Deciding to engage in advance care planning: A comparison of participants' experiences
View File(s)
PDF (5.030Mb)
Author Information
- Author(s)
- Details
-
Dr. Karen J. Vander Laan, PhD, RN
- Sigma Affiliation
- Kappa Epsilon at-Large
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Vander Laan, Karen J. by View
Title | Page Views |
---|
Popular Works for Vander Laan, Karen J. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Advance care planning (ACP) is a dynamic decision-making process that assists people to construct and communicate their preferences for end of life care. Two decades of research have shown that when preferences are not known, undesirable outcomes may occur for individuals and other surrogate decision-makers. Barriers to advance planning can be addressed through educational programs, especially through existing community-based groups. The purpose of this study was to examine internal and external influences within the decision-making context that may affect individuals' decisions to engage and re-engage in ACP. The Decision Process Model for Advance Care Planning provided the conceptual framework for this secondary analysis of data from a prospective quasi-experimental research project. Study participants were 147 adults from existing community groups in the Midwestern United States who attended an ACP educational program provided by certified ACP Facilitators. Participants completed pre- and post-program Participant Surveys, which included personal influences on decision (information, individual characteristics, values, and prior experiences) and the personal decision factor self-efficacy (ability and likelihood to engage in ACP conversations). Results of this study describe the prevalence and associations of personal influence and decision variables among participants. Statistically significant differences exist in most variables when participants with and without previous ACP experience are compared. After attending the ACP educational program, participants' perceptions of their knowledge, importance, ability, and likelihood to have ACP conversations were significantly increased. When participants with and without previous ACP experience were compared, the impact of the ACP program intervention remained significant in the areas of knowledge, ability, and likelihood. Understanding the prevalence and associations of internal personal variables and the impact of an external ACP intervention on these internal variables can help health care professionals target community-based educational interventions to promote ACP.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3282210; ProQuest document ID: 304850000. The author still retains copyright.
Repository Posting Date
2020-02-20T16:30:38Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quasi-Experimental Study, Other |
Research Approach | Quantitative Research |
Keywords | Outcomes of Decision-making; End-of-Life Decisions; Personal Health Care Decisions |
CINAHL Subject(s) | Advance Care Planning; Decision Making, Patient; Health Education; Health Knowledge; Advance Care Planning--Education |
Degree Information
Grantor | Michigan State University |
Advisor | Wyatt, Gwen |
Level | PhD |
Year | 2007 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Effects of advance care planning intervention on end-of-life decision making
Kim, Minju; Lee, JieunThe purpose of this study was to systematically review reports of published randomized controlled trials to ascertain the effectiveness of an advance care planning intervention. -
Nurses' attitudes toward assisting patients/families with end-of-life decision-making
Wise, Susan M.Nurses often feel unable to help with decision-making near the end of life. The purpose of this study was to develop an instrument to measure medical-surgical nurses' attitudes toward assisting patients and families with ... -
A qualitative descriptive study of novice and advanced beginner nurse's experiences caring for patients and their families at the end-of-life
Nasser, Bethany A.Nurses are the primary healthcare professionals that spend the most time caring for seriously ill patients. Nurses have a responsibility to care for patients at the end of their lives, to relieve pain, and promote dignity ... -
Evaluating undergraduate nursing students' knowledge before and after a palliative and end-of-life care course
Thrane, Susan E. (2017-10-25)Basic palliative care knowledge is important for all nurses and nursing students. Undergraduate students' knowledge of palliative and end-of-life care concepts was measured before and after a semester-long elective palliative ... -
Preparing for the final journey: Advance care planning and end-of-life care from a global nursing perspective
Xu, Xinyi (Sigma Theta Tau International, 2021-11-30)Limited decision-making capacity in end-of-life patients affects their abilities to express their preferences in medical decisions. Advance care planning (ACP) is a process of communication that enables individuals to ...