Emergency and palliative care nurses' levels of anxiety about death and coping with death: A questionnaire survey
Emergency and palliative care nurses' levels of anxiety about death and coping with death: A questionnaire survey
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DOI：
10.1016/j.aenj.2013.08.001
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发表时间：
2013-11-01
期刊：
影响因子：
--
通讯作者：
Shimoinaba, Kaori
中科院分区：
文献类型：
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作者：
Peters, Louise;Cant, Robyn;Shimoinaba, Kaori
背景：护理临终病人及其家人面临许多挑战，护士对死亡的恐惧可能会对其产生负面影响。本研究采用问卷调查与访谈相结合的方法，调查急诊与姑息护理护士对死亡与死亡的态度。本文报告了死亡态度量表修订版和应对技巧的问卷调查结果。结果：来自两个医疗机构的28名急诊护士和28名姑息护理护士参与调查。护士对死亡的恐惧程度为低至中度(44%)、避免死亡(34%)、逃避(47%)和接近接受(59%)。急诊护士报告的死亡率高于姑息护理护士，而应对技能则显著低于姑息护理护士。两人对死亡现实的接受度都很高(82%)，并表示他们对临终病人的处理好于对病人家属的处理。结论：护士对死亡和临终的态度普遍积极。参与者可以应对临终病人的护理，但与患者家人打交道明显不自在。护士应该意识到他们对死亡的态度可能会对为临终病人提供支持性护理产生的影响。(C)2013澳大利亚急救护理学院有限公司。爱思唯尔有限公司出版。版权所有。
Background: Caring for dying patients and their families presents many challenges, and may be negatively affected by nurses' Fear of Death. This study investigates attitudes of emergency and palliative care nurses towards death and dying.Methods: A mixed methods design including questionnaire and interview, was utilised. This paper reports questionnaire results from the Death Attitude Profile-Revised Scale and coping skills.Results: Twenty-eight emergency nurses and 28 palliative care nurses from two health services participated. Nurses held low to moderate Fear of Death (44%), Death Avoidance (34%), Escape Acceptance (47%) and Approach Acceptance (59%). Emergency nurses reported higher death avoidance and, significantly lower coping skills than palliative care nurses. Both reported high acceptance of the reality of death (Neutral Acceptance 82%), and indicated they coped better with a patient who was dying than with, the patient's family.Conclusions: Nurses generally held positive attitudes towards death and dying. Participants could cope with caring for dying patients, but were significantly less comfortable coping with patients' family members. Nurses should be aware of the impact their attitude towards death may have on providing supportive nursing care for the dying. (C) 2013 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.