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Factors influencing healthcare professionals' attitudes toward advance care planning

Beatriz Braña-Marcos¹, Lucía Fernández-Arce², Estefanía Vegas-Pardavila³

¹Subdirection of Care and Nursing Management. Health Area V. Health Service of the Principality of Asturias, Spain; Jaume I University. Castellón de la Plana, Spain; Nursing Research Challenge Project of Health Area V (NRC A5). ANDE. Health Service of the Principality of Asturias, Spain; Jaume I University. Castellón de la Plana, Spain.

Geriatric Nursing (New York, N.Y.)

|January 22, 2026

Abstract

Aim:

To examine healthcare professionals' knowledge and attitudes regarding Advance Care Planning (ACP), advance directives, and related legislation. The study also explored how sociodemographic and professional characteristics influence these perceptions.

Methods:

A cross-sectional study was conducted among healthcare professionals in Asturias, Spain, using an online questionnaire. A multiple linear regression model was employed to analyze the impact of sociodemographic and occupational characteristics on the survey outcomes.

Results:

A total of 409 responses were collected. Professional category, specific training, age, and work area were found to influence the quality of ACP and attitudes towards it. A significant lack of specific training hindered the development of a proactive attitude toward ACP.

Conclusions:

There is a need to promote a cultural shift in the approach to end-of-life care and ACP. Effective interventions should be developed to improve the quality of end-of-life care and fulfill patient wishes.

Keywords:

Advance care planning Advance directives Attitudes Decision-making Knowledge Practice behaviors

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