Nursing Students’ Attitudes towards Caring for Dying Patients
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Background: Dying is a normal human phenomenon that requires a holistic care approach. Nurses’ attitudes towards the care for dying patients need to be explored, understood, and analyzed to improve the quality of care in palliative setting, including in nursing students.
Purpose: This study explored the nursing students’ attitude and its relationship with the students’ demographic profile in caring for the dying patients in Indonesia.
Methods: This study used a quantitative descriptive cross-sectional research design. The samples were 192 nursing students from Universitas Jember, Indonesia, who were recruited by using simple random sampling. Data were collected using the Frommelt Attitudes towards the Care of the Dying Care Form B Indonesian version (FATCOD-BI). The reliability test of FATCOD-BI showed a Cronbach’s alpha of 0.68, and the result of validity test using correlation coefficient showed the range of -0.278 to 0.544. Data were analyzed using frequency distribution, and mean differences test using t-test and One-Way Analysis of Variance (ANOVA).
Results: Results showed that the mean of nursing students’ attitudes in caring for dying patients was 93.83±5.96 (range 30-120). Gender and training experiences had no relationship with students’ attitudes in caring for dying patients (p=0.22 and p=0.943). There was a relationship between the experiences and student academic level and the students’ attitudes in caring for dying patients (p=0.023 and p=0.036). The students’ experiences and academic level become a primary factor in the attitudes toward caring for dying patients.
Conclusion: Findings revealed that student nurses’ attitudes in caring for dying patients was in low category and there was no significant relationship between gender and training experience and students’ attitudes towards caring for the dying patients. In contrast, experiences in caring for dying patients and academic level were associated with students’ attitudes. Further studies in the development of curriculum on dying patient care emphasizing on socio-demographic status are recommended.
- A’la, M. Z. (2016). The Frommelt Attitudes toward Care Of The Dying Care Form B (FATCOD- B) Indonesia version: measurement validity using factor analysis in nursing students. Nurseline Journal, 1(1), 73–82. Retrieved from jurnal.unej.ac.id/index.php/NLJ/article/view/3832
- Abu-El-Noor, N. I., & Abu-El-Noor, M. K. (2015). Attitude of Palestinian nursing students toward caring for dying patients. Journal of Holistic Nursing, 34(2), 193-9.
- Abu Hasheesh, M. O., Al-Sayed AboZeid, S., Goda El-Said, S., & Alhujaili, A. D. (2013). Nurses’ characteristics and their attitudes toward death and caring for dying patients in a public hospital in Jordan. Health Science Journal, 7(4), 384–394.
- Arslan, D., Akca, N. K., Simsek, N., & Zorba, P. (2014). Student nurses ’ attitudes toward dying patients in Central Anatolia. International Journal of Nursing Knowledge, 25(3), 183–188.
- Barrere, C. C., Durkin, A., & Lacoursiere, S. (2008). The influence of end-of-life education on attitudes of nursing students. International Journal of Nursing Education Scholarship, 5(1), 1-18. https://doi.org/10.2202/1548-923X.1494
- Beck, I., Tornquist, A., Brostrom, L., & Edberg, A. K. (2012). Having to focus on doing rather than being-Nurse assistants’ experience of palliative care in municipal residential care settings. International Journal of Nursing Studies, 49(4), 455–464. https://doi.org/10.1016/j.ijnurstu.2011.10.016
- Colley, S. L. (2016). Senior Nursing students’ perceptions of caring for patients at the end of life. Journal of Nursing Education, 55(5). https://doi.org/10.3928/01484834-20160414-07
- De Witt Jansen, B., Weckmann, M., Nguyen, C. M., Parsons, C., & Hughes, C. M. (2013). A cross-national cross-sectional survey of the attitudes and perceived competence of final-year medicine, nursing and pharmacy students in relation to end-of-life care in dementia. Palliative Medicine, 27(9), 847–54. https://doi.org/10.1177/0269216313483661
- Dobbins, E. H. (2011). The impact of end-of-life curriculum content on the attitudes of associate degree nursing students toward death and care of the dying. Teaching and Learning in Nursing, 6(4), 159–166. https://doi.org/10.1016/j.teln.2011.04.002
- Dunn, K. S., Otten, C., & Stephens, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum, 32(1), 97–104. https://doi.org/10.1188/05.ONF.97-104
- Edo-Gual, M., Tomás-Sábado, J., Gómez-Benito, J., Monforte-Royo, C., & Aradilla-Herrero, A. (2017). Spanish Adaptation of the Frommelt Attitude Toward Care of the Dying Scale (FATCOD-S) in nursing undergraduates. OMEGA - Journal of Death and Dying, 1–23. https://doi.org/10.1177/0030222816688294
- Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146
- Frommelt, K. H. M. (2003). Attitudes toward care of the terminally ill : an educational intervention. American Journal of Hospice & Palliative Care, 20(1), 13–22.
- Gallagher, A., Bousso, R. S., McCarthy, J., Kohlen, H., Andrews, T., Paganini, M. C., … Padilha, K. G. (2015). Negotiated reorienting: a grounded theory of nurses’ end-of-life decision-making in the intensive care unit. International Journal of Nursing Studies, 52(4), 794–803. https://doi.org/10.1016/j.ijnurstu.2014.12.003
- Gillan, P. C., van der Riet, P. J., Jeong, S., Riet, P. J. Van Der, & Jeong, S. (2014). End of life care education, past and present: a review of the literature. Nurse Education Today, 34(3), 331–42. https://doi.org/10.1016/j.nedt.2013.06.009
- Grubb, C., & Arthur, A. (2016). Student nurses’ experience of and attitudes towards care of the dying: a cross-sectional study. Palliative Medicine, 30(1), 83–8. https://doi.org/10.1177/0269216315616762
- Henoch, I., Browall, M., C, M. J., Danielson, E., Udo, C., A, J. S., … Strang, S. (2014). The Swedish version of the Frommelt Attitude Toward Care of the Dying scale : aspects of validity and factors influencing nurses ’ and nursing students ’ attitudes . Cancer Nurs, 37(1), 1–2. https://doi.org/10.1097/NCC.0b013e318279106b.Full
- Higgs, C. (2010). The Palliative care Handbook: Advice on clinical Management (7th ed.). Sanford: Hierographics Ltd.
- Iranmanesh, S., Axelsson, K., Häggström, T., & Sävenstedt, S. (2010). Caring for dying people: attitudes among Iranian and Swedish nursing students. Indian Journal of Palliative Care, 16(3), 147–53. https://doi.org/10.4103/0973-1075.73643
- Iranmanesh, S., Savenstedt, S., & Abbaszadeh, A. (2008). Student nurses’ attitudes towards death and dying in south-east Iran. International Journal of Palliative Nursing, 14(5), 214–9. https://doi.org/10.12968/ijpn.2008.14.5.29488
- Jeffers, S. (2014). Nurse faculty perceptions of end-of-life education in the clinical setting: a phenomenological perspective. Nurse Education in Practice, 14(5), 455–60. https://doi.org/10.1016/j.nepr.2014.03.009
- Lange, M., Thom, B., & Kline, N. E. (2008). Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncology Nursing Forum, 35(6), 955–959. https://doi.org/10.1188/08.ONF.955-959
- Lynn, M. (2003). The impact of a palliative care educational component on attitudes toward care of the dying in undergraduate nursing students. Journal of Professional Nursing, 19(5), 305-312.
- Macleod, R., Vella-Brincat, J., & Macleod, A. . (2012). The Palliative Care Handbook (10th ed.). Wellington: Hospice New Zealand.
- Minister of Health The Republic of Indonesia. (2012). Gambaran penyakit tidak menular di rumah sakit di Indonesia Tahun 2009 dan 2010[The description of non-communicable diseases in hospital in Indonesia on 2009 and 2010]. Buletin Jendela Data Dan Informasi Kesehatan, 2 (2012), 1–48.
- Mutto, E. M., Cantoni, M. N., Rabhansl, M. M., & Villar, M. J. (2012). A perspective of end-of-life care education in undergraduate medical and nursing students in Buenos Aires, Argentina. Journal of Palliative Medicine, 15(1), 93–98. https://doi.org/10.1089/jpm.2011.0238
- Nakai, Y., Miyashita, M., & Sasahara, T. (2006). Factor structure and reliability of the Japanese version of the Frommelt Attitudes Toward Care of the Dying Scale (FATCOD-B-J) [in Japanese]. Jpn J Cancer Nurs, 11(6), 723–729.
- Ramadas, S. (2013). Bereavement leading to death. Asian Journal of Psychiatry, 6(2), 184–185.
- Rochmawati, E., Wiechula, R., & Cameron, K. (2016). Current status of palliative care services in Indonesia: a literature review. International Nursing Review, 63(2), 180–190. https://doi.org/10.1111/inr.12236
- Smeltzer, S., & Bare, B. (2010). Brunner & Suddarth’s Textbook of Medical-surgical Nursing. Lippincott Williams & Wilkins.
- Sudore, R. L., Casarett, D., Smith, D., Richardson, D. M., & Ersek, M. (2014). Family involvement at the end-of-life and receipt of quality care. Journal of Pain and Symptom Management, 48(6), 1108–1116. https://doi.org/10.1016/j.jpainsymman.2014.04.001
- Todaro-Franceschi, V., & Spellmann, M. (2012). End of life care pedagogy, death attitudes, and knowing participation in change. Journal of Nursing Education and Practice, 3(2), 120–125. https://doi.org/10.5430/jnep.v3n2p120
- Wallace, M., Grossman, S., Campbell, S., Robert, T., Lange, J., & Shea, J. (2009). Integration of end-of-life care content in undergraduate nursing curricula: Student knowledge and perceptions. Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing, 25(1), 50–6. https://doi.org/10.1016/j.profnurs.2008.08.003
- Wang, L., Li, Y., Yan, W., & Li, G. (2016). Development and psychometric testing Chinese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B in nurses and nursing students, Journal of Cancer Education, 31(1), 123–130. https://doi.org/10.1007/s13187-015-0810-7
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