Implementation of the Patient Self-Determination Act: a survey of Nebraska hospitals.
The purpose of this survey of Nebraska hospitals (N = 79) was to describe the planning, implementation, and evaluation of the Patient Self-Determination Act (PSDA) and to explore the role of the nurse in these processes. Results indicate nurses were very involved in the planning phase but rarely in the implementing phase. Few evaluation strategies were utilized and only some respondents identified problematic issues related to the implementation of the PSDA. Clinical implications for issues related to the PSDA are discussed and framed within the American Nurses' Association Position Statement on the PSDA (1991). Future studies are suggested, especially related to evaluation of PSDA implementation.
Center for Health Policy and Ethics, School of Nursing, Creighton University, Omaha, Nebraska 69178.
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Pinch
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Miya
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Boardman
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Andrews
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Barr
D000575:American Nurses' Association; D035082:Federal Government; D033161:Government Regulation; D006801:Humans; D007882:Legislation, Hospital / Q000706:statistics & numerical data; D009329:Nebraska; D015401:Nursing Administration Research / Q000706:statistics & numerical data; D009741:Nursing Staff, Hospital / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010344:Patient Advocacy / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D024382:Professional Role; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D014481:United States