title: Advanced care planning: a study on home health nurses.
abstract: The purpose of this research was to assess home health nurses' (HHNs) knowledge, comfort levels, barriers, and personal participation in advanced care planning (ACP), a practice that recognizes patient preferences for health care treatment. Licensed nurses who identified home care as their primary area of practice (N = 519) were surveyed about their knowledge of laws governing ACP and their perceptions of patients' preferences for ACP. Most respondents were women (97%), and the average age of the respondents was 54 years. Most nurses felt knowledgeable and capable of educating patients on advance directives (ADs), although the nurses' knowledge of laws governing ACP was limited and often inaccurate. Generally, nurses felt comfortable during ACP discussions with patients and families. HHNs perceived patient or family reluctance as the greatest barrier hindering discussions of ACP. No association was found between level of education and whether a nurse had a personal AD. Twenty percent of the nurses had their valid personal AD. A greater knowledge base concerning ACP would facilitate HHN discussions with patients and families. Recognition of patient preferences can be enhanced by understanding and overcoming barriers that hinder discussions of ACP. Educational opportunities focusing on ACP are encouraged for all health care providers.
authors.affiliation: School of Nursing, West Virginia University, Morgantown, WV 26506, USA. lbadzek@hsc.wvu.edu
authors.forename: Laurie A
authors.initials: LA
authors.lastname: Badzek
authors.forename: Nan
authors.initials: N
authors.lastname: Leslie
authors.forename: Renee Unice
authors.initials: RU
authors.lastname: Schwertfeger
authors.forename: Pamela
authors.initials: P
authors.lastname: Deiriggi
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Glover
authors.forename: Laura
authors.initials: L
authors.lastname: Friend
mesh_terms: D000328:Adult; D032722:Advance Care Planning / Q000941:ethics / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003152:Community Health Nursing / Q000193:education / Q000941:ethics / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services / Q000941:ethics / Q000458:organization & administration*; D006801:Humans; D019359:Knowledge; D008008:Licensure, Nursing; D008297:Male; D008873:Mid-Atlantic Region; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000941:ethics / Q000458:organization & administration / Q000523:psychology*; D010353:Patient Education as Topic; D011368:Professional-Family Relations; D020377:Self Efficacy; D011795:Surveys and Questionnaires