Journal of professional nursing : official journal of the American Association of Colleges of Nursing
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In February 2001, President Clinton's Information Technology Advisory Commission reported that information technology has the potential to advance biomedical research. As nursing research via the Internet expands, important ethical and legal issues need to be addressed. ⋯ The ethical and legal issues needing attention are discussed. Potential guidelines are provided for researchers wanting to use Internet technology.
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Randomized Controlled Trial Clinical Trial
Patient-centered advance care planning in special patient populations: a pilot study.
The purpose of this study was to assess the feasibility of a patient-centered advance care planning (PC-ACP) approach to patients with chronic illnesses and their surrogates with respect to promotion of shared decision-making outcomes-congruence between patient and surrogate, patient's decisional conflict, and knowledge of advance care planning. An experimental design was used. The settings were the heart failure, renal dialysis, and cardiovascular surgery clinics at Gundersen Lutheran Medical Center in La Crosse, WI. ⋯ Comparison of the composite scores of a Statement of Treatment Preferences indicated that congruence in decision-making for future medical treatment in patient-surrogate pairs in the treatment group was significantly higher than in the control group. Greater satisfaction with the decision-making process and less decisional conflict were demonstrated in the treatment group. The PC-ACP interview can be effective in promoting shared decision-making between patients and their surrogates and in producing greater satisfaction with the process of decision-making and less decisional conflict.