Nurses Opinions and Attitudes regarding Advanced Care Directive - A Narrative Review of the Literature
Keywords:
Nurse, Opinion, Attitude, Patient will, Palliative care, End-of-life discussion, Treatment and nursing care planningAbstract
The aim of the research was to describe, based on previous studies, what the nurses’ opinions and attitudes have been re
garding the implementation of the patient will in clinical practice and to find out the factors that have influenced the develop
ment of the nurses’ views and attitudes. The research material was 12 reports of previous research works, which dealt with
the opinions and attitudes of nurses regarding patient wills. The material under study reflected the unanimous opinion of
the nurses that a patient will is an important and useful measure in health care, which helps ensure the right of a person to
self-determination and allows patients to make informed and autonomous decisions regarding end-of-life treatment and care.
The predominantly positive and supportive attitude of nurses may be due to the overlapping of the idea of a patient will with
the most central core value of nurses - the well-being and protection of the patient. Nurses’ self-confident attitude was signifi
cantly related to their knowledge and practical experience in implementing patient testaments in clinical practice. Exposure
to cultural dogmas, socio-cultural beliefs and religious views affect the perceptions and attitudes of nurses.
References
Bruus, I., Kellamäe, M., Kivirüüt, M. (2015) RAVI JA HOOL- DUSE PLANEERIMINE NN ELUTESTAMENDI KOOSTA- MISE TEEL, 94(2): 91–95.
Kruus, M., Int, R., Nõmper, A. (2017) Patsienditestament: milleks ja kellele? Vormid, vormistamine ja rakendamise probleemid. Juridica, 5: 329–339.
Cogo, SB., Lunardi, VL., Quintana, AM., Girardon-Perlini, NM., Silveira, RS. (2016) Challenges to implementation of advance directives of will in hospital practice. Rev Bras Enferm, 69(6): 969–976.
Johnson, CE., Singer, R., Masso, M., Sellars, M., Silvester, W. (2015) Palliative care health professionals’ experiences of caring for patients with advance care directives. Aust Health Rev, 39(2): 154–159.
Garrido, MM., Balboni, TA., Maciejewski, PK., Bao, Y., Prigerson, HG. (2015) Quality of Life and Cost of Care at the End of Life: The Role of Advance Directives. J Pain Symptom Manage, 49(5): 828–835.
Ludwick, R., Baughman, KR., Jarjoura, D., Kropp, DJ. (2018) Advance Care Planning: An Exploration of the Beliefs, Self-Efficacy, Education, and Practices of RNs and LPNs. Am J Nurs 118(12): 26–32.
AlFayyad, IN., Al-Tannir, MA., AlEssa, WA., Heena, HM., Abu-Shaheen, AK. (2019) Physicians and nurses’ knowledge and attitudes towards advance directives for cancer patients in Saudi Arabia. PloS ONE, 14(4): 1–13.
Zenz, J., Zenz, M. (2017) Survey on German Palliative Care Specialists’ Experiences with Advance Directives. Pain Ther, 6(1): 17–28.
Peicius, E., Blazeviciene, A., Kaminskas, R. (2017) Are advance directives helpful for good end-of-life decision making: a cross sectional survey of health professionals. BMC Medical Ethics, 18(40): 1–7.
https://www.riigiteataja.ee/akt/122032018004?leiaKehtiv
Vestlusring „Elutestamendiga arvestamise võimalikkus praktikas“. Juridica 2017, 5: 340–349.
https://www.oiguskantsler.ee/ylevaade2020/oiguskantsleri-aasta
Aland, L., Anspal, S., Järve, J., Vainu, V. (2019) Inimeste hoiakud otsustusvõimetus seisundis oleva patsiendi eest teavitatud nõusoleku andmisel tervishoiuteenuse osutamiseks ning rakkude, kudede ja elundite doonorluse suhtes. Tallinn: Centar, 69-101.
Coffey, A., McCarthy, G., Weathers, E., Friedman, MI., Gallo, K., et al. (2016) Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries. I J Nurs Pract, 22(3): 247– 257.
Son, Y.-J., Choi, J., Ahn, J.-W. (2020) Nurses’ perspectives on advance directives before the establishment of the new well-dying law in Korea: A mixed methods study. Appl Nurs Res, 51: 1–7.
Daveson, BA., Bausewein, C., Murtagh, FE., Calanzani, N., Higginson, IJ., et al. (2013) To be involved or not to be involved: A survey of public preferences for self-involvement in decision making involving mental capacity (competency) within Europe. Palliat Med, 27(5): 418–427.
Silva, E., Neves, M., Silva, D. (2014) Nurses’ perceptions of advance directives. Atención Primaria, 46(Suppl 5): 145–149.
Maffoni, M., Argentero, P., Giorgi, I., Giardini, A. (2020) Healthcare professionals’ perceptions about the Italian law on advance directives. Nurs Ethics, 27(3): 796–808.
Rietze, L., Heale, R., Roles, S., Hill, L. (2018) Adult Identifying the Factors Associated With Canadian Registered Nurses' Engagement in Advance Care Planning. J Hosp Palliat Nurs, 20(3): 230–236.
Christensen, KL. Advance care planning in rural Montana: Exploring the nurse’s role. Montana: Montana State University Library.
https://www.who.int/news-room/fact-sheets/detail/ palliative-care
Hamano, J., Kyoko, H., Tamiya, N. (2020) Attitudes and Other Factors Influencing End-of-Life Discussion by Physicians, Nurses, and Care Staff: A Nationwide Survey in Japan. Am J Hosp Palliat Care, 37(4): 258–265.
