Department of Oncology Nursing, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Health Science Faculty, Firat University, Elazig, Turkey.
J Relig Health. 2019 Feb;58(1):303-316. doi: 10.1007/s10943-018-0657-4.
The aim of this study was to determine the attitudes of nurses working in two university hospitals located in the west and east of Turkey toward care of dying individual as well as religious and cultural factors that influence their attitudes. The descriptive and comparative study was conducted with a total of 189 nurses who were working in adult inpatient clinics of two university hospitals in western (101 nurses) and eastern (88 nurses) Turkey between July and November 2016. The data were obtained by using the questionnaire and Frommelt Attitudes Toward Care of the Dying Scale. As a result of this study, it was determined that in terms of the status of receiving training the end-of-life care the majority of nurses received this training; however, this rate was higher (51.0%) in nurses working in the eastern hospital (p = 0.025). The nurses working in the east (51.6%) were determined to have more problems during caregiving due to their religious and cultural beliefs, the most frequent problem they experienced was "being uncomfortable due to privacy when giving care to patients from opposite gender" (57.1%). The emotions felt mostly by nurses during the care of dying patient were grief (nurses in the east = 48.5%, nurses in the west = 51.5%) and despair (nurses in the east = 40.4%, nurses in the west = 59.6%). Nurses working both in the east (98.27 ± 7.71) and in the west (97.19 ± 8.99) were determined to have positive attitude toward death, and there was no statistically significant difference between both groups in terms of the mean scores of the Attitudes Toward Care of the Dying Scale (p = 0.373). In accordance with these results, it is recommended to focus on death issues in end-of-life care during the nursing education and to support nurses with in-service trainings regularly after the graduation.
本研究旨在确定在土耳其西部和东部的两所大学医院工作的护士对临终关怀的态度，以及影响他们态度的宗教和文化因素。这是一项描述性和比较性研究，共有 189 名护士参与，他们分别在土耳其西部（101 名护士）和东部（88 名护士）的两所大学医院成人住院病房工作。研究于 2016 年 7 月至 11 月期间采用问卷和弗洛姆临终关怀态度量表收集数据。研究结果表明，就接受临终关怀培训的情况而言，大多数护士接受过这种培训；但在东部医院工作的护士中（51.0%），这一比例更高（p=0.025）。在东部工作的护士（51.6%）由于宗教和文化信仰，在护理过程中被认为存在更多问题，他们最常遇到的问题是“在为异性患者提供护理时因隐私问题感到不适”（57.1%）。在照顾临终患者时，护士最常感受到的情绪是悲伤（东部的护士为 48.5%，西部的护士为 51.5%）和绝望（东部的护士为 40.4%，西部的护士为 59.6%）。在东部（98.27±7.71）和西部（97.19±8.99）工作的护士都被认为对死亡持有积极态度，而且两组在临终关怀态度量表的平均分方面没有统计学差异（p=0.373）。根据这些结果，建议在护理教育中关注临终关怀中的死亡问题，并在毕业后定期为护士提供在职培训。
