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评估综合性癌症中心护士对死亡及临终患者护理的态度。

Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center.

作者信息

Lange Michelle, Thom Bridgette, Kline Nancy E

机构信息

Pain and Palliative Care Unit, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

出版信息

Oncol Nurs Forum. 2008 Nov;35(6):955-9. doi: 10.1188/08.ONF.955-959.

DOI:10.1188/08.ONF.955-959
PMID:18980927
Abstract

PURPOSE/OBJECTIVES: To assess how nurses employed in a comprehensive cancer center feel about death and caring for dying patients and examine any relationships between their attitudes and demographic factors.

DESIGN

Descriptive quantitative.

SETTING

A 432-bed comprehensive cancer center in New York, NY.

SAMPLE

A convenience sample of 355 inpatient and outpatient oncology nurses.

METHODS

Voluntary and anonymous completion of the Frommelt Attitude Toward Care of the Dying (FATCOD), the Death Attitude Profile-Revised (DAP-R), and a demographic questionnaire.

MAIN RESEARCH VARIABLES

Years of total nursing experience, years employed at the cancer center, previous experience with caring for dying patients, age, gender, and attitudes toward death and caring for dying patients.

FINDINGS

Statistically significant relationships were noted among age, nursing experience, previous experience with caring for terminally ill patients, and scores on the FATCOD and DAP-R. Nursing experience and age were the variables most likely to predict nurses' attitudes toward death and caring for dying patients.

CONCLUSIONS

RNs with more work experience tended to have more positive attitudes toward death and caring for dying patients.

IMPLICATIONS FOR NURSING

Based on the data collected in the study, less experienced oncology nurses will most likely benefit from increased education, training, and exposure to providing and coping effectively with end-of-life care.

摘要

目的/目标:评估综合癌症中心的护士对死亡以及照料濒死患者的感受,并探究其态度与人口统计学因素之间的关系。

设计

描述性定量研究。

地点

纽约市一家拥有432张床位的综合癌症中心。

样本

355名住院和门诊肿瘤护士的便利样本。

方法

自愿且匿名填写《弗罗梅尔特临终关怀态度量表》(FATCOD)、《修订版死亡态度量表》(DAP-R)以及一份人口统计学问卷。

主要研究变量

总护理经验年限、在癌症中心工作的年限、以往照料濒死患者的经验、年龄、性别,以及对死亡和照料濒死患者的态度。

研究结果

年龄、护理经验、以往照料绝症患者的经验与FATCOD和DAP-R得分之间存在统计学上的显著关系。护理经验和年龄是最有可能预测护士对死亡及照料濒死患者态度的变量。

结论

工作经验更丰富的注册护士对死亡和照料濒死患者往往持有更积极的态度。

对护理工作的启示

基于该研究收集的数据,经验不足的肿瘤护士很可能会从增加教育、培训以及接触和有效应对临终关怀中受益。

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