Haute Ecole Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Neuchâtel & Delémont, Switzerland
Haute Ecole Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Neuchâtel & Delémont, Switzerland.
BMJ Open. 2020 Sep 17;10(9):e037553. doi: 10.1136/bmjopen-2020-037553.
Positive attitudes towards end-of-life care are essential among nursing students to adequately support terminally ill patients and enable students to feel confident about providing end-of-life care. This study aimed to determine nursing students' attitudes towards caring for terminally ill patients, as well as the associations between these attitudes and year of study, exposure to terminally ill people, self-perceived nursing skills and subjective impact of instruction.
Cross-sectional study.
A health sciences school in Switzerland.
All preparatory students, first-year nursing students and third-year nursing students were invited to participate; 178 agreed to participate.
Attitudes towards terminally ill patients were assessed using the Frommelt Attitudes Toward Care of the Dying Scale, Form B (FATCOD, Form B), as the primary outcome. Secondary measures were gender, age, year of study, number of terminally ill persons encountered, self-perceived palliative care nursing skills and subjective impact of instruction.
Mean FATCOD, Form B score was 117.7 (SD: 9.8, median: 118.0). Better attitudes towards terminally ill patients were significantly associated with being aged 24-26 years (β=6.97, 95% CI 2.00 to 11.95, p=0.006), year of study (β=3.47, 95% CI 1.69 to 5.25, p<0.001), professional encounters with terminally ill patients (β=3.59, 95% CI 2.23 to 4.95, p<0.001) and self-perceived palliative care nursing competence (β=1.23, 95% CI 0.41 to 2.04; p=0.003). In the multivariate analysis, professionally encountering terminally ill patients remained significant (β=3.00; 95% CI 1.43 to 4.57; p<0.001).
Nursing students' attitudes towards caring for terminally ill patients were positive and improved as their year of study progressed. Professional exposure to terminally ill patients was the strongest factor, followed by private encounters, self-perceived palliative care nursing skills, year of study and age.
护理专业学生对临终关怀持有积极态度对于充分支持临终患者至关重要，同时也能使学生对提供临终关怀充满信心。本研究旨在确定护理专业学生对临终关怀的态度，以及这些态度与学习年限、接触临终患者的经历、自我感知的护理技能以及教学的主观影响之间的关系。
横断面研究。
瑞士一所健康科学学校。
所有预科生、一年级护理学生和三年级护理学生都被邀请参加；178 人同意参加。
采用 Frommelt 临终关怀态度量表（FATCOD，Form B）评估学生对临终患者的态度，作为主要结果。次要措施包括性别、年龄、学习年限、接触临终患者的人数、自我感知的姑息护理技能和教学的主观影响。
平均 FATCOD，Form B 得分为 117.7（SD：9.8，中位数：118.0）。对临终患者持更好态度与年龄 24-26 岁（β=6.97，95%CI 2.00 至 11.95，p=0.006）、学习年限（β=3.47，95%CI 1.69 至 5.25，p<0.001）、与临终患者的专业接触（β=3.59，95%CI 2.23 至 4.95，p<0.001）和自我感知的姑息护理能力（β=1.23，95%CI 0.41 至 2.04；p=0.003）显著相关。在多变量分析中，与临终患者的专业接触仍然具有统计学意义（β=3.00；95%CI 1.43 至 4.57；p<0.001）。
护理专业学生对临终关怀的态度是积极的，随着学习年限的增加而提高。与临终患者的专业接触是最强的因素，其次是私人接触、自我感知的姑息护理技能、学习年限和年龄。
