Abstract

Delayed advance care planning and costs of aggressive life sustaining treatments at end of life significantly contribute to the economic burden of healthcare in the United States. Dying trajectories, in most chronic conditions, have terminal prognostic uncertainties that do not address advance care planning by clinicians in a timely manner. Clinician and nursing barriers include perceptions of inappropriate timing, lack of skills in end-of-life communication and viewing readiness as a behavior rather than a death attitude. The purpose of this study is to develop and validate the measurement of psychological preparedness for ACP to aid in the understanding of readiness for AD completion.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30493578; ProQuest document ID: 2833416519. The author still retains copyright.

Author Details

Renee McLeod-Sordjan, PhD, DNP, APRN-BC, HEC-C, FNYAM, FAME, FAAN

Sigma Membership

Alpha Alpha Nu at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Advance Care Planning, Readiness, Advance Directives, Thanatology

Advisor

Yijuan Sun

Second Advisor

Patricia Donohue-Porter

Third Advisor

Virginia Brown

Degree

PhD

Degree Grantor

Adelphi University

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-07-21

Full Text of Presentation

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