- Title
- Oncology nurses' perceptions of advance directives for patients with cancer
- Creator
- Hobden, Breanne; Bryant, Jamie; Waller, Amy; Shepherd, Jan; Sanson-Fisher, Rob
- Relation
- ARC.150101262 http://purl.org/au-research/grants/arc/DE150101262 & NHMRC APP1105809 http://purl.org/au-research/grants/nhmrc/1105809
- Relation
- Nursing and Health Sciences Vol. 23, Issue 2, p. 439-446
- Publisher Link
- http://dx.doi.org/10.1111/nhs.12826
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2021
- Description
- This study examined oncology nurses' perceptions of the impact of advance directives on oncology patients' end-of-life care. Nurses (n = 104), who were members of an oncology nursing society or worked in a large metropolitan cancer center, completed a cross-sectional survey assessing perceptions of advance directives. There was high agreement that advance directives (i) make decisions easier for family (87%) and providers (82%); (ii) are doctors' responsibility to implement (80%); (iii) reduce unwanted aggressive treatment in the last weeks of life (80%); (iv) protect patient autonomy (77%); and (v) increase the likelihood of dying in a preferred location (76%). There was moderate or low agreement that advance directives (i) are accessible when needed (60%); (ii) are oncology nurses' responsibility to implement (46%); (iii) are always followed (41%); (iv) reduce the likelihood of pain in the last weeks of life (31%); (v) contain difficult to follow statements (30%); and (vi) have no impact on comfort in the last weeks of life (15%). Most nurses perceive benefits for advance directives, however, there remains uncertainty around accessibility and implementation. Guidelines and education about advance directive processes in oncology could improve person-centered end-of-life care.
- Subject
- advance care planning; advance directives; neoplasms; nursing; patient-centered care; terminal care; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1474874
- Identifier
- uon:49399
- Identifier
- ISSN:1441-0745
- Language
- eng
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