The purpose of this study was to explore the knowledge, attitudes, and education needs of skilled nursing facility staff in regards to the administration of advance directives to patients and families. This quantitative study utilized the Knowledge, Attitudinal and Experiential Survey on Advance Directives instrument which was completed by 44 nursing and social services employees at a small skilled nursing facility in Torrance, California. The findings indicated that skilled nursing staff have only a moderate level of knowledge about advance directives. Furthermore, education about advance directives was primarily received from facility-based in-service lectures. Despite cultural differences among the respondents, many reported having a confident attitude towards administering advance directives. However, many felt much discomfort initiating the actual advance directive discussion. The findings indicate that social workers can provide improved education and training to skilled nursing facility staff about difficult topics concerning advance directives such as end-of-life decision making.
|Commitee:||Campbell, Venetta, Lopez, Kristina|
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 54/04M(E), Masters Abstracts International|
|Subjects:||Social work, Nursing, Health care management|
|Keywords:||Advance directives, End of life, Skilled nursing facility|
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