Enabling Advance Directive Completion: Feasibility of a New Nurse-Supported Advance Care Planning Intervention
| Autor: | Michelle M. Hilgeman, Constance R. Uphold, Amber N. Collins, Lori L. Davis, Douglas P. Olsen, Kathryn L. Burgio, Classie A. Gordon, Tranace N. Coleman, Jamie DeCoster, Whitney Gay, Rebecca S. Allen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Advance care planning Randomization media_common.quotation_subject MEDLINE Gerontological nursing Fidelity Nurse's Role Advance Care Planning 03 medical and health sciences 0302 clinical medicine Patient satisfaction Nursing Intervention (counseling) Humans Medicine 030212 general & internal medicine Veterans Affairs General Nursing Aged media_common 030504 nursing business.industry Middle Aged Feasibility Studies Female Advance Directives 0305 other medical science business Gerontology |
| Zdroj: | Journal of Gerontological Nursing. 44:31-42 |
| ISSN: | 1938-243X 0098-9134 |
| Popis: | 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. [ Journal of Gerontological Nursing, 44 (7), 31–42.] |
| Databáze: | OpenAIRE |
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