Enabling advance directive completion: Feasibility of a New Nurse-supported advance care planning intervention

Academic Article


  • Adults who complete an advance directive (AD) are not consistently off ered information about the risks, benefi ts, or alternatives (RBA) of the life-sustaining medical procedures addressed on standardized forms. The current article describes a new patientcentered nurse-supported advance care planning (NSACP) intervention focused on providing information about RBA of lifesustaining procedures. Fifty participants (mean age = 50.26 years) at a Veterans Aff airs medical center were randomized to the NSACP intervention or a comparison condition. Before randomization, 78% (n = 39) expressed interest in RBA information. Of participants in the NSACP group, 94% (n = 30) completed an AD. Participants who received NSACP made more decisions to decline life-sustaining treatment than those who were randomized to the comparison group. Promising feasibility data include brevity (mean = 46 minutes), high patient satisfaction, participant retention, and treatment fi delity. The NSACP holds promise as a brief, educational intervention to support patients in completing an AD.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Hilgeman MM; Uphold CR; Collins AN; Davis LL; Olsen DP; Burgio KL; Gordon CA; Coleman TN; DeCoster J; Gay W
  • Start Page

  • 31
  • End Page

  • 42
  • Volume

  • 44
  • Issue

  • 7