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- Title
Enabling Advance Directive Completion: Feasibility of a New Nurse-Supported Advance Care Planning Intervention.
- Authors
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.
- Abstract
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.
- Subjects
CHI-squared test; FOCUS groups; VETERANS; NURSES; PROFESSIONAL employee training; QUESTIONNAIRES; RESEARCH funding; STATISTICAL sampling; VETERANS' hospitals; ADVANCE directives (Medical care); OCCUPATIONAL roles; RANDOMIZED controlled trials; PRE-tests &; post-tests; CONTROL groups; EDUCATIONAL outcomes; DATA analysis software; DESCRIPTIVE statistics; HOSPITAL nursing staff
- Publication
Journal of Gerontological Nursing, 2018, Vol 44, Issue 7, p31
- ISSN
0098-9134
- Publication type
Article
- DOI
10.3928/00989134-20180614-06