“Does Primary Care Provider Advance Directive Education Influence Attitudes and Practice?”

9.00
Hdl Handle:
http://hdl.handle.net/10755/308271
Category:
Abstract
Type:
Presentation
Title:
“Does Primary Care Provider Advance Directive Education Influence Attitudes and Practice?”
Author(s):
Johnson, Kimbra H.
Lead Author STTI Affiliation:
Epsilon Gamma-At-Large
Author Details:
Kimbra H. Johnson, MSN, kimjohnson@copper.net
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Abstract

 Background: Many people do not have advance directives (AD) prepared and have never discussed their wishes for end-of-life care. Patients’ lack of knowledge about AD is complicated by primary care providers (PCP) who have limited knowledge of AD.

Aim:To determine if primary care provider advance directive education influences attitudes and practice.

Methods:  A convenience sample of 76 primary care providers were asked to participate in a pre-survey, educational intervention, and post-survey descriptive design. The study was based on the Transtheoretical Model.   

Results: The majority of PCPs responded in the precontemplation stage. PCPs believed it is their role to assess patients’ AD planning with 62.2% pre-survey and 82.9% post-survey.  However, advance directive education did not influence practice in this project and the majority of PCPs had not added AD to their practice. . In addition, there was not a significant correlation between the nominal measure of PCPs level of formal training on AD and the interval measure of their belief about the role of PCPs in education of patients on AD, χ² (4, N = 35) = .385, p =.108. There was an inversely, significant correlation between years of experience and stated knowledge of the AD state laws (rho (24) = -.309, p = .039). Barriers to implementing ADs in practice were identified.

Discussion and Implications: AD education did not influence practice in this primary practice improvement project. PCPs believed it was their responsibility to educate and assess their patient’s AD plans, but indicated time, knowledge of the laws, and access to the appropriate forms as barriers. Future education should focus on how to overcome these barriers.

Keywords:
Transtheoretical Model; Advance Directives; Autonomy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.title“Does Primary Care Provider Advance Directive Education Influence Attitudes and Practice?”en_GB
dc.contributor.authorJohnson, Kimbra H.en_GB
dc.contributor.departmentEpsilon Gamma-At-Largeen_GB
dc.author.detailsKimbra H. Johnson, MSN, kimjohnson@copper.neten_GB
dc.identifier.urihttp://hdl.handle.net/10755/308271-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p><b>Abstract </b><p><b> </b><b>Background: </b>Many people do not have advance directives (AD) prepared and have never discussed their wishes for end-of-life care. Patients’ lack of knowledge about AD is complicated by primary care providers (PCP) who have limited knowledge of AD. <p><b>Aim:</b>To determine if primary care provider advance directive education influences attitudes and practice. <p><b>Methods:</b>  A convenience sample of 76 primary care providers were asked to participate in a pre-survey, educational intervention, and post-survey descriptive design. The study was based on the Transtheoretical Model.    <p><b>Results: </b>The majority of PCPs responded in the precontemplation stage. PCPs believed it is their role to assess patients’ AD planning with 62.2% pre-survey and 82.9% post-survey.  However, advance directive education did not influence practice in this project and the majority of PCPs had not added AD to their practice. . In addition, there was not a significant correlation between the nominal measure of PCPs level of formal training on AD and the interval measure of their belief about the role of PCPs in education of patients on AD, χ² (4, N = 35) = .385, p =.108. There was an inversely, significant correlation between years of experience and stated knowledge of the AD state laws (rho (24) = -.309, p = .039). Barriers to implementing ADs in practice were identified. <p><b>Discussion and Implications: </b>AD education did not influence practice in this primary practice improvement project. PCPs believed it was their responsibility to educate and assess their patient’s AD plans, but indicated time, knowledge of the laws, and access to the appropriate forms as barriers. Future education should focus on how to overcome these barriers.en_GB
dc.subjectTranstheoretical Modelen_GB
dc.subjectAdvance Directivesen_GB
dc.subjectAutonomyen_GB
dc.date.available2013-12-19T17:29:08Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:08Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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