Intentions to select a given level of care when confronted with an ethical issue: the impact of a living will

The aim of this study is to evaluate the level of care nurses intended to select in a potential situation of overly aggressive therapy, whether the patient had or did not have a living will. MANOVA revealed that the presence of a living will had a significant impact on nurses' decision making when selecting a level of care ( p < .0001); this impact was noted for each construct in the theoretical framework ( p < .005). Multiple regression analysis indicated the 86% of the variance in nurses' intention was determined by the cognitive component of their attitude and perceived professional norm ( p < .0001). In summary, most of the nurses intended to respect the wishes expressed by the patient in a living will.