Libo-On Izette Larraine M, Nashwan Abdulqadir J
Registered Nurse, National Center for Cancer Care and Research (NCCCR), Hamad Medical Corporation, Qatar.
Nurse Research Scientist, NCCCR, Hamad Medical Corporation, Qatar Adjunct Senior Instructor, University of Calgary (Qatar).
Int J Palliat Nurs. 2017 Feb 2;23(2):66-73. doi: 10.12968/ijpn.2017.23.2.66.
Nurses who work in oncology settings may lack the knowledge and skills required for end-of-life (EoL) care. A clear understanding of nurses' perceptions of EoL care is crucial for the successful improvement of care for terminally ill patients with cancer. Although many studies have underlined nurses' perspectives on EoL care, this is the first such study conducted on oncology nurses in Qatar.
This study primarily sought to measure nurses' perceptions of EoL care at the National Center for Cancer Care and Research (NCCCR) in Qatar.
A quantitative, cross-sectional, self-reported study. Nurses at the NCCCR reported their perceptions of EoL care using the Frommelt Attitudes Toward Care of the Dying (FATCOD) scale, which consisted of 30 items scored on a five-point Likert scale. Seventy-eight nurses working in oncology settings completed the tool.
Approximately one third (33-35%) of the participants had positive perceptions of EoL care. The majority (67%) of the participants were uncertain or ambivalent regarding EoL events and situations. There was no significant relationship between the participants' profiles and their perceptions of EoL care. However, very few of them had completed educational courses in death and dying.
Nurses have an important impact on EoL care, and continuous education is necessary to improve their confidence when they work with dying patients and their families. An in-house programme to help nurses cope with compassionate exhaustion and humanistic and relational care is highly recommended.
在肿瘤护理环境中工作的护士可能缺乏临终关怀所需的知识和技能。清楚了解护士对临终关怀的看法对于成功改善癌症晚期患者的护理至关重要。尽管许多研究强调了护士对临终关怀的看法，但这是在卡塔尔对肿瘤护士进行的第一项此类研究。
本研究主要旨在衡量卡塔尔国家癌症护理与研究中心（NCCCR）护士对临终关怀的看法。
一项定量的横断面自我报告研究。NCCCR的护士使用《弗罗梅尔特临终关怀态度量表》（FATCOD）报告他们对临终关怀的看法，该量表由30个项目组成，采用五点李克特量表评分。78名从事肿瘤护理工作的护士完成了该工具。
大约三分之一（33%-35%）的参与者对临终关怀有积极看法。大多数（67%）参与者对临终事件和情况不确定或矛盾。参与者的个人资料与他们对临终关怀的看法之间没有显著关系。然而，他们中很少有人完成过关于死亡和临终的教育课程。
护士对临终关怀有重要影响，持续教育对于提高他们在照顾临终患者及其家属时的信心是必要的。强烈建议开展一个内部项目，帮助护士应对同情倦怠以及人文和关系护理。
