| More

The attιtudes and behavιors of intensιve care unιt nurses towards end-of-lιfe care

Views: 408 Downloads: 234
Sadık Hançerlioğlu, Gülbin Konakçı
Sadık Hançerlioğlu, Gülbin Konakçı

Abstract


Introduction: The end-of-life period is a process in which anxiety of death is experienced intensely and there are positive and negative experiences for the nurse and the patient. Nurses' attitudes and behaviors about death affect the quality of care in the end-of-life process.

Aim: The aim of the present study was to determine the attitudes and behaviors of intensive care unit nurses towards end-of-life care.

Material and Method: The studied sample consisted from 216 nurses working in the intensive care units of three university hospitals. In the present study, the Nurse Identification Form and The Attitude and Behaviors of The Intensive Care Unit Nurses Towards The End-of-Life Care Scale were used as the data collection forms.

Results: Statistically significant differences were found between attitudes subscale, behavior subscale, scale total mean scores and some variables such as the education level, the intensive care unit classification, knowledge for end-of-life care, the frequency of death in their unit.  As a result of the correlation analysis, there were statistically significant positive correlations between attitudes subscale, behavior subscale, scale total mean scores, and some variables such as total working years as a nurse,  total working years in the intensive care unit, age.

Conclusions: The level of education, the intensive care unit classification,  knowledgeabout end-of-life care, the frequency of death in their unit, age, total working years as a nurse, and total working year in the intensive care unit have relationship with the attitudes and behaviors of intensive care unit nurses towards end-of-life care.


Keywords


Intensive care; ıntensive care unit nurses; end-of-life care

Full Text:

PDF

References


Caberry WY, Alavinia SM, Alter DA. Impact of socioeconomic status on end-of-life costs: a systematic review and meta-analysis. BMC palliative care 2020;19(1): 1-15.

Cai J, Zhang L, Guerriere D, Coyte PC. Congruence between Preferred and Actual Place of Death for Those in Receipt of Home-Based Palliative Care. J Palliat Med 2020;23(11):1460-1467.

Noome M, Kolmer DM, Leeuwen E, Dijkstra BJ, Vloet LCM. The nursing role during end‐of‐life care in the intensive care unit related to the interaction between patient, family and profes-sional: an integrative review. Scandinavian Journal of Caring Sciences 2016;30(4): 645-661.

Vanderspank-Wright B, Fothergill-Bourbonnais F, Malone-Tucker S, Slivar S. Learning end-of-life care in ICU: Strategies for nurses new to ICU. Dynamics 2011;22:22–5.

Tripathy S, Routray PK, Mishra JC. Intensive Care Nurses' Atti-tude on Palliative and End of Life Care, Indian J Crit Care Med 2017; 21(10): 655–659. doi: 10.4103/ijccm. IJCCM_240_16

Zomorodi M, Lynn M. Critical Care Nurses' Values and Behav-iours with End-of-Life-Care Perceptions and Challenges. Jour-nal of Hospice and Palliative Nursing 2010; 12(2): 89-96.

Latour JM, Fulbrook P, Albarran JW. EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care. Nurs Crit Care 2009;14:110–21.

Badir A, Topçu I, Türkmen E, Göktepe N, Miral M, Ersoy N, et al. Turkish critical care nurses' views on end-of-life decision making and practices. Nurs Crit Care. 2016;21(6):334-342, doi: 10.1111/nicc.12157.

Aslakson RA, Curtis JR, Nelson JE. The changing role of pallia-tive care in the ICU. Crit Care Med 2014;42:2418–28.

Ozga D, Woźniak K, Gurowiec PJ. Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study. Glob Adv Health Med 2020;9:2164956120916176. doi: 10.1177/2164956120916176.

Zomorodi M, Lynn M. Instrument Development Measuring Critical Care Nurses'Attitudies and Behaviours with End-of-Life-Care, Nurs Res 2011;59(4): 234-240.

Yalçinkaya SO, The adaptatıon of the scale of the attıtudes and behavıors of ICU nurses ıntended for end of lıfe care to the turkısh culture: the valıdıty and relıabılıty study. Un-published Master Disertation, Abant İzzet Baysal University In-stitute of Health Sciences, Bolu, Turkey, 2016

Abate AT, Amdie FZ, Bayu NH, Gebeyehu D, Mariam TG. Knowledge, attitude and associated factors towards end of life care among nurses’ working in Amhara Referral Hospitals, Northwest Ethiopia: a cross-sectional study. BMC research notes 2019;12(1): 521.

Tripathy S, Routray PK, Mishra JC. Intensive care nurses' atti-tude on palliative and end of life care. Indian journal of critical care medicine: peer-reviewed, official publication of Indian So-ciety of Critical Care Medicine 2007;21(10): 655.

Ozcelik H, Aksoy F, Sonmez E, Fadiloglu C. Attitudes to death of nurses in Turkey and factors affecting them. Hos Pal Med Int Jnl 2018;2(6):303‒309. DOI: 10.15406/hpmij.2018.02.00112

Cevik B, Kav S. Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing 2013;36(6): 58-65.

Ali WGM, Ayoub NS. Nurses’ attitudes toward caring for dying patient in Mansoura University Hospitals. J Med Biomed Sci 2015;10:16–23.

Razban F, Iranmanesh S, Rafiei H. Nurses’ attitudes toward palliative care in south-east Iran. Int J Palliat Nurs 2013;19(8):403–10.

Langley G, Schmollgruber S, Fulbrook P, Albarran JW, Latour JM. South African critical care nurses’ views on end-of-life deci-sion-making and practices. Nurs Crit Care 2014;19:9–17.

Iranmanesh S, Razban F, Tirgari B, Zahra G. Nurses’ knowledge about palliative care in Southeast Iran. Palliat Support Care 2014;12(3):203–10.

Marshall JC, Bosco L, Adhikari NK, Connolly B, Diaz JV, Dorman T, et al. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care 2017;37: 270-276.

Khader K. The effectiveness of an educational program on Jor-danian nurses' attitudes toward caring for dying patients. Un-published doctoral disertation. The University of Jordan, Am-man, Jordan. 2010.

Abu Hasheesh MO, Al-Sayed AboZeid S, Goda El-Zaid S, Alhu-jaili AD. Nurses' characteristics and their Attitudes toward Death and Caring for Dying Patients in a Public Hospital in Jordan. Health Science Journal 2013:7;4;384-394.

Dunn KS, Otten C, Stephens E. Nursing experience and the care of dying patients. Oncol Nurs Forum 2005;32(1):97Y104.

Lange M, Thom B, Kline NE. Assessing nurses’ attitudes to-ward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum 2008;35(6):955Y959.

Bradley EH, Cicchetti DV, Fried TR, Rousseau DM, Johnson-Hurzeler R, Kasl SV, et al. Attitudes about care at the end-of-life among clinicians:A quick, reliable, and valid assessment instrument. J Palliat Care 2000;16(1):6–14.

Neimeyer RA, Wittkowski J, Moser RP. Psychological research on death attitudes: An overview and evaluation. Death Stud 2004;28(4):309–340.


Refbacks

  • There are currently no refbacks.


Health and Research Journal