Skip to Main content Skip to Navigation
Master Thesis

Does any transverse and invariable barrier for writing and carrying out an advance directive exist?

Abstract : Advance directives represent a strong societal debate, and improving its completion rate a subject of interest. After the identification of barriers from specific populations accomplished by the EA 7479 SPURBO, a question occurs : does any transverse and invariant barrier for writing and carrying out advance directives exist? Method: To resolve the question, a pragmatic approach inspired by the Grounded Theory had been chosen. It combined a set of systematic reviews of the literature and qualitative studies previously done by the EA-7479-SPURBO used as datas. A conceptual model, resulting from the synthesis of all this research, was produced to answer the research question. Results: Eleven open codes, three sub themes had been spotted, gathered under an invariant and transversal theme : the conflict anxiety, which represented a transversal barrier as the research question asked. As a way to understand the mechanism of this barrier, a conceptual model was proposed. Eleven accessible and empirical elements acted in a synergic way to irrigate three theoretical concepts (Altered confidence, advance directive’s viability, leading to a change in behaviour) improving uncertainty. By doing so, the three concepts gave access to the core of the conceptual model, the conflict anxiety. Discussion: By submitting this, it allowed a broader vision of the advance directive’s concept and may allow a better comprehension of that barrier standing against the application of advance directive, and so for every person involved.
Document type :
Master Thesis
Complete list of metadata
Contributor : UBO Santé Connect in order to contact the contributor
Submitted on : Friday, May 28, 2021 - 9:50:18 AM
Last modification on : Monday, October 11, 2021 - 2:23:10 PM


Files produced by the author(s)


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License


  • HAL Id : dumas-03240463, version 1



Victor Le Guen. Does any transverse and invariable barrier for writing and carrying out an advance directive exist?. Life Sciences [q-bio]. 2021. ⟨dumas-03240463⟩



Record views


Files downloads