Advance directive promotion in the community setting
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Problem: An advance directive is a recognized legal document that expresses a person’s own wishes and values which will guide medical decision making in the event of serious illness or incapacity. Despite many ongoing efforts to increase civic awareness, advance directive completion rates remain historically low and the need for a standardized approach to advance care planning discussion has been extensively supported within the literature.
Intervention: The purpose of this project was to implement an oral discussion forum and enhanced informational session within the community setting to increase the intention to complete an advance directive form among adults aged 55 and older. The Honoring Choices campaign was utilized as a guide for facilitating the program.
Measures: Efficacy of the project was measured using a pre- and post-test consisting of the 9-item Advance Care Planning Engagement Survey.
Results: There was not a significant difference between participants’ readiness scores before or after the intervention, suggesting that individuals who participated in the intervention were not significantly more ready to complete an advance directive (p = 0.67).
Conclusion: Stagnant advance directive completion rates among individuals in the United States is a civic health issue impacting all adults. Findings from this project suggest that one, hour-long educational information session does not result in an increased intention to complete an advance directive and further research in the area is still a recognized need.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Qualitative Research |
Keywords | Advance Directives; Advance Care Planning; Completion Readiness; Community Knowledge; Oral Discussions; Informational Sessions |
Grantor | Nebraska Methodist College |
Advisor | Hall, Lyndsi |
Level | DNP |
Year | 2022 |
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