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Jason Heim

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MSN)



Thesis Committee Chairperson

Lisa Ball, PhD, RN, FNP-BC

Second Reader

Mary Eustace MS, RN, ANP-BC


A quantitative, descriptive research design was used to assess firefighters’ knowledge, perception, and utilization of advanced directives so that primary care providers can improve advanced directive completion with this population. The theoretical framework that fit with this study was King’s Theory of Goal Attainment. Human ethics board approval was obtained from Daemen College. A modified version of The Advanced Directives Knowledge, Attitudes and Utilization Questionnaire (AD-KAUQ) was offered as an anonymous survey via Survey Monkey to a convenience sample of firefighters from two fire departments in Western New York. The questionnaire inquired about participants’ knowledge, attitudes, and utilization of advance directives. Data was analyzed using descriptive statistics. A total of 69 surveys were returned for a 40 percent response rate. Participants’ ages ranged from 18 to 84 years with a mean age of 36 years. Results showed that the majority of respondents had knowledge regarding what advance directives are however, most didn’t have an advanced directive in place. Most respondents expressed they would consider an advanced directive with a preferred setting being that other than a doctor’s office, clinic or acute care setting. Further research dealing with utilization of advanced directives in the firefighting population is needed.