Date of Award

11-4-2024

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Dr. Salma Rattani

Second Advisor

Ms. Kashmira Nanji

Third Advisor

Ms. Zahira Amiral

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Advance directives (AD) is a living will which gives power of attorney to a surrogate decision-maker, when a person is not competent to make a decision. Its application and understanding among healthcare providers are important but remained underexplored in Pakistan. Purpose: The purpose of this study was to assess the level of knowledge and attitudes of healthcare providers toward advance directives at a tertiary care hospital in Karachi, Pakistan. Method: A cross-sectional survey was conducted with 306 healthcare providers, including nurses and physicians, across various specialties. Knowledge and attitudes toward ADs were assessed using a structured questionnaire. Chi-square tests were used to examine associations between participants' characteristics and their knowledge and attitudes. Findings: The majority of participants (73.9%) demonstrated adequate knowledge about ADs, while 79.4% exhibited positive attitudes. Older and more experienced healthcare providers were more likely to have positive attitudes toward ADs. Despite high overall knowledge, there were gaps, particularly in understanding specific types of ADs and their applications. The study found no statistically significant associations between knowledge levels and demographic variables, although age was significantly associated with attitudes. Conclusion: To improve the implementation of advance directives, targeted educational programs and workshops for healthcare providers are essential. Cultural competency training and policy reforms vi should ensure AD discussions become a routine part of patient care. Future studies should include patient perspectives to provide a comprehensive understanding, supporting the effective use of ADs in clinical settings.

First Page

1

Last Page

79

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