Nurses’ perceptions of advance directives
Objective: To identify nurses perceptions of Advance Directives (AD) and to analyse the influence of experience with AD on their perception. Material and methods: Quantitative, descriptive, correlational study conducted in a hospital in central Portugal with a sample of 139 nurses, aged 20–60 and in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2014-11-01
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| Series: | Atención Primaria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0212656714700824 |
| _version_ | 1818513062386204672 |
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| author | Ernestina Silva Maria Neves Daniel Silva |
| author_facet | Ernestina Silva Maria Neves Daniel Silva |
| author_sort | Ernestina Silva |
| collection | DOAJ |
| description | Objective: To identify nurses perceptions of Advance Directives (AD) and to analyse the influence of experience with AD on their perception.
Material and methods: Quantitative, descriptive, correlational study conducted in a hospital in central Portugal with a sample of 139 nurses, aged 20–60 and in which 78.4% are women and 74% are under 40 years of age. A questionnaire was applied on nurses’ perceptions of AD, their socio-demographic characteristics, and professional experiences with AD.
Results: Nurses with 26–30 years of experience have a more critical position with regards to AD (P = .03). Approximately 95% of nurses have no experience of situations where they were given the opportunity for the patient to decide using the AD, nor did they experience situations where the patient has been informed of this right. Most nurses (72.7%) expressed their readiness to reflect with the patient to preparing the AD document and 45.3% would only do so, if the patient or the family requested it.
Conclusion: Nurses have little experience with AD. They are available to respect the patient's will but did not feel able to address the issue on their own initiative. Most agree that the AD can “fail” if the patient does not reevaluate it periodically. Reflection and debate on the ethical issues surrounding AD should be promoted: promoting patient autonomy, care in vulnerable situations, team decisions and conscientious objection. |
| first_indexed | 2024-12-10T23:55:48Z |
| format | Article |
| id | doaj.art-16c6e0ca2f2a47d48ccbac206a27cc97 |
| institution | Directory Open Access Journal |
| issn | 0212-6567 |
| language | Spanish |
| last_indexed | 2024-12-10T23:55:48Z |
| publishDate | 2014-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Atención Primaria |
| spelling | doaj.art-16c6e0ca2f2a47d48ccbac206a27cc972022-12-22T01:28:36ZspaElsevierAtención Primaria0212-65672014-11-0146S514514910.1016/S0212-6567(14)70082-4Nurses’ perceptions of advance directivesErnestina Silva0Maria Neves1Daniel Silva2Escola Superior de Saúde de Viseu, Instituto Politécnico de Viseu, Viseu, PortugalCentro Hospitalar do Baixo Vouga, EPE, Aveiro, PortugalEscola Superior de Saúde de Viseu, Instituto Politécnico de Viseu, Viseu, PortugalObjective: To identify nurses perceptions of Advance Directives (AD) and to analyse the influence of experience with AD on their perception. Material and methods: Quantitative, descriptive, correlational study conducted in a hospital in central Portugal with a sample of 139 nurses, aged 20–60 and in which 78.4% are women and 74% are under 40 years of age. A questionnaire was applied on nurses’ perceptions of AD, their socio-demographic characteristics, and professional experiences with AD. Results: Nurses with 26–30 years of experience have a more critical position with regards to AD (P = .03). Approximately 95% of nurses have no experience of situations where they were given the opportunity for the patient to decide using the AD, nor did they experience situations where the patient has been informed of this right. Most nurses (72.7%) expressed their readiness to reflect with the patient to preparing the AD document and 45.3% would only do so, if the patient or the family requested it. Conclusion: Nurses have little experience with AD. They are available to respect the patient's will but did not feel able to address the issue on their own initiative. Most agree that the AD can “fail” if the patient does not reevaluate it periodically. Reflection and debate on the ethical issues surrounding AD should be promoted: promoting patient autonomy, care in vulnerable situations, team decisions and conscientious objection.http://www.sciencedirect.com/science/article/pii/S0212656714700824Advance directiveLiving willsTerminal careEthics nursing |
| spellingShingle | Ernestina Silva Maria Neves Daniel Silva Nurses’ perceptions of advance directives Atención Primaria Advance directive Living wills Terminal care Ethics nursing |
| title | Nurses’ perceptions of advance directives |
| title_full | Nurses’ perceptions of advance directives |
| title_fullStr | Nurses’ perceptions of advance directives |
| title_full_unstemmed | Nurses’ perceptions of advance directives |
| title_short | Nurses’ perceptions of advance directives |
| title_sort | nurses perceptions of advance directives |
| topic | Advance directive Living wills Terminal care Ethics nursing |
| url | http://www.sciencedirect.com/science/article/pii/S0212656714700824 |
| work_keys_str_mv | AT ernestinasilva nursesperceptionsofadvancedirectives AT marianeves nursesperceptionsofadvancedirectives AT danielsilva nursesperceptionsofadvancedirectives |