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Nurses' perceptions of advance directives.

Ernestina Silva1, Maria Neves2, Daniel Silva1

  • 1Escola Superior de Saúde de Viseu, Instituto Politécnico de Viseu, Viseu, Portugal.

Atencion Primaria
|December 6, 2014
PubMed
Summary
This summary is machine-generated.

Nurses report limited experience with Advance Directives (AD), expressing willingness to discuss them but lacking initiative. Periodic reevaluation is crucial for AD effectiveness.

Keywords:
Advance directiveEthics nursingLiving willsTerminal care

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Area of Science:

  • Nursing
  • Bioethics
  • Healthcare Policy

Background:

  • Advance Directives (AD) are crucial for patient autonomy in healthcare decision-making.
  • Understanding nurses' perceptions of AD is vital for effective implementation and patient-centered care.
  • Limited research exists on nurses' experiences and perceptions of AD in Portugal.

Purpose of the Study:

  • To investigate nurses' perceptions of Advance Directives (AD).
  • To analyze how professional experience with AD influences nurses' perceptions.
  • To identify barriers and facilitators for AD utilization in clinical practice.

Main Methods:

  • A quantitative, descriptive, correlational study was conducted with 139 nurses in a Portuguese hospital.
  • Data were collected using a questionnaire assessing nurses' perceptions, socio-demographic characteristics, and professional experiences with AD.
  • Statistical analysis identified correlations between experience levels and perceptions regarding AD.

Main Results:

  • Nurses with 26-30 years of experience showed a more critical stance towards AD (P=.03).
  • Approximately 95% of nurses lacked experience with patients deciding via AD or being informed of this right.
  • While 72.7% were ready to discuss AD preparation, 45.3% would only do so upon patient/family request.

Conclusions:

  • Nurses possess limited practical experience with AD and often lack the initiative to discuss them proactively.
  • Nurses are willing to respect patient wishes but require further training and support to facilitate AD discussions.
  • Promoting dialogue on ethical issues, patient autonomy, and team decision-making is essential for effective AD implementation.