Download or read book The Relationship Between Nurses Attitudes and Experiences with Advance Directives written by Margory A. Molloy and published by . This book was released on 1991 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to explore the relationship between nurses' attitudes toward and experiences with advance directives. The hypothesis stated that there will be a positive correlation in a group of nurses' attitudes toward and experiences with advance directives. The sample selected for this research consisted of 34 Registered Nurses. A total of 19 participants out of this group completed both the attitudinal and experience questionnaires that were used to correlate the relationship between the variables. Higher scores on the questionnaires indicated a more positive attitude and a more positive experience with advance directives. The Pearson r was used to analyze the findings. These findings indicated a strong statistical correlation with positive attitudes and positive experiences with advance directives. Therefore, the hypothesis was accepted. Recommendations for further study include further testing of the Attitudinal and Experience Questionnaires and using a larger sample size, at different sampling sites. In addition, studies that explore how institutions are educating health care professionals and patients in the use of advance directives are needed.
Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Download or read book The KNOWLEDGE ATTITUDES EXPERIENCE AND CONFIDENCE OF MASTER S PREPARED REGISTERED NURSES WITH ADVANCE DIRECTIVES written by Diane Ryan and published by . This book was released on 2010 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation was written in manuscript style and is comprised of three manuscripts. Manuscript I was a systematic review of the nurse's role and advance directives (ADs). Manuscript II was a synthesis of three similarly designed survey studies focusing on nurses and ADs surveyed with the Knowledge, Attitudes, and Experiential Survey on Advance Directives (KAESAD) Instrument. The third manuscript was the main focus of this dissertation and is a secondary data analysis (SDA) using previously collected data from oncology and emergency room (ER) master's prepared registered nurses (MPRNs) surveyed with the KAESAD Instrument. Manuscript I was a systematic review of nurses and ADs, the purpose of which was to synthesize the knowledge, attitudes and experiences of nurses in facilitating patient completion of ADs. Qualitative approaches used in these studies included grounded theory methods, as well as several secondary analyses and one ethnographic study.^The majority of quantitative studies used a survey approach. A total of 13 different survey instruments were used to collect study data. Findings revealed that nurses had experience with ADs, but had less than adequate knowledge on this topic. While nurses were found to have attitudes supportive of patient autonomy, nurse practitioners reported a higher level of confidence regarding AD discussions with patients. Confidence, education, and experience related to ADs were not only correlated with each other, but were related to greater knowledge and more positive attitudes concerning ADs. Manuscript II was a synthesis of three studies that examined the perspectives of critical care, oncology, and ER nurses concerning ADs. The purpose of these studies was to understand the perspectives of the general population of nurses and ADs. Membership in state and national professional associations was used to survey oncology, emergency, and critical care nurses.^Findings from these studies which used the KAESAD instrument to obtain information from nurses revealed that though nurses were supportive of and experienced with ADs, they had minimal knowledge and moderate confidence in this area. Insufficient time was reported for AD discussions, though further analysis did not reveal any significant relationships between the attitude of lack of time and knowledge, confidence, or experience. Experience and confidence predicted agreement with various attitude items concerning ADs. An identified limitation in these investigations included low Cronbach's alpha values on the attitude scales in the KAESAD instrument, which limited analysis to items only from these scales. Manuscript III was an SDA of responses obtained from 410 emergency and oncology MPRNs who were surveyed using the KAESAD instrument. Power analysis based on medium effect indicated that this number of subjects was more than adequate for planned statistical analysis.^Demographic information revealed that the majority of subjects were female, Caucasian, Christian, married or living as married, and with a mean age of 47 years and an average of 22 years of practice. Over 50% of these subjects worked full time in an urban setting, and were certified in their specialty area. While 58% of MPRNs had a family member with an AD, only 37% of these same subjects had ADs themselves. These MPRNs had mean total knowledge scores of 59% correct, with higher scores on knowledge of general information on ADs, and lower scores pertaining to knowledge of state laws and the Patient Self Determination Act. Master's prepared registered nurses felt confident on the topic of ADs, were experienced with ADs, and were likely to agree with attitude statements supportive of patient advocacy. Those MPRNs who had an AD had greater knowledge and increased confidence and experience with an AD, as compared to those without an AD.^While confidence and experience explained 19% of the variance in knowledge, confidence and knowledge had a greater impact on experience, explaining 32% of the variance in these scores. Subjects with greater confidence and more experience were more likely to agree with 9/25 attitude items analyzed. Oncology and ER MPRNs tended to agree with similar attitude items, but differences were noted between these two groups of MPRNs on topics such as (a) assisting some terminally ill patients to die should be made legal and (b) some are excluded from making end-of-life decisions. Those ER MPRNs who were experienced with ADs were more likely to have positive attitudes concerning ADs, while oncology MPRNs with greater confidence were more likely to agree with attitude statements. Though these MPRNs have advanced educational degrees, their total knowledge concerning ADs was a little over 50% correct which does not provide an adequate foundation for clinical practice.^Differences in several attitudes among MPRN specialty groups may reflect the nature of clinical practice in different settings, distinguishing different practice perspectives in oncology and ER practice areas. Examining the knowledge, experience, confidence and attitudes of MPRNs regarding ADs serves to increase understanding of the advance care planning process, with the overarching goal of enhancing patient understanding concerning ADs and improving overall AD completion rates.
Download or read book Attitudes and Knowledge Related to Advance Directives in Nursing Students in Differing Degree Programs written by Erica Welch and published by . This book was released on 2019 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The study aimed to identify any differences between ADN, RN to BSN, and MSN/NP/Ph.D./DNP (Graduate) students in the knowledge, experience, attitudes, confidence, and comfort level of advance directives (ADs) use and end-of-life-care (EOLC) implementation." -- excerpt from abstract.
Download or read book Nurses Attitudes on Advance Directives written by Gina Marie Storrs and published by . This book was released on 1998 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Advance Directives written by Gracielle-Joyce A. Dalisay and published by . This book was released on 2015 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The purpose of this study was to explore the knowledge, attitudes, and education needs of skilled nursing facility staff in regards to the administration of advance directives to patients and families. This quantitative study utilized the Knowledge, Attitudinal and Experiential Survey on Advance Directives instrument which was completed by 44 nursing and social services employees at a small skilled nursing facility in Torrance, California. The findings indicated that skilled nursing staff have only a moderate level of knowledge about advance directives. Furthermore, education about advance directives was primarily received from facility-based in-service lectures. Despite cultural differences among the respondents, many reported having a confident attitude towards administering advance directives. However, many felt much discomfort initiating the actual advance directive discussion. The findings indicate that social workers can provide improved education and training to skilled nursing facility staff about difficult topics concerning advance directives such as end-of-life decision making.
Download or read book Nurses Attitudes Toward Advance Directives the Ethical Reasons for Their Attitudes and Their Knowledge about Advance Directives Laws written by Linda Wood and published by . This book was released on 1993 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Attitudes of a Younger Population Toward Advance Directives written by Shelly L. Huckaby and published by . This book was released on 2006 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Issues in Nursing Research Training and Practice 2013 Edition written by and published by ScholarlyEditions. This book was released on 2013-05-01 with total page 1155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in Nursing Research, Training, and Practice: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Nurse Practitioners. The editors have built Issues in Nursing Research, Training, and Practice: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Nurse Practitioners in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Nursing Research, Training, and Practice: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Download or read book Nursing Knowledge Attitudes and Experiencs on Advance Directives written by Jennifer Lynn Peregoy and published by . This book was released on 2013 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Advance Directives written by Peter Lack and published by Springer Science & Business Media. This book was released on 2013-10-21 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume gives an overview on the currently debated ethical issues regarding advance directives from an international perspective. It focuses on a wider understanding of the known and widely accepted concept of patient self-determination for future situations. Although advance directives have been widely discussed since the 1980s, the ethical bases of advance directives still remain a matter of heated debates. The book aims to contribute to these controversial debates by integrating fundamental ethical issues on advance directives with practical matters of their implementation. Cultural, national and professional differences in how advance directives are understood by health care professions and by patients, as well as in laws and regulations, are pinpointed.
Download or read book Factors Related to Differences in Nurses Attitudes Towards Aggressiveness of Care for Patients with a do Not Resuscitate Order written by Denise Hoffman and published by . This book was released on 1993 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contemporary Issues in Law Medicine and Ethics written by Sheila McLean and published by Ashgate Publishing, Ltd.. This book was released on 1996 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rapidly changing face of modern medicine and the increasing involvement of public debate in its practice, are reflected in the wide range of contributions to this book, which takes a searching look at the issues which are currently at the forefront of modern debate in medical ethics and the law.
Download or read book Decision making in Nursing written by Marie Truglio-Londrigan and published by Jones & Bartlett Publishers. This book was released on 2008 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decision Making In Nursing Enables Students To Be Reflective, Critical, Flexible, And Comfortable With The Many Decisions They Will Make As A Nurse On A Daily Basis. This Text Offers Models That Nurses May Integrate Into Practice And Explores How Decisions Are Affected By Health Policy, Politics, Ethics, Legal Issues, Religion, Culture And Other Influences. Each Chapter Includes A Case Study Using A Nursing Scenario To Illustrate The Use Of A Particular Framework In An Actual Practice Setting.
Download or read book Decision Making in Nursing written by Sandra B. Lewenson and published by Jones & Bartlett Publishers. This book was released on 2014-03-07 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decision-Making in Nursing: Thoughtful Approaches for Leadership, Second Edition explores multiple decision-making approaches to enable nursing students and professionals to become insightful, critical, flexible, and confident decision makers in today’s complex healthcare environment. With a reflective, multidimensional approach to decision-making, it examines the ways in which history, legal and ethical issues, spirituality, culture, family, the media, economics, technology, and health policy affect the way nurses make decisions. With a greater emphasis on leadership, teamwork, and intra- and inter- professional relationships, this new edition provides nurses and students the opportunity to see themselves as leaders and feel comfortable making decisions as leaders. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Download or read book Oxford Textbook of Palliative Nursing written by Betty Rolling Ferrell and published by Oxford University Press. This book was released on 2019-02-15 with total page 935 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Textbook of Palliative Nursing remains the most comprehensive treatise on the art and science of palliative care nursing available. Dr. Betty Rolling Ferrell and Dr. Judith A. Paice have invited 162 nursing experts to contribute 76 chapters addressing the physical, psychological, social, and spiritual needs pertinent to the successful palliative care team. Organized within 7 Sections, this new edition covers the gamut of principles of care: from the time of initial diagnosis of a serious illness to the end of a patient's life and beyond. This fifth edition features several new chapters, including chapters on advance care planning, organ donation, self-care, global palliative care, and the ethos of palliative nursing. Each chapter is rich with tables and figures, case examples for improved learning, and a strong evidence-based practice to support the highest quality of care. The book offers a valuable and practical resource for students and clinicians across all settings of care. The content is relevant for specialty hospice agencies and palliative care programs, as well as generalist knowledge for schools of nursing, oncology, critical care, and pediatric. Developed with the intention of emphasizing the need to extend palliative care beyond the specialty to be integrated in all settings and by all clinicians caring for the seriously ill, this new edition will continue to serve as the cornerstone of palliative care education.
Download or read book Bioethics written by Megan-Jane Johnstone and published by Elsevier Health Sciences. This book was released on 2008-11-04 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 5th edition of Bioethics provides nursing students with the necessary knowledge and understanding of the ethical issues effecting nursing practice. Groundbreaking in its first edition, Bioethics continues its role as a vital component of nursing education and provides a framework for students to understand the obligations, responsibilities and ethical challenges they will be presented with throughout their careers. This latest edition responds to new and emerging developments in the field and marks a significant turning point in nursing ethics in that it serves not only to inform but also to revitalise and progress debate on the issues presented.
