Grubb Catherine, Arthur Antony
Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
School of Health Sciences, University of East Anglia, Norwich, UK
Palliat Med. 2016 Jan;30(1):83-8. doi: 10.1177/0269216315616762. Epub 2015 Nov 17.
Nurses are the professional group with the greatest contact with those at the end of life and their attitudes towards the care of the dying is important in care delivery.
We investigated the relationship between student nurses' attitudes towards care of the dying and (1) demographics, (2) course factors and (3) experience of caring for people who are dying.
A cross-sectional survey using the Frommelt's Attitude Toward Care of the Dying scale to measure respondents' attitudes.
SETTING/PARTICIPANTS: Nursing students studying at a university in the United Kingdom.
A total of 567 completed questionnaires were returned, with 91.9% of respondents being classed as having a positive attitude towards care of the dying (Frommelt's Attitude Toward Care of the Dying score ⩾65). In adjusted analysis, higher (more positive) Frommelt's Attitude Toward Care of the Dying scores were associated with time on course and experience of caring for the dying. Third-year students had a score of 2.18 points greater than those in their first year (95% confidence interval: 0.36-4.01, p = 0.017). The adjusted differences in scores were 2.22 points greater for those who had prepared a dead body (95% confidence interval: 0.57-3.87, p = 0.008), 2.95 points greater for those who had cared for a dying patient (95% confidence interval: 1.09-4.08, p = 0.002) and 2.03 points greater for those who had cared for a dying relative or friend (95% confidence interval: 0.69-3.37, p = 0.003).
The length of time in education and practical experience of caring for dying individuals are independently associated with positive attitudes towards care of the dying among student nurses.
护士是与临终者接触最为频繁的专业群体,他们对临终关怀的态度在护理服务中至关重要。
我们调查了护生对临终关怀的态度与(1)人口统计学特征、(2)课程因素以及(3)照顾临终者经历之间的关系。
采用弗罗梅尔临终关怀态度量表进行横断面调查,以测量受访者的态度。
地点/参与者:在英国一所大学学习的护理专业学生。
共收回567份完整问卷,91.9%的受访者对临终关怀持积极态度(弗罗梅尔临终关怀态度量表得分⩾65)。在调整分析中,弗罗梅尔临终关怀态度量表得分越高(越积极)与课程学习时间以及照顾临终者的经历相关。三年级学生的得分比一年级学生高2.18分(95%置信区间:0.36 - 4.01,p = 0.017)。对于那些处理过尸体的学生,得分调整差异高2.22分(95%置信区间:0.57 - 3.87,p = 0.008);对于那些照顾过临终患者的学生,得分调整差异高2.95分(95%置信区间:1.09 - 4.08,p = 0.002);对于那些照顾过临终亲属或朋友的学生,得分调整差异高2.03分(95%置信区间:0.69 - 3.37,p = 0.003)。
教育时间长度和照顾临终者的实践经验与护生对临终关怀的积极态度独立相关。