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  1. Implementation of the patient self-determination act in a hospital setting : an initial evaluation.

    Article - En anglais


    The Patient Self-Determination Act aims to enhance patient awareness of advance directives by requiring health-care institutions to ask patients whether they have advance directives and to inform patients of their rights to prepare these documents.

    We investigated the following : (1) compliance of the hospital staff with implementing this act, (2) the effects of this act on the extent to which patients discuss and prepare advance directives, and (3) variables that might influence patient discussions on advance planning and preparation of advance directives.


    We surveyed 219 patients from a university hospital that implemented a nurse-dependent advance directive program.

    We also conducted a telephone interview with 57% of these patients at least 6 months after hospital discharge.


    Nurses asked 70% of the patients about the existence of an advance directive and of these patients, only 57% remembered the inquiry.

    Only 57% of the patients received the brochure on advance directives and of these patients, only 55% read the brochure.

    Only 2% of the patients requested to receive additional information on advance directives.

    Less than one quarter of the patients had discussions on advance planning while in the hospital and of those patients who were contacted within 6 months after hospital discharge, 39% had discussions on advance planning and 15% prepared an advance directive.

    Mots-clés Pascal : Hôpital, Questionnaire, Recommandation, Malade, Détermination, Soi, Homme

    Mots-clés Pascal anglais : Hospital, Questionnaire, Recommendation, Patient, Determination, Self, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0264549

    Code Inist : 002B30A04D. Création : 01/03/1996.