The attitude of Canadian nurses towards advance directives |
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Authors: | Blondeau D Lavoie M Valois P Keyserlingk E W Hébert M Martineau I |
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Affiliation: | Faculté des Sciences Infirmières, Université Laval, Sainte-Foy, Québec G1K 7P4, Canada. |
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Abstract: | This article seeks to shed light on the beliefs that influence nurses' intention of respecting or not respecting an advance directive document, namely a living will or a durable power of attorney. Nurses' beliefs were measured using a 44-statement questionnaire. The sample was made up of 306 nurses working either in a long-term care centre or in a hospital centre offering general and specialized care in the province of Québec. The results indicate that nurses have a strong intention of complying with advance directives written by patients. The analysis also shows that four variables determine the strength of this intention: respect for autonomy; the location of the workplace; justice; and the dimension of relationships and emotions. Although these documents favour the expression of patients' wishes, nurses should be aware that they do not systematically guarantee respect of a patient's autonomy, nor do they replace a relationship based on trust between patients and health care professionals. |
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