview

The role of nursing in promoting advance care planning (ACP) and end-of-life decision making in long-term care settings is vital in providing quality care for residents. This thesis explores the challenges and barriers nurses face in promoting ACP, as well as the strategies they use to facilitate discussions about end-of-life care. By examining the literature on ACP, discussing research methodology, presenting findings, and providing recommendations for practice and further research, this thesis contributes to the understanding of the important role nurses play in ACP in long-term care settings.

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