Date of Award


Document Type

Evidence Based Nursing Education Project

Degree Name

Master Of Science In Nursing

Colleges & School

Ruth S. Coleman College Of Nursing And Health Sciences

First Advisor

Kathryn Schroeter, PhD, RN, CNOR

Library of Congress Subject Heading

Nursing -- Education; Advance directives (Medical care)


This integrative literature review investigated the educational needs of nurses necessary to initiate the conversation with their adult patients, families, and significant others regarding completing and maintaining an advance directive. The following themes emerged from this integrative literature review. The themes included: 1) nurses’ knowledge deficit regarding advance directives, the Patient Self-Determination Act, and state laws, 2) personal attitudes and anxiety of nurses regarding advance care planning and using advance directives, and 3) nurses’ confidence in communicating with patients, families, and significant others. The literature review findings support the need for more nursing education and for continued professional development regarding advance directives, state laws, and the Patient Self-Determination Act. Recommendations are made for nursing education and research.


On-Campus Access

OCLC Number