Abstract

Background: End-of-life care refers to all aspects of the care relating to dying, and bereavement which are provided towards the end of life, end of life care is nowadays essential in nursing care, due to the increasing number of patients who require attention in the final stages of their life, the negative attitude among nurses is one of the most common barriers to the quality end of life care. Objective: To assess attitude of the nurses working at Hiwa Cancer Hospital toward pediatric end of life care in Sulaimani city. Methods: Quantitative approach / Descriptive analytic study design has been carried out on (111) nurses working in Hiwa cancer hospital. Data were collected using standard questionnaires which is Frommelt Attitude toward Care of the Dying scale data analyzed using statistical package of social science version (24). Results: The findings of this study show that out of twenty-four items of nurses attitude about end of life care , nurses have good attitude in twelve items, fair attitude in nine-items and poor attitude in three items, with total mean and standard deviation 2.345±0.68 and good level of attitude as general, present study demonstrate that level of education, work place, received training course about end of life care, attending seminar, workshop about pediatric end of life care had significant association with the attitude of nurses towards pediatric end of life care. Conclusion and Recommendation: Overall nurses have good attitude about end of life care. It’s essential for nurses who were at fair or poor attitude about end of life care to be familiarized with the concepts of EoLC through trainings, workshops and formal or informal education in both academic and hospital settings.

Highlights

  • End-of-life care (EoLC) refers to all parts of care linked to dying, and grief that are offered towards the end of a person's life

  • Table (2) represents the nurse's familiarity according to their professional experience. the highest percentage of the sample 69.4% their experience in nursing as general ranged between one to ten years, as well as only 9.9% of sample their experience was more than 20 years, while nurses experience in palliative care record only 30.6% among that 73.5% of them were had experience about 1-3 years and lowest percentage of them which account 26.5%were had experience about 4-6 years

  • In regard to nurses workplace highest percentage of the sample which accounts 21.6% were working in pediatric ward, it’s worth to mention that only a few percentages 5.4% of nurses were working in the palliative care unit, Concerning the care of patients at end of life stage, the highest percentage of nurses 81.1% cared for patients at end of life stage, and only 18.9%were not faced with any patients at end of life stage

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Summary

Introduction

End-of-life care (EoLC) refers to all parts of care linked to dying, and grief that are offered towards the end of a person's life. End-of-life care refers to all aspects of the care relating to dying, and bereavement which are provided towards the end of life, end of life care is nowadays essential in nursing care, due to the increasing number of patients who require attention in the final stages of their life, the negative attitude among nurses is one of the most common barriers to the quality end of life care. Objective: To assess attitude of the nurses working at Hiwa Cancer Hospital toward pediatric end of life care in Sulaimani city. It’s essential for nurses who were at fair or poor attitude about end of life care to be familiarized with the concepts of end-of-life care through trainings, workshops and formal or informal education in both academic and hospital settings.

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