Nursing Autonomy Plays an Important Role in Nurses' Attitudes Toward Caring for Dying Patients
Nursing Autonomy Plays an Important Role in Nurses' Attitudes Toward Caring for Dying Patients
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护理自主权在护士对待临终患者的态度中发挥着重要作用
DOI：
10.1177/1049909106298396
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
M. Kawa
中科院分区：
文献类型：
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作者：
M. Miyashita;Yuko Nakai;Tomoyo Sasahara;Yurie Koyama;Y. Shimizu;Naoko Tsukamoto;M. Kawa
本研究旨在探讨护理自主性与临终关怀态度之关系。2003年11月采用自填式问卷对护士进行了横断面调查。我们收集了178名（75%）参与者的人口统计学数据，并使用Frommelt对临终关怀的态度量表，表格B，日文版（FATCOD-Form B-J），Pankratz护理问卷（PNQ）和死亡态度量表（DAI）。FATCOD-Form B-J测量护士对照顾临终病人的态度。它包括两个分量表：对照顾临终病人的积极态度和感知病人和家庭为中心的护理。PNQ测量个体护士的护理自主性，并有三个分量表：护理自主性和倡导，病人的权利，拒绝传统的角色限制。DAI在日本文化特征的背景下衡量对死亡的态度。它包括七个分量表：来世信仰，死亡焦虑，死亡救济，死亡回避，生活目的，死亡关注和超自然信仰。我们调查了与FATCOD-Form B-J相关的因素。关于生命终结问题的导师支持（β =.19，P =.001），DAI的死亡避免域（β =-.14，P = 0.03），DAI的生活目的域通过多变量分析，选择PNQ的传统角色限制领域（β =.23，P =.001）和拒绝（β =.51，P =.001）作为重要的自变量，以评估护士对护理临终患者的积极态度。通过多变量分析，选择DAI的死亡焦虑域（β =-.17，P =.02）、PNQ的患者权利域（β =.46，P =.001）和PNQ的拒绝传统角色限制域（β =.34，P =.001）作为重要自变量，以评估护士对以患者和家庭为中心的护理的感知。总之，护理自主权在日本护士照顾临终病人的态度中起着重要的作用。加强护理自主权的教育和行政努力是必要的。
The aim of this study was to clarify the relationship of nursing autonomy and other factors related to attitudes toward caring for dying patients. A cross-sectional survey of nurses was conducted in November 2003 using a self-administered questionnaire. We collected demographic data from 178 (75%) participants and used the Frommelt Attitude Toward Care of the Dying scale, Form B, Japanese version (FATCOD-Form B-J), the Pankratz Nursing Questionnaire (PNQ), and the Death Attitude Inventory (DAI). FATCOD-Form B-J measures nurse's attitude toward caring for dying patients. It includes two subscales: positive attitude toward caring for the dying patient and perception of patient- and family-centered care. The PNQ measures nursing autonomy of individual nurses and has three subscales: nursing autonomy and advocacy, patients' rights, and rejection of traditional role limitations. The DAI measures attitudes toward death in context of Japanese cultural characteristics. It includes seven subscales: afterlife beliefs, death anxiety, death relief, death avoidance, life purpose, death concern, and supernatural beliefs. We investigated the factors associated with the FATCOD-Form B-J. Support of a mentor regarding end-of-life issues (β = .19, P = .001), death avoidance domain of the DAI (β = —.14, P = 0.03), life purpose domain of the DAI (β = .23, P = .001), and rejection of traditional role limitations domain of the PNQ (β = .51, P = .001) were selected as significant independent variables by multivariate analysis to evaluate nurses' positive attitudes toward caring for dying patients. Death anxiety domain of the DAI (β = —.17, P = .02), patients' rights domain of the PNQ (β =.46, P = .001), and rejection of traditional role limitations domain of the PNQ (β = .34, P = .001) were selected as significant independent variables by multivariate analysis to evaluate the nurses' perception of patient-and family-centered care. In conclusion, nursing autonomy plays an important role in the attitudes of Japanese nurses who care for dying patients. Educational and administrative efforts to strengthen nursing autonomy are necessary.