Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran (Dr Emami Zeydi); Student Research Committee, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran (Mr Ghazanfari); Mount Royal University, Calgary, Alberta, Canada (Dr Fast); Departments of Biostatistics (Dr Maroufizadeh) and Medical-Surgical Nursing (Mr Karkhah), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran; Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Science, Sari, and Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran (Dr Heydari); and Student Research Committee, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran (Mr Gholampour).
Crit Care Nurs Q. 2022;45(1):62-73. doi: 10.1097/CNQ.0000000000000389.
Today, one of the major ethical challenges facing the world's health care system, and in particular nurses in the intensive care unit, is euthanasia or death out of pity. The aim of this study was to investigate the attitude of Iranian nurses in the intensive care unit toward euthanasia. This was an analytical cross-sectional study using census sampling. The data collection tool was the Euthanasia Attitude Scale. A total of 206 nurses working in the intensive care unit in 4 hospitals in the Mazandaran province of Iran were included in this study. The mean of total Euthanasia Attitude Scale score in intensive care unit nurses was 2.96. The mean euthanasia dimensions were ethical consideration, practical considerations, treasuring life, and naturalistic beliefs, 3.03, 2.92, 2.98, and 2.99, respectively. There was significant but low negative correlation between age and total Euthanasia Attitude Scale score, ethical considerations, and practical considerations. Male nurses exhibited significantly higher Euthanasia Attitude Scale scores, specifically in regard to ethical and practical considerations compared with female nurses. The most Iranian nurses in the intensive care unit had a negative attitude toward euthanasia for patients in the later stages of the disease. However, this opposition was less than similar studies in Iran in the past.
今天，世界医疗保健系统面临的主要伦理挑战之一，特别是重症监护病房的护士，是安乐死或出于同情的死亡。本研究旨在调查伊朗重症监护病房护士对安乐死的态度。这是一项使用整群抽样的分析性横断面研究。数据收集工具是安乐死态度量表。共有 206 名在伊朗马赞达兰省 4 家医院重症监护病房工作的护士参与了这项研究。重症监护病房护士的安乐死态度量表总分平均为 2.96。安乐死维度的平均分数分别为伦理考虑、实际考虑、珍视生命和自然主义信仰，分别为 3.03、2.92、2.98 和 2.99。年龄与安乐死态度量表总分、伦理考虑和实际考虑之间存在显著但低度的负相关。与女性护士相比，男护士的安乐死态度量表评分明显更高，特别是在伦理和实际考虑方面。大多数伊朗重症监护病房的护士对疾病晚期患者的安乐死持消极态度。然而，这种反对意见不及伊朗过去的类似研究。
