NURSES PERCEPTIONS AND USE OF ADVANCE DIRECTIVES

预嘱（Advance Directives，AD）是生前遗嘱（Living Wills）或持久授权书（Durable Powers of Attorney）。 for health健康care保健. 它们旨在为医疗保健提供者提供 在患者出现以下情况时，患者护理决策指南 无能 然而，研究表明，拥有AD并不意味着 影响医疗保健提供者关于患者附近的决定 病人的生命终结 有一些指导方针， 与广告相关的专业责任，但很少有研究 关于护士和广告以及护士在艾滋病实际上是如何 使用，在实践中。 本研究的具体目的是检查护士的 的看法和他们的作用，如何广告或不纳入 在病人临终前做出的护理决定 接地 理论研究设计结合深入访谈，实地研究， 参与观察、理论抽样和常数比较 将使用维度分析。 加强对使用的理解 的广告在照顾垂死的病人可以提供的信息， 更好的护士的能力，提供以病人为中心的护理结束时， 生活 这里提出的项目是第一个研究计划， 研究与长期目标，包括：优化护理 对接近生命终点的患者的干预措施;获得 深入了解公共政策、职业道德、法律和护理 知识转化为临床护理实践，并进一步 护理理论在这一重要领域的发展。

Advance Directives (ADs) are Living Wills or Durable Powers of Attorney for health care. They are intended to give health care providers guidelines for patient care decisions in the event of a patient's incompetence. Research indicates, however, that having an AD does not impact health care providers decisions regarding the patient near the patient's end of life. There are guidelines for nurses about their professional responsibilities related to ADs but there is little research about nurses and ADs and the role of nurses in how ALDs are actually used, in practice. The specific aim of this study is to examine nurses' perceptions of and their role in, how ADs are or not integrated into decisions made about patient care near the end of life. A grounded theory study design incorporating in-depth interviewing, field study, participant observation, theoretical sampling, and constant comparative dimensional analysis will be used. Enhanced understanding about the use of ADs in caring for dying patients can provide information that will better nurses' ability to provide patient-centered care at the end of life. The project here proposed is the first study in a program of research with long range objectives that include: optimizing nursing interventions for patient s for patients near the end of life; gaining insight into how public policy, professional ethics, the law, and nursing knowledge is translated into clinical nursing practice, and furthering development of nursing theory in this important area.