Nursing experience and the care of dying patients
Nursing experience and the care of dying patients
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DOI：
10.1188/05.onf.97-104
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发表时间：
2005-01-01
影响因子：
1.9
通讯作者：
Stephens, E
中科院分区：
文献类型：
--
作者：
Dunn, KS;Otten, C;Stephens, E
目的/目标：研究人口统计学变量和护士对死亡的态度之间的关系，并照顾垂死的patients.Design：描述性和相关性。设置：两个大都市医院在底特律，MI。样本：58 RN执业肿瘤和内科/外科护理。大多数是女性和白色，平均年龄为41 years.Methods：完成调查的三个测量工具：人口统计学调查，Frommelt态度对护理的垂死（FATCOD）量表，死亡态度简介修订（DAP-R）量表。在分发的60份调查中，有58份完成并返回。（教育水平和死亡培训）、个人经历（年龄，种族，宗教和对死亡的态度），专业经验（月或年的护理经验和与绝症或垂死病人接触的时间百分比），以及对照顾垂死病人的态度。大多数受访者对照顾临终病人表现出积极的态度。护士谁报告花费更高比例的时间在接触绝症或垂死的病人报告更积极的态度。护士对死亡的态度与护理临终病人的态度无显著相关。在某些人口统计学变量、DAP-R子量表和FATCOD Scale.Conclusions之间发现了统计学显著的关系：无论护士对死亡的感觉如何，为临终患者及其家属提供专业和高质量的护理是显着的。制定继续教育计划，教授有效的应对策略，以防止死亡焦虑，并确定可能使护理垂死患者变得困难的障碍可以使从新手到专家护士的旅程成为一种令人满意和有益的经历。
Purpose/Objectives: To examine relationships among demographic variables and nurses' attitudes toward death and caring for dying patients.Design: Descriptive and correlational.Setting: Two metropolitan hospitals in Detroit, MI.Sample: 58 RNs practicing in oncology and medical/surgical nursing. The majority was female and white, with a mean age of 41 years.Methods: Completed survey of three measurement tools: a demographic survey, Frommelt Attitudes Toward Care of the Dying (FATCOD) Scale, and Death Attitude Profile-Revised (DAP-R) Scale. Of 60 surveys distributed, 58 were completed and returned.Main Research Variables: Past experiences (level of education and death training), personal experiences (age, race, religion, and attitudes toward death), professional experiences (months or years of nursing experience and the percentage of time spent in contact with terminally ill or dying patients), and attitudes toward caring for dying patients.Findings: Most respondents demonstrated a positive attitude about caring for dying patients. Nurses who reported spending a higher percentage of time in contact with terminally ill or dying patients reported more positive attitudes. No significant relationship was found between nurses' attitudes toward death and nurses' attitudes about caring for dying patients. Statistically significant relationships were found among certain demographic variables, DAP-R subscales, and FATCOD Scale.Conclusions: Regardless of how the nurses felt about death, providing professional and quality care to dying patients and their families was salient.Implications for Nursing: Developing continuing education programs that teach effective coping strategies to prevent death anxiety and identifying barriers that can make caring for dying patients difficult may make the journey from novice to expert nurse a gratifying and rewarding experience.