Table 2 Frequency and percentage distribution on nurses perception on benefits, nurses roles and shortcomings of advance directive
Variable | Perception rank | Type of institution | |
|---|---|---|---|
Public (%) | Private (%) | ||
Benefit of AD | |||
AD are useful for Professionals when making medical decision | Agree | 94.5 | 93.1 |
Neutral | 3.3 | 4.6 | |
Disagree | 2.2 | 2.3 | |
Widespread use of AD will help to contain unnecessary medical expenditures | Agree | 77.0 | 77 |
Neutral | 15.6 | 13 | |
Disagree | 7.4 | 10 | |
A patient representative in the durable power of Attorney makes decisions easier for health professionals in those situations where the patients cannot express themselves | Agree | 88.2 | 93.1 |
Neutral | 6.3 | 3.1 | |
Disagree | 5.5 | 3.8 | |
AD reduce family discord | Agree | 85.9 | 80.1 |
Neutral | 5.2 | 15.3 | |
Disagree | 8.9 | 4.6 | |
Roles of nurses in AD | |||
Nurses are best suited to provide information about advance directives to the patient and their family members | Agree | 78.1 | 73.3 |
Neutral | 10.7 | 16.8 | |
Disagree | 11.1 | 9.9 | |
Nurses are unique in accessing appropriate time for AD discussion | Agree | 84.4 | 78.6 |
Neutral | 8.5 | 15.3 | |
Disagree | 7.1 | 6.1 | |
Nurses should initiate end of life discussions | Agree | 75.9 | 57.3 |
Neutral | 9.3 | 20.6 | |
Disagree | 14.8 | 22.1 | |
Nurses who disagree with patient directive can refer the case to another nurse | Agree | 56.7 | 67.9 |
Neutral | 23.0 | 21.4 | |
Disagree | 20.4 | 10.7 | |
Nurses confer with physician when patient will has not been honored | Agree | 74.1 | 77.0 |
Neutral | 14.1 | 15.3 | |
Disagree | 11.9 | 7.7 | |
Shortcomings of AD | |||
AD can be difficult to interpret | Agree | 37.0 | 32.1 |
Neutral | 20.7 | 32.0 | |
Disagree | 42.2 | 35.9 | |
AD can be uncertain | Agree | 51.8 | 39.7 |
Neutral | 19.6 | 28.2 | |
Disagree | 28.6 | 32.1 | |
AD may request provision of treatment not best for patient | Agree | 55.6 | 65.7 |
Neutral | 13.0 | 11.5 | |
Disagree | 31.4 | 22.9 | |
AD may not represent the current wishes of the patient | Agree | 57.8 | 52.6 |
Neutral | 18.1 | 17.6 | |
Disagree | 24.1 | 29.8 | |