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Aggressive implementation of advance directives

J M Kirmse1

  • 1Mayo Medical Center, rochester, Minnesota, USA.

Critical Care Nursing Quarterly
|June 30, 1998
PubMed
Summary
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Nurses are crucial for advance directives, which document end-of-life decisions. Increased nurse involvement in practice and research can improve advance directive completion rates.

Area of Science:

  • Healthcare Law and Ethics
  • Nursing Practice
  • Patient Autonomy

Background:

  • Advance directives are legal documents for end-of-life decisions, influenced by economic, social, and technical factors.
  • Despite their importance, nurses' involvement in advance directive practice and research is limited.
  • This review explores the history, definitions, benefits, and barriers related to advance directives.

Observation:

  • Nurses, particularly critical care and advance practice nurses, are underutilized in promoting advance directives.
  • A gap exists between the recognized importance of advance directives and their practical implementation by nursing staff.
  • Barriers to advance directive completion require active nursing intervention.

Findings:

  • Nurses play a pivotal role in educating patients and healthcare providers about advance directives.

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  • Systematic implementation strategies by nurses can significantly increase the utilization of advance directives.
  • Addressing barriers through nursing-led initiatives is key to enhancing end-of-life care planning.

    • Implications:

    • Enhanced nursing engagement can improve patient-centered end-of-life care planning.
    • Integrating advance directive education into nursing practice is essential for respecting patient autonomy.
    • Further research is needed to explore effective nursing interventions for promoting advance directive completion.