2.50
Hdl Handle:
http://hdl.handle.net/10755/153734
Type:
Presentation
Title:
Motivational and Influential Factors for Advance Directive Formulation
Abstract:
Motivational and Influential Factors for Advance Directive Formulation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Duke, Gloria, PhD, RN
P.I. Institution Name:The University of Texas at Tyler
Title:Associate Professor, Assistant Dean for Research and Outreach
Co-Authors:Sue Thompson, PhD, RN
Opportunities for formulating advance directives were expanded with the Patient Self-Determination Act (PSDA) of 1991. Despite the fact that the law mandated that all health care facilities that receive Medicare funds must educate patients and families concerning advanced directives (AD) as well as to provide opportunities for formulating advance directives, very few individuals have taken advantage of this. The purpose of this two-phased, descriptive, correlational study was to identify characteristics and other influential factors of adults admitted to acute care facilities that impacted their decision to formulate an advance directive. Phase 1 of this study comprised a qualitative study to identify influential and motivating factors, and from this data, a quantitative tool (Advance Directive Assessment Tool, ADAT) was developed. Quality of Life (Life Satisfaction Index: A) as a possible motivating factor and the ADAT were used in Phase 2 of this study. The sample comprised 47 patients admitted to one of two acute care facilities. Results revealed social workers and lawyers were more involved with initiating and assisting patients with advance directives. When asked what the biggest factor was concerning the reason for formulating an AD, participants responded that they did not want to be a burden to their family. Significant relationships were detected between selected life satisfaction items and social support, age, and spirituality. Several implications of this study emerged based on the findings. Clearer role definitions of health care providers need to be defined in terms of AD initiation. Future nursing research should be targeted toward further explanatory and predictive studies with larger and more diverse samples. This may facilitate advance directive initiation in order to give individuals as well as their loved ones peace of mind and to prevent individual wishes from not being fulfilled.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMotivational and Influential Factors for Advance Directive Formulationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153734-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Motivational and Influential Factors for Advance Directive Formulation</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">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Duke, Gloria, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Texas at Tyler</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor, Assistant Dean for Research and Outreach</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gduke@mail.uttyl.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sue Thompson, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Opportunities for formulating advance directives were expanded with the Patient Self-Determination Act (PSDA) of 1991. Despite the fact that the law mandated that all health care facilities that receive Medicare funds must educate patients and families concerning advanced directives (AD) as well as to provide opportunities for formulating advance directives, very few individuals have taken advantage of this. The purpose of this two-phased, descriptive, correlational study was to identify characteristics and other influential factors of adults admitted to acute care facilities that impacted their decision to formulate an advance directive. Phase 1 of this study comprised a qualitative study to identify influential and motivating factors, and from this data, a quantitative tool (Advance Directive Assessment Tool, ADAT) was developed. Quality of Life (Life Satisfaction Index: A) as a possible motivating factor and the ADAT were used in Phase 2 of this study. The sample comprised 47 patients admitted to one of two acute care facilities. Results revealed social workers and lawyers were more involved with initiating and assisting patients with advance directives. When asked what the biggest factor was concerning the reason for formulating an AD, participants responded that they did not want to be a burden to their family. Significant relationships were detected between selected life satisfaction items and social support, age, and spirituality. Several implications of this study emerged based on the findings. Clearer role definitions of health care providers need to be defined in terms of AD initiation. Future nursing research should be targeted toward further explanatory and predictive studies with larger and more diverse samples. This may facilitate advance directive initiation in order to give individuals as well as their loved ones peace of mind and to prevent individual wishes from not being fulfilled.</td></tr></table>en_GB
dc.date.available2011-10-26T12:28:39Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:28:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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