Bozdag Fatma, Basdas Oznur, Atlı Neslihan
Health Sciences of Faculty -Department of Child Health and Diseases Nursing, Harran University, Sanlıurfa, Turkey.
Health Sciences of Faculty -Department of Child Health and Diseases Nursing, Erciyes University, Kayseri, Turkey.
Palliat Support Care. 2024 Nov 8;23:e4. doi: 10.1017/S147895152400110X.
Neonatal intensive care units (NICUs) emerge as one of the areas where palliative care is most needed. This study was conducted to examine the attitudes and compassion fatigue levels of NICUs nurses working in Şanlıurfa, where the fertility rate and infant mortality are highest in Turkey, toward palliative care.
This study was conducted in descriptive type.
The research was carried out with 204 (85%) nurses who agreed to participate in the research between October 2022 and February 2023, out of 240 neonatal intensive care nurses working in the NICU of 2 training and research hospitals and a university hospital in Şanlıurfa. The data of the study were collected using an Introductory Information Form, the Neonatal Palliative Care Attitude Scale, and the Compassion Fatigue Short Scale.
Nurses; compassion fatigue scale mean score was 61.46 ± 26.64, palliative care scale mean score was 3.13 ± 0.74 for organization subdimension, 2.85 ± 0.73 for resources subdimension, and 3.08 ± 0.89 for clinician subdimension. In the results of the study, 8 barriers (parents do not participate in decisions, there is not enough staff, lack of time to spend with the family, lack of policies/rules in institutions for palliative care, lack of education and communication, society's beliefs, nurses' personal attitudes toward death, and lack of appreciation of past experiences with palliative care) and 6 facilitators (Nurses' ability to express their perceptions, views and beliefs about palliative care, to participate and support palliative care, to inform parents, to provide counseling, adequate physical conditions) for palliative care were determined.
While it was determined that nurses had a slightly below moderate level of compassion fatigue and a close attitude toward organization and resources toward palliative care, it was determined that ethical conflict toward palliative care was high in clinical subdimension scores.
It is recommended that all nurses working in the NICU obtain certificates, improvements in resources such as personnel and equipment, improvements in the shift work system and development of policies/rules in institutions for palliative care.
新生儿重症监护病房（NICUs）成为最需要姑息治疗的领域之一。本研究旨在调查在土耳其生育率和婴儿死亡率最高的尚勒乌尔法工作的新生儿重症监护病房护士对姑息治疗的态度和同情疲劳程度。
本研究采用描述性类型。
该研究对尚勒乌尔法的2家培训和研究医院以及1所大学医院的新生儿重症监护病房的240名新生儿重症监护护士中，在2022年10月至2023年2月期间同意参与研究的204名（85%）护士进行。研究数据通过一份介绍性信息表、新生儿姑息治疗态度量表和同情疲劳简短量表收集。
护士的同情疲劳量表平均得分为61.46±26.64，姑息治疗量表组织子维度平均得分为3.13±0.74，资源子维度平均得分为2.85±0.73，临床医生子维度平均得分为3.08±0.89。在研究结果中，确定了姑息治疗的8个障碍（父母不参与决策、工作人员不足、缺乏与家人相处的时间、机构中缺乏姑息治疗的政策/规则、缺乏教育和沟通、社会信仰、护士对死亡的个人态度以及对过去姑息治疗经历缺乏认可）和6个促进因素（护士表达对姑息治疗的看法、观点和信念的能力、参与和支持姑息治疗的能力、告知父母的能力、提供咨询的能力、充足的身体条件）。
虽然确定护士的同情疲劳水平略低于中等程度，对姑息治疗的组织和资源态度较为接近，但在临床子维度得分中确定对姑息治疗的伦理冲突较高。
建议所有在新生儿重症监护病房工作的护士获得证书，改善人员和设备等资源，改进轮班工作制度，并在机构中制定姑息治疗的政策/规则。
