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Patients' attitudes toward advance directives.

Rebecca Douglas1, Hazel N Brown

  • 1Brooke Army Medical Center, San Antonio, TX, USA. Becncol@aol.com

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|March 21, 2002
PubMed
Summary

Hospitalized patients are moderately positive about advance directives. Specific reasons, not just attitudes, drive completion, highlighting the need for nurse-led education on these important end-of-life documents.

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Area of Science:

  • Medical Sociology
  • Healthcare Ethics
  • Patient Advocacy

Background:

  • Advance directives are crucial legal documents for end-of-life care planning.
  • Understanding patient perspectives is key to improving advance care planning.
  • Previous research indicates varied patient engagement with advance directives.

Purpose of the Study:

  • To investigate hospitalized patients' attitudes towards advance directives.
  • To identify reasons for completing or not completing advance directive forms.
  • To examine demographic factors associated with advance directive completion.

Main Methods:

  • A convenience sample of 30 hospitalized patients in North Carolina participated.
  • Interviews were conducted using an adapted advance directive attitude survey (ADAS).
Keywords:
Death and EuthanasiaEmpirical Approach

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  • The adapted survey demonstrated established validity and reliability.

    • Main Results:

    • Most participants received information and held moderately positive views on advance directives.
    • Completed advance directives were more common among Caucasians, females, those over 65, with less than a high school education, and those perceiving poor health.
    • A majority believed advance directives ensure their end-of-life treatment preferences are honored.

    Conclusions:

    • Patient attitudes alone do not predict advance directive completion.
    • Specific motivations influence patients' decisions to complete advance directives.
    • Nurses play a vital role in educating patients, families, and physicians about advance directives.