School of Nursing
Doctor of Nursing Practice (DNP)
End Stage Renal Disease, Hemodialysis, Patient Education, Advance Directives, Advance Care Planning
Medicine and Health Sciences | Nursing
Liu, Xuesi, "Evaluation of Patient Education to Facilitate Advance Directives Completion with Dialysis Patients" (2019). Doctoral Dissertations and Projects. 2192.
Completion of advance directives (ADs) is an important part of identifying a patient’s treatment preferences. Lack of patient understanding regarding the scope and importance of advance directives is a common barrier to AD completion. This project reports on the effectiveness of a patient education intervention in facilitating patient understanding in an outpatient dialysis facility in rural Virginia. Thirty patients were selected by convenience sampling to participate in a 10-minute verbal presentation based on a brochure entitled “Advance Care Planning: Tips from the National Institute on Aging” and completed two short questionnaires, one before and one after the education session. Patients felt that the education was informative and helpful, and 73.3% of participants planned to complete an AD after the study. The implications of this study include a solution to overcome barriers and provide practical advice to clinicians for facilitating AD completion in the patient care of the dialysis population.