Faronbi Joel Olayiwola, Akinyoola Oladele, Faronbi Grace Oluwatoyin, Bello Cecilia Bukola, Kuteyi Florence, Olabisi Isaiah Oluwaseyi
Department of Nursing Science, College of Health Science, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Nursing Science, College of Health Science, Osun State University, Osogbo, Nigeria.
SAGE Open Nurs. 2021 Mar 24;7:23779608211005213. doi: 10.1177/23779608211005213. eCollection 2021 Jan-Dec.
Death and the dying experience are common phenomena in all clinical settings. Death and the dying presents physical and emotional strain on the dying patient, his relations and professional caregivers.
The study therefore assessed the sociodemographic determinants of nurses' attitudes towards death and caring for dying patient.
A cross-sectional design was used to study 213 randomly selected nurses, working in one of the tier one teaching hospital in Nigeria. Attitude towards death and the dying was collected with Frommelt Attitude Care of the Dying and Death Attitude Profit-Revised questionnaire. The data collected was analysed with SPSS version 20 and inferential analyses were considered statistically significant at p < 0.05.
The study revealed that most of the nurses had negative attitudes toward the concept of death (76.5%) and caring for dying patient (68%). Furthermore, a chi-square test revealed significant associations between the nurses' years of working experience (χ = 24.57, p <.00) and current unit of practice (χ = 21.464; p = .002) and their attitude towards caring for the dying patient. Also, nurses' age (χ = 13.77, p = .032), professional qualifications (χ = 13.774, p = .008), and current ward of practice (χ = 16.505, p = .011) were significantly associated with their attitudes to death. Furthermore, the study observed a significant association between nurses' attitudes to death and caring for the dying patient (χ = 11.26, p < 0.01).
This study concluded that nurses had negative attitudes towards death and dying and therefore prescribes, as part of continuing professional development strategy, the need for requisite positive value - laden, ethnoreligious specific education regarding end of life care.
死亡和濒死体验是所有临床环境中的常见现象。死亡和濒死给濒死患者、其亲属及专业护理人员带来身体和情感上的压力。
因此，本研究评估了护士对死亡及照料濒死患者态度的社会人口学决定因素。
采用横断面设计，对在尼日利亚一家一级教学医院工作的213名随机抽取的护士进行研究。使用《弗罗梅尔濒死护理态度量表》和《死亡态度问卷修订版》收集对死亡和濒死的态度。收集的数据用SPSS 20版进行分析，推断性分析在p<0.05时被认为具有统计学意义。
研究表明，大多数护士对死亡概念持消极态度（76.5%），对照料濒死患者持消极态度（68%）。此外，卡方检验显示，护士的工作年限（χ=24.57，p<.00）、当前执业科室（χ=21.464；p=.002）与他们对照料濒死患者的态度之间存在显著关联。护士的年龄（χ=13.77，p=.032）、专业资格（χ=13.774，p=.008）以及当前执业病房（χ=16.505，p=.011）与他们对死亡的态度也显著相关。此外，研究发现护士对死亡的态度与照料濒死患者之间存在显著关联（χ=11.26，p<0.01）。
本研究得出结论，护士对死亡和濒死持消极态度，因此建议作为持续专业发展战略的一部分，有必要开展关于临终关怀的必要的、具有积极价值观且针对民族宗教的特定教育。
