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Nurses Preparation for Advanced Directives: An Integrative Review
1Mennonite College of Nursing at Illinois State University, Campus Box 5810, Normal, IL 61790-5810, United States.
Summary
Most nurses lack adequate knowledge and confidence regarding advance directives, despite their legal and ethical duties. Nursing education on advance directives is minimal, highlighting a critical need for improved training and further research.
Area of Science:
- Nursing Education
- Healthcare Law
- Patient Advocacy
Background:
- Nurses are legally and ethically obligated to educate patients on advance directives.
- Existing literature suggests a gap in nurses' understanding of their role in advance care planning.
- Advance directives significantly impact patient care and outcomes.
Purpose of the Study:
- To review the knowledge and confidence levels of nurses and nursing students concerning advance directives.
- To assess the extent and nature of advance directive education within nursing curricula.
- To identify deficits in nurses' understanding and confidence regarding advance directives.
Main Methods:
- Systematic review of 19 studies published between 1990 and 2018.
- Analysis of studies focusing on nurses' and nursing students' knowledge or confidence in advance directives.
- Evaluation of educational interventions related to advance directives in nursing programs.
Main Results:
- Less than half of practicing nurses demonstrated adequate knowledge or confidence regarding advance directives.
- Nursing programs typically allocate 1.5 hours or less to advance directive education.
- Nurses' confidence did not always correlate with accurate knowledge of advance directives.
Conclusions:
- Current nursing education on advance directives is insufficient to equip nurses with necessary knowledge and confidence.
- There is a significant need for enhanced educational strategies in nursing programs to address knowledge and confidence deficits.
- Further research is required to identify effective methods for improving nurses' competence in advance care planning.
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