NURSES PERCEPTIONS AND USE OF ADVANCE DIRECTIVES

预告(ADS)是生前遗嘱或持久授权书 用于医疗保健。他们的目的是给医疗保健提供者 病人护理决定的指导方针 无能。然而，研究表明，有广告并不会 影响医疗保健提供者对患者附近的决策 病人的生命终结。有一些针对护士的指导方针 与广告相关的专业责任，但很少有研究 关于护士和ADS，以及护士在艾滋病实际发生中的作用 在实践中使用。这项研究的具体目的是检查护士的 对广告的看法及其在其中的作用，广告如何融入或没有融入 在生命接近尾声时对病人的护理做出决定。一个被禁足的 理论研究设计，包括深度访谈、实地考察、 参与式观察、理论抽样调查和持续比较 将使用量纲分析。加深了对用法的理解 在护理临终病人方面的广告可以提供信息， 提高护士以病人为中心的护理能力 生活。这里提出的项目是一个项目的第一个研究项目 具有长期目标的研究，包括：优化护理 对临终病人S的干预；获得 洞察公共政策、职业道德、法律和护理 将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.