Nurses' attitudes toward death and caring for dying patients

ArticleinOncology nursing forum 26(10):1683-7 · November 1999with340 Reads
Source: PubMed
To examine possible relationships among the demographic variables of nurses and their attitudes toward death and caring for dying patients. Descriptive. A private hospital and Visiting Nurses Association office in an ethnically diverse metropolitan area in the Midwest. 403 nurses, predominantly female (90%) and Caucasian (70%), with a mean age of 41.8 years. Participants completed the Frommelt Attitude Toward Care of the Dying Scale, the Death Attitude Profile-Revised (DAP-R), and a demographic questionnaire. Attitudes toward death and caring for dying people. DAP-R scores were related to sex, religious affiliation, and current contact with terminally ill patients. Frommelt scale scores (e.g., showing acceptance of death) were positively related to current contact with dying patients, negatively correlated with two DAP-R subscales (Fear of Death and Death Avoidance), and positively correlated with two other DAP-R subscales (Approach Acceptance and Neutral Acceptance). Nurses' attitudes toward death and their current contact with terminally ill patients were predictive of their attitudes toward caring for terminally ill patients. Professionals who are responsible for designing educational programs focused on nurses' attitudes toward caring for terminally ill patients may want to include an assessment of death attitudes and interventions aimed at decreasing negative attitudes and increasing positive attitudes toward death in such programs.
    • "[27] Rooda et al. found that dealing with dying patients and gender influenced the attitude of death. [4] The results showed that the fear of death had a direct correlation with the death avoidance. Results of this research demonstrated that people who were more afraid of death were mostly trying to avoid this inevitable phenomenon. "
    [Show abstract] [Hide abstract] ABSTRACT: Aim: Attitude toward death is one of the most important factors that can influence the behavior related to the health profession. It is thought that physicians are afraid of death more than other groups of specialist. Therefore, this study aimed to evaluate the attitudes of the medical students of Rafsanjan University of Medical Sciences toward death. Materials and Methods: This study is a cross-sectional study on 308 medical students of Rafsanjan University of Medical Sciences in the academic year of 2015. Attitudes were assessed through the questionnaire of death attitude profile-revised. The collected data were analyzed upon arrival to a computer with SPSS version 14, and descriptive and inferential statistical methods. Results: Attitude toward death was investigated in the 5 dimensions including the fear of death, death avoidance, approach acceptance, neutral acceptance, and escape acceptance. The results showed that the mean and standard deviations of fear of death, death avoidance, natural acceptance, approach acceptance, and escape acceptance were 3.76 ± 1.15, 3.54 ± 1.33, 5.14 ± 0.86, 4.66 ± 0.95, and 3.73 ± 1.25, respectively. It was found that people who have had the experience in dealing with death had less escape of the death attitude. Conclusion: Totally, the results of this study demonstrated that the medical students had good attitudes through 5 dimensions of attitudes toward death. This is probably due to the religious beliefs and also dealing with dying patients. However, it is recommended that training programs should be provided for students in the field of attitudes toward death.
    Full-text · Article · Jan 2016
    • "This is made even more challenging by the fact that the most favourable approaches to providing such care are still hampered by the lack of a robust evidence base, as highlighted by recent reviews of the Liverpool Pathway for the Dying (Currow and Abernethy, 2014). Perhaps even more challenging to this situation is that other unchangeable factors such as gender, age, personal background, socioeconomic status, religion, family openness, level of education and recent death experiences of family members and friends may detrimentally affect a staff member's attitude, potentially risking the delivery of optimal care (Rooda et al, 1999). While positive attitudes to dying patients are most preferable, other strategies that may help to ensure care is optimal have been identified. "
    [Show abstract] [Hide abstract] ABSTRACT: Background Most Australians die in acute hospital settings. Despite this, hospitals remain ill-equipped to care for dying patients with hospital deaths not uncommonly perceived as distressing by both patients and their families. As a quality improvement project, a care bundle for the dying was developed and piloted on two medical wards. The aim of this study was to examine whether or not the quality initiative had any effect on the ward nurse's attitudes and self-assessed competency to care for dying patients. Methods A pre- and post-survey using self-administered questionnaires were given to nursing staff who voluntarily completed these before and after implementation of the caring for the dying bundle. Results Over the 6 months the bundle was piloted, 74.5% of people who died did so with the bundle in place. While this was seen as clinically useful by nearly half the nurses who responded, there was not a significant change in the staff's attitudes or self-assessed competency to care for dying patients. There was a minor change in the Thanatophobia Scale (pre 18.2: SD±9.0 versus post 16.8: SD 7.8; P=0.53), the Self-efficacy in Palliative Care Scale for communication (pre 47.4: SD ±17.4 versus post 54.7:SD±17.9; P=0.11) and patient management respectively (pre 54.3: SD ±12.9 versus 59.1: SD ±12.6; P=0.15). Discussion This work highlighted that at least in the short term, that a quality initiative had only a modest impact on nursing attitudes to caring for dying patients. However, as a collection of clinical tools grouped as a care bundle, a proportion of nursing staff acknowledged this initiative as useful. Conclusion Further research is required to understand if such an initiative approach may, in the long term, positively impacts attitude. This is highly relevant given the increasing numbers of people likely to die in acute care.
    Full-text · Article · Aug 2015
    • "Therefore, caring for this group of patients may be affected by nurses' attitudes toward death and dying (Rooda, Clements, & Jordan, 1999). According to Rooda et al. (1999), " Determinants of attitudes toward death and dying encompass not only cultural, societal , philosophical, and religious belief systems, but also personal and cognitive frameworks from which "
    [Show abstract] [Hide abstract] ABSTRACT: 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. © The Author(s) 2015.
    Article · Jul 2015
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