Care Of Dying Patients Research Articles

Attitudes of Jordanian Nurses Toward Caring for Dying Patients.

Hospital nurses are expected to care for dying patients. Such care provokes many undesired emotions and attitudes that affect the quality of care. This study aims to assess the attitudes of Jordanian nurses toward caring for dying patients in addition to examining the relationship between nurses' attitudes toward caring for dying patients and their selected characteristics. A quantitative descriptive cross-sectional research design was used to recruit a total of 290 Jordanian nurses from two hospitals in Jordan. The findings of this study revealed a significant correlation between nurses' attitudes toward caring for dying patients and receiving educational courses on palliative care (p = .008). Also, the study found a correlation between nurses' attitudes toward caring for dying patients and prior experience attending death cases (p = .004). The attitudes nurses have toward caring for dying patients are affected by educational courses, which make these attitudes adjustable toward the positive.

On Between Death and Life: Intensive Care Nurses.

The aim of this study is to explore intensive care nurses' perceptions and experiences about death and dying patient. This study included 15 nurses from a university hospital's intensive care units (paediatric and internal medicine). Data were collected through face-to-face, in-depth and individual interviews using the "Nurse Information Form" and "Semi-Structured Interview Form". Six major themes and sixteen sub-themes were identified on the nurses' perceptions and experiences with death. After the nurses described their perceptions of death, their responses, approaches, coping mechanisms, and effects on the dead and dying patient in care and factors affecting perceptions of death were defined. Our findings suggest that nurses, particularly those working in intensive care, should be educated/trained on death, and dying patient care. Thus, orderly psychological support should be provided to nurses.

Too Close for Comfort? Attitudes of Gynecologic Oncologists Toward Caring for Dying Patients.

To assess gynecologic oncologists' attitudes relating to palliative care referrals among advanced cancer patients. Gynecologic oncologists were surveyed using validated measures to assess stigmatizing attitudes toward palliative care, anticipated stigma of palliative care, acceptance of palliative care, and willingness to refer to palliative care. Descriptive statistics were calculated. Analysis was performed using linear regression. 1200 physicians received the survey and 108 (9%) completed it. Most were female (69.4%) and white (82.4%). Most practiced in academics (64.8%) in urban environments (71.3%). Respondents did not have anticipated stigma surrounding palliative care referral (mean score 1.89, range 1-7, higher score indicating more stigma), were accepting of palliative care (mean score 1.45, range 1-7, higher score indicating less acceptance), and were willing to refer patients to palliative care (mean score 5.75, range 1-7, higher score indicating more willingness to refer). Linear regression demonstrated females had less anticipated stigma surrounding palliative care (B = -.213, P = .04) and higher acceptance of palliative care (B = -.244, P = .01). Most surveyed derived satisfaction from work with advanced cancer patients (83%). Nineteen percent were depressed by managing advanced cancer patients. One fourth felt emotionally burned out by dealing with too many deaths. Most gynecologic oncologists did not exhibit stigma surrounding palliative care and derive satisfaction from their work. Some gynecologic oncologists experience depression and burnout related to their profession. This close connection with patients as they transition to the end of life may take a toll on providers.

Palliative Care Education: Its Effect on Nurses’ Competency during Care of Dying Patients

Background: Palliative care can play a major role in relieving both physical and mental symptoms of the dying patient. Nurses are the key valuable palliative care team members who are responsible for the dimension of physical, functional, social, and spiritual patients' care. Essential factors affecting a successful implementation of palliative care are nurses' knowledge, attitude and self efficacy for providing care to these patients. Aim of the study: To examine impact of palliative care education on nurses’ competency during care for dying patients. Methods: A quasi-experimental design was utilized. Setting: The study was conducted at oncology institute, general medical and general surgical unit of Menoufia University hospital. Subjects: A convenience sample of 120 nurses (52 from oncology institute, 34 from general medical and 34 general surgical unit) of Menoufia University who agreed to participate in this study were divided alternatively and randomly into two equal groups, 60 for group 1 and 60 for group 2.Tools: four tools were utilized by the researchers. Tool I: Structural interviewing questionnaire, Tool II: Palliative Care Quiz for Nursing, Tool III: The Frommelt Attitudes Toward Care of the Dying scale and Tool IV: The Palliative Care Self-Efficacy Scale. Results: the mean total score of Palliative Care nurses’ knowledge in study group (16.48±1.88)was better than control group (7.23± 2.68), nurses' attitude toward palliative care of study group was 113.50±10.75 as compared to 91.21±12.40of control group and palliative care self-efficacy score of study group was 28.06±7.38 as compared to16.08±4.49 of control group at post-intervention. Conclusion: palliative care educational intervention to nurses can be effective in strengthening their knowledge base, improving attitude and level of self efficacy toward care of dying patient. Recommendations: Education and training programs about palliative care with simple illustrated booklet required for all nursing staff in health care setting

A Descriptive Study to Assess the Knowledge and Attitude Towards Care of Dying Patients among Nursing Interns

Background of the Study: Death is inevitable for all living beings. Nurses play a vital role in care of dyingpatients and their family. Regardless whether the death occurs, in the community or hospital nurses spendslargest proportion of time during the care of dying patients. The nurses concern and support are valued bypatients as well as the relativesAim: To examine the nursing intern’s knowledge and attitude towards care of dying patient.Method and Materials: A quantitative research approach with non-experimental descriptive study wasadopted in this study. The stratified random sampling technique was used to select the subject for the study.Data collected from 100 subjects were analyzed by descriptive and inferential statistics using SPSS version22.Result: Among the selected subjects 83% had average knowledge, 69% had neutral attitude towards careof dying patients.Conclusion: In the present study by assessing the level of knowledge and attitude of Nursing interns towardscare of dying patients, it was found that 83% of Nursing interns had average knowledge and 69% of Nursinginterns had neutral attitude towards care of dying patients. This chapter enlightens the need of the researchstudy. The research reveals that there is no association between level of knowledge, level of attitude withselected demographic variables and there is no significant relationship between level of knowledge andattitude of Nursing interns towards care of dying patients.

Nurses' Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital.

IntroductionDeath and the dying experience are common phenomena in all clinical settings. Death and the dying presents physical and emotional strain on the dying patient, his relations and professional caregivers.ObjectiveThe study therefore assessed the sociodemographic determinants of nurses’ attitudes towards death and caring for dying patient.MethodA cross–sectional design was used to study 213 randomly selected nurses, working in one of the tier one teaching hospital in Nigeria. Attitude towards death and the dying was collected with Frommelt Attitude Care of the Dying and Death Attitude Profit–Revised questionnaire. The data collected was analysed with SPSS version 20 and inferential analyses were considered statistically significant at p < 0.05.ResultsThe study revealed that most of the nurses had negative attitudes toward the concept of death (76.5%) and caring for dying patient (68%). Furthermore, a chi-square test revealed significant associations between the nurses’ years of working experience (χ2 = 24.57, p <.00) and current unit of practice (χ2 = 21.464; p = .002) and their attitude towards caring for the dying patient. Also, nurses’ age (χ2 = 13.77, p = .032), professional qualifications (χ2 = 13.774, p = .008), and current ward of practice (χ2 = 16.505, p = .011) were significantly associated with their attitudes to death. Furthermore, the study observed a significant association between nurses’ attitudes to death and caring for the dying patient (χ2 = 11.26, p < 0.01).ConclusionThis study concluded that nurses had negative attitudes towards death and dying and therefore prescribes, as part of continuing professional development strategy, the need for requisite positive value – laden, ethnoreligious specific education regarding end of life care.

Nursing student attitudes toward dying patient care: A European multicenter cross-sectional study.

Background and aim of the work:Nursing education plays a key role in preparing future nurses to deal with dying patients, which represents one of the most emotionally involving aspect of nursing. The aims of the study were to explore nursing students’ attitudes towards care of dying patients in three different European contexts and to analyze the variables that can influence them.Methods:We conducted an international multicenter cross-sectional study. We administered the Frommelt Attitude Toward Care of the Dying Scale form B (FATCOD-B) and a demographic form to 569 students, enrolled in three Nursing Programmes in different countries (Italy, Spain and United Kingdom), who accepted to participate in the study. The data were analyzed using SPSS software version 26.0.Results:Median total FATCOD-B scores indicated intermediate levels of students’ attitudes towards care for dying patients, with a statistically significant difference among the three student groups. The median total FATCOD-B scores did not statistically significantly change in students with different age, gender, year of study, religious beliefs, nursing education on palliative care, previous experiences of dying patient care and personal grieving.Conclusions:In our study, nursing students feel partially prepared in caring for dying patients and their attitudes do not change as the course of study progresses. No selected variables had an impact on students’ attitudes towards palliative care. Since nurses play a vital role in ensuring the quality of care, education on end-of-life care should be offered as a core part of undergraduate nursing programs. (www.actabiomedica.it)

Attitudes of Undergraduate and Graduate Nursing Students Toward Caring for Dying Patients and Their Families: An Educational Needs Assessment (GP796)

Attitudes of Undergraduate and Graduate Nursing Students Toward Caring for Dying Patients and Their Families: An Educational Needs Assessment (GP796)

Knowledge and Attitude of Nurses About Palliative Care

Palliative care enhances the quality of life. To improve the quality of life, it is necessary for nurses to have good knowledge and attitude towards palliative care. It is imperative that nurses provide quality care to terminally ill and chronically sick patients. The present study was designed to assess the knowledge and attitude of medical staff nurses about palliative care in cancer. This cross-sectional, descriptive study was conducted in Mayo Hospital, Lahore and Jinnah Hospital, Lahore with sample size of 300 registered nurses by using the simple random sampling technique. Inclusion and exclusion criteria was used. Data was collected from the nurses who have more than one-year job experience. The statistical analysis results showed that only 43.5% of respondents agree on when the palliative care is needed to be provided. Over all in the study, nurses were less aware about palliative care. Most of the nurses distorted the term palliative care. They become confused about the term palliative care and dying patient care.

The current status on attitude to death and its influencing factors among oncology nurses

Objective To investigate the attitude to death of oncology nurses and analysis its influencing factors,so as to provide scientific references and basis for care of the dying patients. Methods A convenience sampling method was used to 309 nurses from Eastern Hepatobiliary Surgery Hospital,the Third Affiliated Hospital of Naval Military Medical University.The survey was conducted by filling in the electronic questionnaire which powered by sojump.com. The questionnaire was composed with a demographic survey and Chinese version Death Attitude Profile-Revised. Results In the five dimensions of Death Attitude Profile-Revised,the highest factor score was in Approach Acceptance(3.56±0.74),the second was in Escape Acceptance(3.54±0.85) and the lowest was in Natural Acceptance(2.30±0.53).There was a statistically significant difference in the number of years of work in Nautral Acceptance(F value was 3.400, P<0.05).Parents with or without religious beliefs had statistically significant differences in Death of Avoidance(t value was 6.207, P<0.05). Consciously aware that the current physical condition was statistically different from Approach Acceptance and Escape Acceptance(F value was 3.494, 2.606, all P<0.05).Consciously the current psychological status was statistically different in Death Fear and Approach Acceptance and Escape Acceptance(F value was 3.381, 3.125, 3.911, all P<0.05).The situation of talking death in the family was statistically different between Death Fear and Death of Avoidance (F value was 2.899, 2.762, all P<0.05).There was a statistically significant difference in Death Fear and Death of Avoidance and Death Education (F value was 3.581, 5.336, all P<0.05). Conclusions The attitude to death in 309 oncology nurses is relatively passive.The main influencing factors are work experience and parents with or without religious beliefs and the situation of talking death in the family physiology and psychology conditions,whether or not receive death education. Key words: Attitude to death; Oncology nurse; Influencing factors

Do Perceptions of Spiritual Care Affect Attitudes Towards Care for Dying Patients in a Group of Turkish Nursing Students?

The present study was designed to determine the relation between attitudes to death and perceptions of spiritual care in nursing students. It is a descriptive study and included 290 fourth-year nursing students (intern students). Data were collected with a descriptive characteristics form, Frommelt Attitude Towards Care of the Dying Instrument and Spirituality and Spiritual Care Rating Scale. SPSS version 21 was used for data analysis. There was a significant positive relation between the mean scores for Spirituality and Spiritual Care Rating Scale and Frommelt Attitude Towards Care of the Dying Instrument. It can be recommended that courses about death and spiritual care should be offered and integrated into nursing curricula.

Web Exclusive. Annals Graphic Medicine - Caring for Dying Patients: Visual Narratives From the Intensive Care Unit.

In this powerful series of drawings, Dr. Bao looks at and into her patients in the intensive care unit as she reflects on how daily medical interventions affect a patient's experience.

Attitude Towards Care of Dying Patients among the Interns in a Tertiary Care Hospital

Attitude Towards Care of Dying Patients among the Interns in a Tertiary Care Hospital

The Impact of the End-of-Life Nurse Education Consortium on Attitudes of Undergraduate Nursing Students Toward Care of Dying Patients.

This mixed methods study explored the impact of the End-of-Life Nursing Education Consortium (ELNEC)-Undergraduate Curriculum on perceived preparedness of undergraduate nursing students in the care of dying patients and the relationship between personal loss experience and undergraduate nursing students' attitudes regarding the ELNEC-Undergraduate Curriculum. Of the 36 undergraduate nursing students who completed ELNEC, 24 reported a personal loss of a close family member or friend to death and 12 reported no loss. Findings confirmed the overall positive impact and acceptability of ELNEC, but this effect was observed differently between students with and without previous loss. Students with personal loss were more aware of the challenges of end-of-life care before taking ELNEC and incorporated the content into a greater sense of preparedness. Study recommendations include placing ELNEC within didactic instruction by well-prepared faculty, creating simulation debrief groups composed of both students with and without loss, and faculty attention to the loss experiences of students.

Effect of a Palliative Care Nurse Champion Program on Nursing Care of Dying Patients in the Hospital: A Controlled before and after Study

Objective: Hospitals increasingly appoint nurse champions to improve quality of care. This study investigated the effect of palliative care nurse champions on nursing end-of-life care. Methods: Imbedded in a controlled before-after study (June 2009-July 2012) on care for the dying patient in the hospital, nurses completed questionnaires on end-of-life care within two weeks after the patient’s death. Halfway the study, seven out of 18 participating wards appointed two palliative care nurse champions. Characteristics of end-of-life care were compared for patients who died before and after the introduction of the nurse champion program and with outcomes in 11 control wards. Results: In the intervention wards, data were collected on 81 patients in the pre-intervention period and on 93 patients in the post-intervention period; in control wards these numbers were 114 and 121, respectively (response 54%). After the introduction of the nurse champion program, nurses in the intervention wards more frequently discussed imminent death with patients (35% pre-intervention vs 50% post-intervention, p=0.05), were more frequently aware of psychological symptoms (57% vs 71%, p=0.04), and performed less futile interventions during the final hours (on average 0.8 vs 0.4 out of 4 interventions, p<0.01). These differences were not found in the control wards. No effect was found on nurses’ awareness of patients’ imminent death. Nurses’ median score for quality of dying was lower in the postintervention period (7.5 vs 7.0 on a 0-10 scale; p=0.02). Conclusion: It had a beneficial effect on end-of-life nursing care in hospital. We found increased communication and more awareness of patients’ palliative care needs. Increased awareness seems to have made nurses more critical about the quality of dying.

Analysis of reliability and validity of Hospice Care Quality Assessment Scale

Objective To investigate the reliability and validity of Hospice care quality assessment scale. Methods Eight experts in the field of hospice revised the Scale after Chinese localization. The scale data were analyzed after collation of 181 families fulfill the scale. Results The total scale Cronbach's α coefficient was 0.851. The first dimension's coefficient was 0.796. The second dimension's coefficient was 0.622 and the third dimension's coefficient was 0.827. In factor analysis of the scale, after varimax rotation, the number of characteristic roots >1 was 10 and made up of 70.88% of the total variance. Conclusions The hospice care quality assessment scale after Chinese localization has good reliability and validity and could be a tool to evaluate the clinical quality of care for dying patients. Key words: Hospice care quality assessment scale; Reliability; Validity

Investigation and analysis and experience of caring for the dying patients attitude

Objective To understand the status of knowledge of hospice nurses' and provide scientific evidence for caring education. Methods Questionnaires in 532 health care workers (including 93 medical students) were done. Results The medical staff were disgusted and attract two attitudes in caring for the dying patients. These two attitudes were positively related with the experience, their own personal experience of occupation, experience and education.With older age, more plentiful clinical experience, and closer relationship with relatives and friends of the person who died, their attitude in the care of dying patients more positive about the view of death. Conclusion Nurses in hospice care is plain, the concept is fuzzy.In order to adapt to the change of modern nursing mode as soon as possible, to meet the needs of the new mode of diversified roles, compensate for the lack of professional knowledge of nurses, nurses were dying off Miss education is very necessary. Key words: Nurse; Hospice care; Palliative care education

Attitude of Palestinian Nursing Students Toward Caring for Dying Patients: A Call for Change in Health Education Policy.

Death is a natural process that occurs each day. Some nursing students may encounter the experience of taking care of a dying patient while others do not. Therefore, their attitude toward death and caring for dying patients may vary. The purpose of this study was to assess Palestinian student nurses' attitudes toward death and caring for dying patients and their families. In a cross-sectional, descriptive study, all fourth-year students at the College of Nursing, Islamic University of Gaza, Palestine, were invited to participate in this study. A total of 141 students completed the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B). Results revealed that the mean score on the FATCOD-B was (96.96 ± 8.30). Overall, nursing students in the sample demonstrated a relatively low attitude toward caring for dying patients and their families. No statistically significant differences of students' attitudes toward caring for dying patients were found between male and female students nor between students who attended death cases and those who did not. The results suggest that theoretical nursing education should place more emphasis on palliative care to improve the quality of care at the end of life.

Helene Hudson Lecture: Taking an “upstream” approach in the care of dying cancer patients: The case for a palliative approach

Les progres au niveau de la technologie et des pharmacotherapies font en sorte que les patients atteints de cancers malins vivent plus longtemps qu’auparavant. Cependant, la plupart d’entre eux sont loin d’atteindre l’esperance de vie de la population generale. L’adoption d’une « approche palliative » est une innovation qui pourrait promouvoir a la fois une meilleure planification de fin de vie et la fourniture de soins de meilleure qualite en fin de vie. Pourtant, dans une bonne partie du monde occidental, cette orientation en amont est rare. La tendance a dispenser des soins palliatifs tard dans la trajectoire de la maladie a entraine de nombreuses difficultes au niveau des soins prodigues aux personnes atteintes d’un cancer avance. Cet article decrit une initiative de recherche infirmiere—l’iPANEL (Initiative pour une approche palliative en soins infirmiers : donnees probantes et leadership)—dont l’objectif est de generer des donnees probantes qui faciliteront l’integration d’une approche palliative dans les soins aux personnes atteintes de conditions chroniques reduisant l’esperance de vie. Les infirmieres en oncologie ont un role important a jouer dans la facilitation d’une approche palliative, puisqu’elles peuvent transformer les facons dont les patients atteints de cancer sont traites dans notre systeme de sante.

Attitudes and Experiences of Nurses Toward Death and Caring for Dying Patients in Turkey

Caring of the dying patients and facing the death can be a stressful and difficult experience for nurses. Besides personal and professional experiences, nurses' own attitudes toward death may affect the care given to dying individuals. The aim of this study was to examine Turkish nurses' attitudes toward and experiences with death and caring for dying patients. A descriptive, cross-sectional study was conducted at 2 university hospitals and 1 state hospital located in Ankara, Turkey. Data were collected via sociodemographics form, the Death Attitude Profile-Revised, and Frommelt's Attitude Toward Caring for Dying Patients. The attitudes of Turkish nurses toward death and caring for dying patients are less positive than the reported attitudes of nurses in other studies. Significant relationships were found among level of education, willingness to care for dying patients, and scores on Frommelt's Attitude Toward Caring for Dying Patients and on Death Attitude Profile-Revised subscales (P < .05). Although the majority of nurses (85%) stated that they had received education on end of life, most of them (82%) were not comfortable talking about death. A lack of education and experience may contribute to the negative attitudes. Providing a reflective narrative environment in which nurses can express their personal feelings about death and dying could be a potentially effective approach. This study highlights the need for further educational research and development of better educational programs to help nurses to explore and understand their attitudes toward death, overcome fears, increase communication skills, and enhance coping strategies.