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Physicians' attitudes toward advance directives
Title
Physicians' attitudes toward advance directives.
Creator
Herman, Nancy Lynn O'Connell., Florida Atlantic University, Fishman, Sarah
Abstract/Description
The present study is a replication of a study concerning physicians' attitudes toward advance directives originally studied in 1989. A cross-sectional design was employed to assess whether physicians' attitudes toward advance directives had changed substantially since the passing of the Patient Self-Determination Act in 1990. The sample was obtained by mailing questionnaires to 400 physicians on the East central coast of Florida, chosen according to specialty and presumed interaction with...
Show moreThe present study is a replication of a study concerning physicians' attitudes toward advance directives originally studied in 1989. A cross-sectional design was employed to assess whether physicians' attitudes toward advance directives had changed substantially since the passing of the Patient Self-Determination Act in 1990. The sample was obtained by mailing questionnaires to 400 physicians on the East central coast of Florida, chosen according to specialty and presumed interaction with advance directives. Questions included demographics information about participants, usage and discussion of advance directives by physicians, and potential barriers to physician-initiated discussions. Results correlated with the original authors'. There were positive associations between attitude and year of graduation, gender, type of practice, size of town physician practiced in, and religion with chi-square testing. Overall results indicated a positive attitude, and a desire for patient autonomy.
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Date Issued
1997
PURL
http://purl.flvc.org/fcla/dt/15382
Subject Headings
Right to die, Nurse and patient, Physician and patient
Format
Document (PDF)
The Politics of Silence: The Public and Private Matter of Theresa Marie Schiavo
Title
The Politics of Silence: The Public and Private Matter of Theresa Marie Schiavo.
Creator
Reinson, Kyle F., Tracy, James F., Florida Atlantic University
Abstract/Description
Theresa Marie Schiavo died March 31, 2005. The 41-year-old's human and communicative faculties were so deficient that a feeding tube was necessary to nourish her and she had been silent for 15 years. In her final month, Ms. Schiavo's health, the dispute between her husband and parents concerning the removal of her feeding tube, and her subsequent death were covered extensively by American broadcast, online and print media. As she lay silent in a Florida hospice, the U.S. Congress, the...
Show moreTheresa Marie Schiavo died March 31, 2005. The 41-year-old's human and communicative faculties were so deficient that a feeding tube was necessary to nourish her and she had been silent for 15 years. In her final month, Ms. Schiavo's health, the dispute between her husband and parents concerning the removal of her feeding tube, and her subsequent death were covered extensively by American broadcast, online and print media. As she lay silent in a Florida hospice, the U.S. Congress, the president and the courts intervened, and those who spoke about her matter and the news media propelled her human tragedy toward the top of the public agenda. News stories, reports and analyses of the case from Time, Newsweek, The New York Times, The Washington Post and St. Petersburg Times are analyzed using a critical-qualitative approach to framing.
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Date Issued
2007
PURL
http://purl.flvc.org/fau/fd/FA00000954
Subject Headings
Schiavo, Terri,--1963-2005, Right to die--Moral and ethical aspects, Political sociology, Mass media and culture, Privacy, Right of, Journalism--Objectivity
Format
Document (PDF)
Iranian American Older Adults’ Attitudes and Proactive Actions Toward Planning Ahead for End-of-Life Care
Title
Iranian American Older Adults’ Attitudes and Proactive Actions Toward Planning Ahead for End-of-Life Care.
Creator
Rahemi, Zahra, Dunphy, Lynne M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Ethnically diverse older adults are the fastest growing population in the U.S. This population may experience transitional processes associated with immigration, acculturation, aging, and end of life (EOL). Advances in technology lead to increases in care options, which can cause uncertainty to make decisions for EOL. Unmade decisions about care prior to becoming unable to communicate are associated with burdens of last-minute decisions at EOL, unwanted intensive EOL treatments for people who...
Show moreEthnically diverse older adults are the fastest growing population in the U.S. This population may experience transitional processes associated with immigration, acculturation, aging, and end of life (EOL). Advances in technology lead to increases in care options, which can cause uncertainty to make decisions for EOL. Unmade decisions about care prior to becoming unable to communicate are associated with burdens of last-minute decisions at EOL, unwanted intensive EOL treatments for people who may die naturally of old age, financial and emotional costs, and decreased quality of life. In the U.S., a multicultural country with a variety of care options, advance directive (AD) completion and advance care planning (ACP) may improve culturally competent and person-centered care at EOL. However, the rate of AD completion and ACP is low among Americans, especially immigrant communities. These communities, including Iranian-American older adults, have been frequently understudied, and there is a gap in studies of EOL desires, attitudes, and actions/behaviors. This inquiry focused on planning ahead for EOL care across transitional processes that older immigrants may face. The aim was to enhance culturally competent care for older adults through distinguishing significant factors, which may influence planning for EOL care. Specific purposes were: To identify relationships between attitudes toward planning for EOL care and social supports, spirituality, healthcare system distrust, and acculturation; to identify a relationship between attitudes and proactive actions toward planning ahead in Iranian-American older adults. Conceptual frameworks for this descriptive, cross-sectional study included Culture Care Diversity and Universality and Transitions theories. Findings from 135 participants revealed that they were new immigrants to the U.S. (mean year of 23 in the U.S., 97% born in Iran) and highly educated and insured with high health statuses. About 55% preferred non-intensive treatments and/or homecare at EOL, and 52.6% had not communicated their EOL wishes. Attitudes toward planning ahead for EOL were positively associated with acculturation and healthcare system distrust, and negatively associated with spirituality. No significant association was found between attitudes and social support. Furthermore, favorable attitudes predicted higher proactive actions to communicate wishes. Implications for practice, policy, education, and recommendations for further studies were discussed.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FA00004939
Subject Headings
Older people--Long-term care., Advance directives (Medical care), Health planning--United States., Right to die., Life care planning., Terminal care--Moral and ethical aspects., Immigrants--Psychology.
Format
Document (PDF)
Influence of ethnicity, relocation, and social integration on the decision to complete an Advance Medical Directive: A survey of Boca Raton retirees
Title
Influence of ethnicity, relocation, and social integration on the decision to complete an Advance Medical Directive: A survey of Boca Raton retirees.
Creator
Frank, Abbott., Florida Atlantic University, Evans, Arthur S., Dorothy F. Schmidt College of Arts and Letters, Department of Sociology
Abstract/Description
Research has shown that generally no more than 20% of populations surveyed have completed Advance Medical Directives and that there is a strong ethnic variation in their choice (i.e. Protestants and Whites were more likely to have an Advance Medical Directive than Jews, Catholics, Hispanics, or Blacks). This thesis developed and tested the hypothesis that the use of Advance Medical Directives by Jews would comparably vary inversely with their degree of social integration as measured by their...
Show moreResearch has shown that generally no more than 20% of populations surveyed have completed Advance Medical Directives and that there is a strong ethnic variation in their choice (i.e. Protestants and Whites were more likely to have an Advance Medical Directive than Jews, Catholics, Hispanics, or Blacks). This thesis developed and tested the hypothesis that the use of Advance Medical Directives by Jews would comparably vary inversely with their degree of social integration as measured by their degree of orthodoxy. Survey results confirmed this hypothesis, but more significantly demonstrated that for all samples tested, regardless of religion, 74% of the over-65 respondents had completed an Advance Medical Directive. It is postulated that this high rate of implementation is an effect of the lower degree of social integration of the Boca Raton retirees brought about by a physical relocation to Florida from their former family, residential, and business networks.
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Date Issued
1996
PURL
http://purl.flvc.org/fcla/dt/15276
Subject Headings
Right to die, Do-not-resuscitate orders, Terminal care--Decision making, Older people--Long-term care, Jews--Florida--Boca Raton--Statistics, Boca Raton (Fla)--Population--Statistics
Format
Document (PDF)