Enabling Advance Directive Completion: Feasibility of a New Nurse-Supported Advance Care Planning Intervention.

Autor: Hilgeman, Michelle M., Uphold, Constance R., Collins, Amber N., Davis, Lori L., Olsen, Douglas P., Burgio, Kathryn L., Gordon, Classie A., Coleman, Tranace N., DeCoster, Jamie, Gay, Whitney, Allen, Rebecca S.
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Zdroj: Journal of Gerontological Nursing; Jul2018, Vol. 44 Issue 7, p31-42, 12p
Abstrakt: Adults who complete an advance directive (AD) are not consistently offered information about the risks, benefits, or alternatives (RBA) of the life-sustaining medical procedures addressed on standardized forms. The current article describes a new patient-centered nurse-supported advance care planning (NSACP) intervention focused on providing information about RBA of life-sustaining procedures. Fifty participants (mean age = 50.26 years) at a Veterans Affairs medical center were randomized to the NSACP intervention or a comparison condition. Before randomization, 78% (n = 39) expressed interest in RBA information. Of participants in the NSACP group, 94% (n = 30) completed an AD. Participants who received NSACP made more decisions to decline life-sustaining treatment than those who were randomized to the comparison group. Promising feasibility data include brevity (mean = 46 minutes), high patient satisfaction, participant retention, and treatment fidelity. The NSACP holds promise as a brief, educational intervention to support patients in completing an AD. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index