geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Patients' and healthcare providers' opinions regarding advance directives


, : Patients' and healthcare providers' opinions regarding advance directives. Oncology Nursing Forum 21(7): 1179-1187

To gain a better understanding of patients' and healthcare providers' preferences regarding when, how, and by whom advance directive information should be given and to explore the nursing role in advance directives. A qualitative study using focus group methodology. A National Cancer Institute-designated comprehensive cancer center located within a large, university-affiliated, tertiary care hospital in the northeastern United States. Two samples participated in the study: eight adult ambulatory patients with cancer and 15 healthcare providers (4 physicians, 10 nurses, and 1 social worker). Separate patient and provider focus groups were conducted in private rooms by experienced facilitators using an interview guide with questions based on the literature, the hospital's advance directive materials, and the investigators' experience; sessions were audio-taped, transcribed, and analyzed using qualitative data analysis techniques. Patients and healthcare providers discussed focus group questions and commented that advance directive discussions should be provided early in the treatment or illness, presented in a short and simple format with reading materials at a level appropriate for the patient, and continued throughout the illness with those who desire follow-up. Nurses, doctors, social workers, or a designated/trained advance directive person were individuals that the patients identified as people with whom they could have advance directive discussions. Results suggested that advance directive information should be given prior to hospital admission, be provided in a variety of formats, and that nurses, social workers, doctors, or designated staff representatives could all be part of the advance directive process. Nursing roles should include early assessment of patients to determine needs for discussion, advocacy on behalf of patients, and provision of information. Future research should examine use of specific personnel for facilitating advance directives and compare different formats for presenting advance directive information to patients.

US$29.90

PMID: 7971428


Other references

Budashkin, Yu.; Kostyuk, IYu., 2002: The first record of Haemerosia vassilininei (Lepidoptera, Noctuidae) in Ukrainian fauna. Vestnik Zoologii. Noyabr-Dekabr; 366: 94

Gentili Pozzi, E., 1937: Milk production in the Agro Romano. THE increase in demand for fresh milk by the population of Rome and the reclamation of the surrounding country have caused the farms to concentrate on a very highly specialised dairy industry, though the physical environment is not entirely favour...

Hirszfeld, L.; Halber, W.; Mitwirkung Von M.F.oksztrumpf, 1930: Uber Komplementbindungsreaktionen mit alkoholischen Krebsextrakten bei Krebskranken und Schwangeren. Experiments made by the authors showed that, with selected and sensitive antigens, antibodies can be detected in the serum of carcinoma patients. These antigens may be extracted with alcohol. They were prepared as follows: The carcinoma tissue is...

Cachol, J.; Cachon, M.; Grassé, M.P., 1975: The role of microtubules in the cytoplasmic streaming of axopodia. Comptes Rendus Hebdomadaires des Seances de L'academie des Sciences. Serie D: Sciences Naturelles 280(20): 2341-2343

Bond, C.; Berry, D.; Crawley, J., 1972: The Quantimet 720P for routine biological assay and potency calculation from colony count, inhibition and exhibition zone measurements. Microscope 20 (2) 165-174

Steinhart, G.B.; Sandrene, M.E.; Stein, R.A.; Marschall, E.A., 2003: An introduced nest predator increases smallmouth bass parental care costs. American Fisheries Society Annual Meeting 133: 281

Yanagida N.; Saito H.; Kowada M., 1984: On the relationship between glucose 6 phosphate dehydrogenase activity and the morphology of the golgi apparatus of neurons in the locus coeruleus and dorsal vagal nucleus. Applied Neurophysiology 47(1-2): 79

Niehuis, O.; Hofmann, A.; Naumann, C., M.; Misof, B., 2007: Evolutionary history of the burnet moth genus Zygaena Fabricius, 1775 (Lepidoptera : Zygaenidae) inferred from nuclear and mitochondrial sequence data: phylogeny, host-plant association, wing pattern evolution and historical biogeography. Burnet moths of the genus Zygaena are a striking group of primarily diurnal Lepidoptera displaying an exceptional phenotypic plasticity. Previous attempts to elucidate the phylogenetic history of the group had been confounded by a perplexing patt...

Garcia, V.; Pagano, A.; Recarte, C.; Lee, J.P., 2017: The iAnexo in Northern California: An Alcoholics Anonymous-Based Recovery Residence in Latino Communities. Our ethnographic study on help-seeking pathways of Latino immigrants in northern California reveals that they turn to <i>anexos</i> in their treatment and recovery quest. <i>Anexos</i> are linguistically- and culturally-spe...

Bieberich C.J.; Snell T.W., 1982: Patterns of sexual reproduction in rotifers brachionus plicatilis. Florida Scientist 45(SUPPL 1): 26