Associate Professor, University College Dublin, School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, Dublin, Ireland.
Research Assistant, Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, 06100, Ankara, Türkiye.
Semin Oncol Nurs. 2024 Jun;40(3):151645. doi: 10.1016/j.soncn.2024.151645. Epub 2024 Apr 25.
The study aimed to examine the relationship between attitudes toward death, rumination, and psychological resilience of oncology nurses.
The study design was cross-sectional. Data were collected from 118 oncology nurses using the Demographic Data Form, Work-Related Rumination Scale, Connor-Davidson Resilience Scale Short Form, and Death Attitude Profile-Revised Scale. For data analysis, correlation and regression analyses were performed.
The study findings showed that oncology nurses` work related rumination score was moderate, while psychological resilience score was severely high. More than two-thirds of the work-related ruminations of oncology nurses were explained by psychological resilience and attitudes toward death. Even though there is a negative correlation between negative attitudes toward death and psychological resilience, the acceptance of death scores showed positive relations with psychological resilience.
Nurses with positive attitudes toward death can also develop psychological resilience and experience fewer work-related ruminations. This result reveals the necessity of determining oncology nurses' attitudes toward death in order to protect their psychological resilience and reduce work-related ruminations. It is also evident that the results are valuable in presenting how nurses' work-related ruminations relate to psychological resilience and attitudes toward death.
Nurses are the main care providers in oncology settings, and they are witnessing the suffering process of their patients and experiencing the loss of their patients. These challenges bring work-related ruminations that lower the psychological resilience of nurses and affect attitudes toward death. Therefore, nurses can build an awareness of their ruminations and develop coping skills with intrusive ruminations.
本研究旨在探讨肿瘤科护士对死亡的态度、沉思与心理弹性之间的关系。
研究设计为横断面研究。采用一般资料问卷、工作相关沉思量表、Connor-Davidson 心理弹性量表简化版和死亡态度描绘量表修订版对 118 名肿瘤科护士进行调查。采用相关分析和回归分析进行数据分析。
研究结果显示，肿瘤科护士的工作相关沉思评分为中度，心理弹性评分为严重高。超过三分之二的肿瘤科护士的工作相关沉思可以由心理弹性和对死亡的态度来解释。尽管对死亡的消极态度与心理弹性呈负相关，但对死亡的接受程度与心理弹性呈正相关。
对死亡持积极态度的护士也可以发展心理弹性，减少工作相关的沉思。这一结果表明，为了保护护士的心理弹性，减少工作相关的沉思，确定肿瘤科护士对死亡的态度是必要的。这也表明，研究结果有助于了解护士的工作相关沉思与心理弹性和对死亡的态度之间的关系。
护士是肿瘤学环境中的主要护理提供者，他们目睹了患者的痛苦过程，并经历了患者的死亡。这些挑战带来了工作相关的沉思，降低了护士的心理弹性，并影响了他们对死亡的态度。因此，护士可以增强对沉思的认识，并发展应对侵入性沉思的技能。
