Advance care planning (ACP) allows individuals to communicate their wishes for future medical care. ACP is particularly important among those diagnosed with Alzheimer's disease and related dementias (ADRD) due to decline in cognition. In the nursing home setting, conducting ACP with residents with ADRD and their family caregivers is challenging. The purpose of the current integrative review was to: (a) examine the evidence on the process of conducting ACP with residents with ADRD and their family caregivers in nursing home settings, and (b) understand who conducts ACP and when and how ACP is being conducted with residents with ADRD and their family caregivers. Gaps were identified, such as lack of a systematic approach to addressing ACP in nursing homes, lack of clear roles in conducting ACP, family caregivers' and nursing home staff's lack of knowledge and skills to engage in ACP, and lack of diversity in study samples. To improve clinical practice, future studies should explore standardization of the ACP process in the nursing home setting. [Research in Gerontological Nursing, xx(x), xx–xx.]

预先护理计划 (ACP) 允许个人表达他们对未来医疗护理的愿望。由于认知能力下降，ACP 在被诊断患有阿尔茨海默病和相关痴呆症 (ADRD) 的患者中尤为重要。在疗养院环境中，对患有 ADRD 的居民及其家庭护理人员进行 ACP 具有挑战性。当前综合审查的目的是：(a) 检查与 ADRD 居民及其家庭护理人员在疗养院环境中进行 ACP 过程的证据，以及 (b) 了解谁进行 ACP 以及何时以及如何进行 ACP与患有 ADRD 的居民及其家庭护理人员一起进行。确定了差距，例如缺乏解决疗养院 ACP 的系统方法，在进行 ACP 、家庭护理人员和疗养院工作人员中缺乏明确的角色 缺乏从事 ACP 的知识和技能，研究样本缺乏多样性。为了改进临床实践，未来的研究应该探索疗养院环境中 ACP 过程的标准化。[老年学护理研究，xx (x), xx–xx.]