Barriers and facilitators to the completion of advance directives in healthy, non-healthcare employed adults aged 45-65
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Michael L. Dion, MS, RN, CCRN, TNCC, CNIII
- Sigma Affiliation
- Beta Tau
Background: The Patient Self-‐Determination Act -‐-‐ passed in 1991 -‐-‐ requires staff in health care facilities -‐-‐ such as skilled nursing facilities, hospitals, home health services and primary care offices -‐-‐ to ask patients about advanced directives. Despite this, actual completions of advance directives in America remain low.
Objective: To determine the barriers and facilitators to the completion of advance directives in healthy, non-‐health care employed individuals aged 45-‐65. It is believed healthy individuals in this age group both desire the advance directive, and have strong opinions regarding their end of life preferences.
Methods: This study used a cross sectional survey design to study the barriers and facilitators to the completion of advanced directives in healthy adults aged 45-‐65 who are not employed in healthcare. A 16 item survey was developed to collect demographic data, ascertain participants’ general knowledge of advance directives, and determine the desire of this age group for end of life treatments.
Findings: The findings for this age group were consistent with the literature. Individuals in this age group desired an advance directive, and considered it an important document, and felt the discussion is best started with a health care provider.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10124279; ProQuest document ID: 1807632084. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
| Type | Thesis |
| Acquisition | Proxy-submission |
| Review Type | None: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Cross-Sectional |
| Research Approach | Quantitative Research |
| Keywords | Advanced Care Directives; End-of-Life Planning; Healthy Populations; Palliative Care |
| Grantor | University of California, Davis |
| Advisor | Bakerjian, Debra; Murray-Garcia, Jann |
| Level | Master's |
| Year | 2016 |
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