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Factors affecting long-term-care residents' decision-making processes as they formulate advance directives
- Source :
- The Gerontologist. 45(5)
- Publication Year :
- 2005
-
Abstract
- Purpose The purpose of this study was to describe factors contributing to the decision-making processes of elderly persons as they formulate advance directives in long-term care. Design and methods This study was qualitative, based on grounded theory. Recruitment was purposive and continued until saturation was reached. Nine residents of a long-term-care facility were interviewed by use of a semistructured format. Open and axial coding of interview transcripts were carried out and the factors contributing to the decision process were defined. Results Elders based their decisions primarily on information gathered from personal experiences with death and illness. They obtained very little information from professionals or the media. Major factors considered by elders as they weighed information included spiritual, emotional, and social considerations. Implications The factors considered during the decision-making process were oriented more toward the individual's experiences and less on contributions from objective sources than anticipated. Decision making for advance directives is a highly personalized process. The approach of health professionals when assisting with end-of-life decision making should be planned with these contributing factors in mind, so that the services offered to the individuals in this population best meet their needs.
- Subjects :
- Advance care planning
Male
Canada
Axial coding
Health Planning Guidelines
Population
Decision Making
Information Dissemination
Grounded theory
Social support
Nursing
Medicine
Homes for the Aged
Humans
Spirituality
education
Aged
Aged, 80 and over
Medical education
education.field_of_study
business.industry
Social Support
General Medicine
Fear
Long-Term Care
Nursing Homes
Long-term care
Female
Personal experience
Geriatrics and Gerontology
business
Advance Directives
Gerontology
Subjects
Details
- ISSN :
- 00169013
- Volume :
- 45
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- The Gerontologist
- Accession number :
- edsair.doi.dedup.....59f11796bc5ec2d8a25817016d9334ab