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Brooke Adams

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MSN)



Thesis Committee Chairperson

Deborah Merriam, DNS, RN, CNE


According to the American Association of Nurse Practitioners™, nurse practitioners are lessening the primary care shortage in America, meaning they will be expected to discuss end of life decisions with their patients. Respecting Choices® is a program that provides healthcare professionals the education and training to facilitate interactions and meaningful conversation regarding the advance directive. The purpose of this study is to evaluate the Respecting Choices® evidence-based training program by surveying nurse practitioners and nurse practitioner students' perceptions of the effectiveness of the program related to the facilitation of conversations regarding advance directives. The theoretical framework utilized for the study is Imogene King's theory of goal attainment, derived from her conceptual systems theory. This study utilizes a quantitative, descriptive design. The sample was of bachelor and master prepared nurses from a small, northeastern, private college that have participated in the Respecting Choices® training program in the last two years. The sample size consisted of 32 participants as required by Daemen College. A likert scale was used to rate student and practicing nurse practitioners' perceptions on how well they met the Respecting Choices® objectives. This scale ranges from "very well", "well", "not well", and "not at all". The practicing nurse practitioners rated the achievement of the Respecting Choices® training program from 66% to 90%, either “well” or “very well”, with 11% to 33% objectives rated “not well”. The student nurse practitioners rated the achievement of the Respecting Choices® training program from 83% to 100%, either “well” or “very well”, with 4% to 17% objectives rated “not well”. The combined surveys showed that participants rated their perception of how well the Respecting Choices training program prepared them in range of 84% to 97%, “well” to “very well”.