Negotiating a code status: A comparison of elderly persons' and health care providers' perspectives (DISS)

2.50
Hdl Handle:
http://hdl.handle.net/10755/160864
Type:
Presentation
Title:
Negotiating a code status: A comparison of elderly persons' and health care providers' perspectives (DISS)
Abstract:
Negotiating a code status: A comparison of elderly persons' and health care providers' perspectives (DISS)
Conference Sponsor:Midwest Nursing Research Society
Conference Year:1991
Author:Ziebart, Jolene, MS/MSc
P.I. Institution Name:Geriatrics Institute, Sinai-Samaritan Medical Center
Title:Geriatric Nurse Practitioner
Contact Address:950 N. Twelve St., Milwaukee, WI, 53233, USA
Contact Telephone:4142837300
Researchers, and ethicists, are encouraging health care providers

to obtain advance directives from patients in ambulatory settings

rather than waiting until these patients are critically ill.

There are currently no studies exploring how well community

dwelling elderly understand end-of-life decisions and the meaning

of an advanced directive. The purposes of this study were to

discover 1) how a group of community elderly understand

resuscitation and how they anticipate making end-of-life

decisions based on this understanding, 2) how health care

providers in the ICU negotiate code status with patients/families,

and 3) to compare the perceptions of these two populations.



Semi-structured interviews were conducted with 9 well elderly

persons recruited from a private family practice, and with 9

health care providers. Elderly subjects' perceptions of

resuscitation, life support, and the processes of decision making

were explored in detail. Providers were interviewed to examine

their perceptions of how code status is negotiated with patients

in the ICU. The grounded theory method was used to guide data

collection and data analysis. Findings indicated major

discrepancies between the two perspectives on patient's abilities

to control and participate in decision making when hospitalized.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNegotiating a code status: A comparison of elderly persons' and health care providers' perspectives (DISS)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/160864-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Negotiating a code status: A comparison of elderly persons' and health care providers' perspectives (DISS)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ziebart, Jolene, MS/MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Geriatrics Institute, Sinai-Samaritan Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Geriatric Nurse Practitioner</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">950 N. Twelve St., Milwaukee, WI, 53233, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">4142837300</td></tr><tr><td colspan="2" class="item-abstract">Researchers, and ethicists, are encouraging health care providers<br/><br/>to obtain advance directives from patients in ambulatory settings<br/><br/>rather than waiting until these patients are critically ill.<br/><br/>There are currently no studies exploring how well community<br/><br/>dwelling elderly understand end-of-life decisions and the meaning<br/><br/>of an advanced directive. The purposes of this study were to<br/><br/>discover 1) how a group of community elderly understand<br/><br/>resuscitation and how they anticipate making end-of-life<br/><br/>decisions based on this understanding, 2) how health care<br/><br/>providers in the ICU negotiate code status with patients/families,<br/><br/>and 3) to compare the perceptions of these two populations.<br/><br/><br/><br/>Semi-structured interviews were conducted with 9 well elderly<br/><br/>persons recruited from a private family practice, and with 9<br/><br/>health care providers. Elderly subjects' perceptions of<br/><br/>resuscitation, life support, and the processes of decision making<br/><br/>were explored in detail. Providers were interviewed to examine<br/><br/>their perceptions of how code status is negotiated with patients<br/><br/>in the ICU. The grounded theory method was used to guide data<br/><br/>collection and data analysis. Findings indicated major<br/><br/>discrepancies between the two perspectives on patient's abilities<br/><br/>to control and participate in decision making when hospitalized.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T23:11:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:11:55Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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