Paul Sherin Susan, Renu G, Thampi P T
Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.
Unit of Pain and Palliative Care, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.
Indian J Palliat Care. 2019 Jan-Mar;25(1):142-146. doi: 10.4103/IJPC.IJPC_148_18.
Nurses play an inevitable role in providing compassionate care and support to dying patients and their families. However, it has been a bone of contention that whether the nursing curriculum is sufficiently set to achieve this goal.
The primary objective of this study is to assess the attitude of nursing students attending a private nursing school in Central Travancore region toward the care of dying using the Frommelt Attitude Toward Care of the Dying Scale Form-B (FATCOD-B).
FATCOD-B was introduced among 146 participants and an arbitrary cutoff of 65% of the total score were chosen with those scoring more than that were assumed to have a positive attitude. A principal component analysis was done to identify the key constructs and mean score of the items within these identified constructs were calculated.
The positive attitude toward dying was shown by 39% of participants. Most of the students' responses were averaging toward the option uncertain. A statistically significant increase in mean score by 3.15 ( = 0.02) was noticed among those who completed palliative care postings. The keys constructs identified included perception toward the end-of-life care, emotional engagement with the dying, and perceptions with respect to professional engagement with subgroup analysis showing an average mean score (standard deviation) of 4.36 (0.144), 2.25 (0.874), and 3.39 (0.85), respectively.
The revision of the current curriculum incorporating more palliative care postings with specific attention toward handling emotional engagement with the dying may help in developing a positive attitude.
护士在为临终患者及其家人提供关怀护理和支持方面发挥着不可或缺的作用。然而，护理课程是否充分设置以实现这一目标一直存在争议。
本研究的主要目的是使用弗罗梅尔临终关怀态度量表B型（FATCOD - B）评估特拉凡哥尔中部地区一所私立护理学校的护理专业学生对临终关怀的态度。
对146名参与者进行FATCOD - B测试，并选择总分65%作为任意临界值，得分超过该值的被认为具有积极态度。进行主成分分析以确定关键结构，并计算这些确定结构内各项目的平均得分。
39%的参与者表现出对临终关怀的积极态度。大多数学生的回答平均倾向于不确定选项。完成姑息治疗实习的学生平均得分在统计学上显著提高了3.15分（P = 0.02）。确定的关键结构包括对临终护理的认知、对临终患者的情感投入以及对专业参与的认知，亚组分析显示平均得分（标准差）分别为4.36（0.144）、2.25（0.874）和3.39（0.85）。
修订当前课程，增加更多的姑息治疗实习，并特别关注处理与临终患者的情感投入，可能有助于培养积极的态度。
