Defining Hope Study Guide Vignette 7 I Signed the Papers

Defining Hope Study Guide Vignette 7: I Signed the Papers
First Release Date: May 15, 2018
Expiration Date: May 31, 2020 (open through August 11, 2021)

Second Release Date: August 12, 2021
Expiration Date: August 11, 2024
Location: Web-based and PDF file
Format: Video Segment Case Scenario and Study Guide 

After interviewing and photographing over 100 nurses for her groundbreaking The American Nurse book and film, Carolyn Jones spent another two years researching and interviewing nurses for the film, Defining Hope. This documentary film follows patients, their family and caregivers, and the nurses that guide them along the way as they face end-of-life decisions and choices, embrace hope, and ultimately redefine what makes life worth living. The patient, caregiver, and nursing stories seek to open our mind and hearts to accepting dying as a part of life and access to palliative care and/or hospice care as a societal norm. What makes life worth living? How do you, as a nurse and an individual, define hope?

One of 14 brief video segments from the film, Defining Hope, this activity is intended to stimulate audience reflection, conversation, and interaction with the purpose of advancing expertise in end-of-life care nursing practice. Suggests courses (nursing or other), as well as other care settings where educators may find value by embedding a video segment into curriculum to highlight a point. Suggests End-of-Life Nursing Education Consortium (ELNEC) modules where ELNEC educators may find value by embedding a video segment into their curriculum.

Target Audience
This activity is intended for all registered nurse and advanced practice registered nurses. 

Statement of Need
A gap in knowledge exists related to the nurse's role and responsibilities in all settings for: (a) delivery of person-centered, family-oriented end-of-life care, and (b) clinician–patient communication and advance care planning.  

Educational Outcome

Upon completion of this learning activity, 

  1. 90% of nurse learners will demonstrate knowledge of the nurse's role and responsibility for providing care and support to meet patients' end-of-life needs. 
  2. 90% of nurse learners will report commitment to delivery of person-centered, family-oriented care, use of therapeutic clinician-patient communication, and advocacy for patient-provider advance care planning discussion.
Accreditation Statement
Walden University is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

To obtain contact hours for this presentation
After viewing 100% of the recorded video segment, complete the reflection questions included in the study guide. Then please click on the continue button to access your learner profile and complete the activity evaluation. You will be able to print or download your contact hour certificate.

Credit Designation Statement
Walden University designates this enduring material for 0.25 contact hours. 


This activity is jointly provided by The American Nurses Foundation, Carolyn Jones Productions, and Walden University. The planners, presenters, and author disclose that there are no relevant financial relationships with commercial interests. Funding for the production of the Defining Hope film and study guide is supported through grants from the following: Jonas Center for Nursing and Veterans Healthcare, American Nurses Foundation, E. Rhodes and Leona B. Carpenter Foundation, Rita and Alex Hillman Foundation, Jeannie Patz Blaustein, and Walden University. 

While professional development activities offered by an American Nurses Credentialing Center Provider Unit typically satisfy the requirements of most states, Walden University recommends that participants ensure that the content offered meets their individual requirements. To the extent that contact hours must be approved within one’s state of residence or licensure, participants should check with their state board of nursing before enrolling in any professional development activity. The state board of nursing determines the number and type of contact hours that can be claimed for professional development activities.

Planning Committee

Carolyn Jones, Director: Defining Hope
Lisa Frank, Producer: Defining Hope
Diana Mager, DNP, RN-BC, Study Guide Author
Catherine Judge
Cheryl Christ, DNP, CPNP-PC 
Hazel A Dennison, DNP, RN, FNP-BC, CPHQ, CNE 

All information contained within this activity is intended for educational purposes only. Nurses and other health care professionals are encouraged to consult other sources and confirm the information contained in this site. No single reference or service can take the place of medical training, education and experience. This website does not define a standard of care, nor is it intended to dictate an exclusive course of management. This information should not substitute for a visit or consultation with a health care provider.

Technical Requirements
This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, Internet Explorer, or Microsoft Edge. For all activities featuring audio you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Technical Support
For help setting up or logging into your Rievent learner profile, completing the evaluation, or printing your contact hour certificate:
  • Submit a Help Ticket: Click the claim contact hour link, select the “Help” button at the top right-hand side of the page, above the “Home” navigation bar. Fill out the required fields including your name, account email, and a comment describing the problem.
  • Direct Contact: Patricia Tate, Walden University via email at

Select the Continue button below to begin. You may return later if you are unable to complete the activity at this time.