An Evaluation of Nurse Practitioner Participation in End-of-Life Treatment Decisions

2.50
Hdl Handle:
http://hdl.handle.net/10755/152310
Type:
Presentation
Title:
An Evaluation of Nurse Practitioner Participation in End-of-Life Treatment Decisions
Abstract:
An Evaluation of Nurse Practitioner Participation in End-of-Life Treatment Decisions
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Caine, Randy M., EdD, RN
P.I. Institution Name:California State University Los Angeles
Title:Professor of Nursing
[Research Presentation] Assisting patients to participate in future health care decisions by utilizing advance directives is an important advocacy role for nurse practitioners (NPs).áThere has been limited research examining the role of the NP with respect to end-of-life and advance directive planning. This study was undertaken to determine to what extent and under what circumstances NPs discuss these issues with patients. This descriptive survey examined NP practices with respect to end-of-life and advance directive discussions.áTools were developed to determine if NPs provided information that could be used ináplanning and, if so, under what circumstances.áA systematic random sample of 600 nurse practitioners in California, USA were surveyed.áResponses from 297 NPs representing a wide variety of practice areas were grouped according to demographic information. Data indicated that nearly two-thirds of the NPs (64%) discussed end-of-life and advance directives; however, of those, only 4% discussed them routinely.áRespondents discussed these issues with healthy patients less than 10% of the time and with patients older than 65 only 11% of the time. There were significant differences in discussions based on NP specialty (p = .0006) and practice setting (p =.00002). Nurse practitioners function in many settings, providing health promotion and disease prevention. Results of this study support the value of early end-of-life and advance directive planning between patients and NPs and contribute to the advocacy role. There is a need for increased education regarding attitudes towardáthe subjectáas well as barriers to these discussions by NPs. Further study is warranted.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Evaluation of Nurse Practitioner Participation in End-of-Life Treatment Decisionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152310-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evaluation of Nurse Practitioner Participation in End-of-Life Treatment Decisions</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Caine, Randy M., EdD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">California State University Los Angeles</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rcaine@calstatela.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Assisting patients to participate in future health care decisions by utilizing advance directives is an important advocacy role for nurse practitioners (NPs).&aacute;There has been limited research examining the role of the NP with respect to end-of-life and advance directive planning. This study was undertaken to determine to what extent and under what circumstances NPs discuss these issues with patients. This descriptive survey examined NP practices with respect to end-of-life and advance directive discussions.&aacute;Tools were developed to determine if NPs provided information that could be used in&aacute;planning and, if so, under what circumstances.&aacute;A systematic random sample of 600 nurse practitioners in California, USA were surveyed.&aacute;Responses from 297 NPs representing a wide variety of practice areas were grouped according to demographic information. Data indicated that nearly two-thirds of the NPs (64%) discussed end-of-life and advance directives; however, of those, only 4% discussed them routinely.&aacute;Respondents discussed these issues with healthy patients less than 10% of the time and with patients older than 65 only 11% of the time. There were significant differences in discussions based on NP specialty (p = .0006) and practice setting (p =.00002). Nurse practitioners function in many settings, providing health promotion and disease prevention. Results of this study support the value of early end-of-life and advance directive planning between patients and NPs and contribute to the advocacy role. There is a need for increased education regarding attitudes toward&aacute;the subject&aacute;as well as barriers to these discussions by NPs. Further study is warranted.</td></tr></table>en_GB
dc.date.available2011-10-26T11:31:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:31:31Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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