Barriers and facilitators to the completion of advance directives in healthy, non-healthcare employed adults aged 45-65
Michael L. Dion, MS, RN, CCRN, TNCC, CNIII
- Sigma Affiliation
- Beta Tau
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Dion, Michael Lawrence by View
Popular Works for Dion, Michael Lawrence by Download
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.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
|Keywords||Advanced Care Directives;
|Grantor||University of California, Davis|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Preparing for the final journey: Advance care planning and end-of-life care from a global nursing perspective Xu, Xinyi (Sigma Theta Tau International, 2021-11-30)Limited decision-making capacity in end-of-life patients affects their abilities to express their preferences in medical decisions. Advance care planning (ACP) is a process of communication that enables individuals to ...
Effects of advance care planning intervention on end-of-life decision making Kim, Minju; Lee, JieunThe purpose of this study was to systematically review reports of published randomized controlled trials to ascertain the effectiveness of an advance care planning intervention.
Evaluating undergraduate nursing students' knowledge before and after a palliative and end-of-life care course Thrane, Susan E. (2017-10-25)Basic palliative care knowledge is important for all nurses and nursing students. Undergraduate students' knowledge of palliative and end-of-life care concepts was measured before and after a semester-long elective palliative ...
Improving the use of advance care planning in assisted living facilities King, JohnPaulEnsuring patients receive care in the fashion they so choose at the end of life should be considered and addressed upon any admission process. The project site noted many unnecessary, repeated emergency room (ER) visits ...
Reliably assessing dyspnea in non-communicative end-of-life patients Thomas, Laura A.Problem: Will education provided to nurses at a Midwest community hospital about the Respiratory Distress Observation Scale (RDOS) result in increased knowledge on how to assess patients who are unable to self-report ...