Volume 30, Issue 107 (August 2017)
IJN 2017, 30(107): 74-82 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aghaei M, Mohajjel Aghdam A, Bodaghi S, Azami Agdash S. Knowledge and Attitude of Nurses Toward Caring for End of Life Patients. IJN 2017; 30 (107) :74-82
URL: http://ijn.iums.ac.ir/article-1-2492-en.html
URL: http://ijn.iums.ac.ir/article-1-2492-en.html
1- Nursing PhD student, Tarbiat Modares University, Tehran, Iran. (Corresponding Author) Tel: 09149886941 Email: Mirhosseinaghaei69@yahoo.com
2- Instructor, Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3- Bs in Nursing, Clinical nurse in Meshkinshahr Valiasr Hospital, Ardebil, Iran
4- PhD in Health policy, faculty of Health Management and Information Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
2- Instructor, Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3- Bs in Nursing, Clinical nurse in Meshkinshahr Valiasr Hospital, Ardebil, Iran
4- PhD in Health policy, faculty of Health Management and Information Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract: (9323 Views)
Abstract
Background & Aim: Nurses are involved in providing end of life care for end stage individuals. Thus knowledge and attitude of them can be used as a key factor in planning and implementing programs for such care. The purpose of this study was to determine the knowledge and attitude of nurses Toward Caring for End of Life Patients.
Materials & Methods: In this cross-sectional study the stratified non-random sampling method was used to select the 240 participant nurses from the teaching hospitals of Tabriz, Iran. Data collection tools were the knowledge test and the Frommelt Attitude Toward Caring For Dying Patients questionnaire. Data analysis was done by descriptive statistics, independent samples T-test, ANOVA, and Pearson correlation.
Results: Mean score of nurses' knowledge of end-of-life care was 14.26 (SD=4.37) out of 29. Fifty-five percent of the nurses stated that they have not received sufficient training on providing end of life care. With a score of 100.32 (11.79) of a maximum score of 150, Participants' attitudes toward patient care were positive. The attitude level was higher in staff with an experience of care in home care centers (P<0.01). Also, the average score of knowledge was higher in staff with an experience of care in home care centers, care of close relatives and more exposure to patients at the end of life.
Conclusion: Considering the low level of nurses' knowledge about providing end-of-life care, educational programs should be developed to improve the knowledge of nurses. Regarding the positive attitude of the nurses toward such care, training programs can contribute to developing professional end of life care in Iran.
Background & Aim: Nurses are involved in providing end of life care for end stage individuals. Thus knowledge and attitude of them can be used as a key factor in planning and implementing programs for such care. The purpose of this study was to determine the knowledge and attitude of nurses Toward Caring for End of Life Patients.
Materials & Methods: In this cross-sectional study the stratified non-random sampling method was used to select the 240 participant nurses from the teaching hospitals of Tabriz, Iran. Data collection tools were the knowledge test and the Frommelt Attitude Toward Caring For Dying Patients questionnaire. Data analysis was done by descriptive statistics, independent samples T-test, ANOVA, and Pearson correlation.
Results: Mean score of nurses' knowledge of end-of-life care was 14.26 (SD=4.37) out of 29. Fifty-five percent of the nurses stated that they have not received sufficient training on providing end of life care. With a score of 100.32 (11.79) of a maximum score of 150, Participants' attitudes toward patient care were positive. The attitude level was higher in staff with an experience of care in home care centers (P<0.01). Also, the average score of knowledge was higher in staff with an experience of care in home care centers, care of close relatives and more exposure to patients at the end of life.
Conclusion: Considering the low level of nurses' knowledge about providing end-of-life care, educational programs should be developed to improve the knowledge of nurses. Regarding the positive attitude of the nurses toward such care, training programs can contribute to developing professional end of life care in Iran.
Type of Study: Research |
Subject:
nursing
Received: 2017/05/24 | Accepted: 2017/08/30 | Published: 2017/08/30
Received: 2017/05/24 | Accepted: 2017/08/30 | Published: 2017/08/30
References
1. Aghdam AM, Aghaei MH, Hassankhani H, Rahmani A. Awareness and attitude of nurses in regard to providing hospice care. Asian Pac J Cancer Prev. 2015;16(16):6941-5. [DOI:10.7314/APJCP.2015.16.16.6941] [PMID]
2. Brinkman-Stoppelenburg A, Rietjens JA, van der Heide A. The effects of advance care planning on end-of-life care: a systematic review. Palliat Med. 2014;28(8):1000-25. [DOI:10.1177/0269216314526272] [PMID]
3. Azami-Aghdash S, Ghojazadeh M, Naghavi-Behzad M, Imani S, Aghaei MH. Perspectives of cardiac care unit nursing staff about developing hospice services in iran for terminally ill cardiovascular patients: A qualitative study. Indian J Palliat Care. 2015;21(1):56. [DOI:10.4103/0973-1075.150185] [PMID] [PMCID]
4. Hebert K, Moore H, Rooney J. The nurse advocate in end-of-life care. The Ochsner Journal. 2011;11(4):325-9. [PMID] [PMCID]
5. Gallagher R, Krawczyk M. Family members' perceptions of end-of-life care across diverse locations of care. BMC Palliat Care. 2013;12(1):25. [DOI:10.1186/1472-684X-12-25] [PMID] [PMCID]
6. Hauptman P, Havranek E. Choosing the heart failure patient appropriate for palliative care. Arch Int Med. 2005;165:374-8. [DOI:10.1001/archinte.165.4.374] [PMID]
7. Carol T, Carol L, Priscilla L. Fundamentals Of Nursing: The Art Science Of Nursing Care. 5th ed: Hayyan; 2008.
8. Buchman S, Howe M. Teaching end-of-life care in the home. Can Fam Physician. 2012;58(1):114-6. [PMID] [PMCID]
9. Noome M, Beneken genaamd Kolmer DM, Leeuwen E, Dijkstra BM, Vloet L. The nursing role during end‐of‐life care in the intensive care unit related to the interaction between patient, family and professional: an integrative review. Scand J Caring Sci. 2016;30(4):645-61. [DOI:10.1111/scs.12315] [PMID]
10. Cevik B, Kav S. Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nurs. 2013;36(6):E58-E65. [DOI:10.1097/NCC.0b013e318276924c] [PMID]
11. Lange M, Thom B, Kline NE, editors. Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum; 2008; 35(6), 955-9. [DOI:10.1188/08.ONF.955-959] [PMID]
12. Emni Omar D H, Pathmawathi S, Wong Li P. Assessment of Knowledge and Attitude towards End of Life Care among Nurses Working in Tertiary Hospital. International Journal of Nursing and Health Sciences. 2014;1(12).
13. Csikos A, Mastrojohn J, Albanese T, Moeller JR, Radwany S, Busa C. Physicians' beliefs and attitudes about end-of-life care: a comparison of selected regions in Hungary and the United States. J Pain Symptom Manage. 2010;39(1):76-87. [DOI:10.1016/j.jpainsymman.2009.05.019] [PMID]
14. Claxton-Oldfield S, Hastings E, Claxton-Oldfield J. Nurses' perceptions of hospice palliative care volunteers. Am J Hosp Palliat Med. 2008;25(3):169-78. [DOI:10.1177/1049909107312595] [PMID]
15. Frommelt KHM. The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Med. 1991;8(5):37-43. [DOI:10.1177/104990919100800509] [PMID]
16. Wessel EM, Rutledge DN. Home care and hospice nurses' attitudes toward death and caring for the dying: Effects of palliative care education. J Hosp Palliat Nurs. 2005;7(4):212-8. [DOI:10.1097/00129191-200507000-00012]
17. Mallory JL. The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. J Prof Nurs. 2003;19(5):305-12. [DOI:10.1016/S8755-7223(03)00094-2]
18. Iranmanesh S. [Caring at the end of life: Iranian nurses' view and experiences]. Journal of Nursing Education and Practice. 2012;2(2):9. [DOI:10.5430/jnep.v2n2p9]
19. Cramer LD, McCorkle R, Cherlin E, Johnson‐Hurzeler R, Bradley EH. Nurses' attitudes and practice related to hospice care. J Nurs Scholarsh. 2003;35(3):249-55. [DOI:10.1111/j.1547-5069.2003.00249.x] [PMID]
20. Denham SA, Meyer MG, Rathbun A, Toborg MA, Thornton L. Knowledge of rural nurses' aides about end-of-life care. Fam Community Health. 2006;29(3):229-41. [DOI:10.1097/00003727-200607000-00010] [PMID] [PMCID]
21. Iranmanesh S, Abbaszadeh A, Dargahi H, Cheraghi MA. Caring for people at the end of life: Iranian oncology nurses' experiences. Indian J Palliat Care. 2009;15(2):141-7. [DOI:10.4103/0973-1075.58461] [PMID] [PMCID]
22. Abu Hasheesh MO, Al-Sayed AboZeid S, El-Said SG, Alhujaili AD. Nurses' characteristics and their Attitudes toward Death and Caring for Dying Patients in a Public Hospital in Jordan. HEALTH SCIIENCE JOURNAL. 2013;7(4):384-94.
23. Feudtner C, Santucci G, Feinstein JA, Snyder CR, Rourke MT, Kang TI. Hopeful thinking and level of comfort regarding providing pediatric palliative care: a survey of hospital nurses. Pediatrics. 2007;119(1):e186-e92. [DOI:10.1542/peds.2006-1048] [PMID]
24. Khader K. The effectiveness of an educational program on Jordanian nurses' attitudes toward caring for dying patients. Unpublished doctoral disertation TheUniversity of Jordan. 2010.
25. Irvin S. The experiences of the registered nurse caring for the person dying of cancer in a nursing home. Collegian. 2000;7(4):30-4. [DOI:10.1016/S1322-7696(08)60388-1]
26. Merckaert I, Libert Y, Razavi D. Communication skills training in cancer care: where are we and where are we going? Curr Opin Oncol. 2005;17(4):319-30. [DOI:10.1097/01.cco.0000167737.72196.f9] [PMID]
27. Dunn KS, Otten C, Stephens E, editors. Nursing experience and the care of dying patients. Oncol Nurs Forum; 2005;32:97–104 [DOI:10.1188/05.ONF.97-104] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
