PubMed · 1952409
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L Joel. 1991. Endless road.. https://pubmed.ncbi.nlm.nih.gov/1952409/
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Rather than take part in realigning the way health care is delivered, organized nursing has opted to stonewall change. But if nurses proactively participate in the process, they can be in on the decisions that will shape our new health care structure.
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The purpose of this survey of Nebraska hospitals (N = 79) was to describe the planning, implementation, and evaluation of the Patient Self-Determination Act (PSDA) and to explore the role of the nurse in these processes. Results indicate nurses were very involved in the planning phase but rarely in the implementing phase. Few evaluation strategies were utilized and only some respondents identified problematic issues related to the implementation of the PSDA. Clinical implications for issues related to the PSDA are discussed and framed within the American Nurses' Association Position Statement on the PSDA (1991). Future studies are suggested, especially related to evaluation of PSDA implementation.