Ibrahim Ateya Megahed
Associate professor, Nursing College, Prince Sattam Bin Abdualziz University, Al Kharj, Saudi Arabia; Assistant professor, Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt.
Int J Palliat Nurs. 2025 May 2;30(5):160-173. doi: 10.12968/ijpn.2023.0072.
Many nursing students are ill-prepared to care for patients nearing the end of their lives and lack knowledge about palliative care. A focused teaching strategy could help students better understand their own feelings and conduct. It could also foster positive attitudes that make it easier to provide outstanding care.
To evaluate the efficiency of palliative education programme for nursing students caring for patients at the end of life.
A quasi-experimental study was carried out with 216 nursing students from Prince Sattam Bin Abdulaziz University in Alkharj, Saudi Arabia, using a proportionate stratified random sampling approach. The educational intervention consisted of three key modules: bereavement support, understanding the dying process and specialised palliative nursing care. Students engaged with 60 video segments through the Blackboard platform, available on a smartphone or tablet. Data collection involved four questionnaires: (a) a demographic survey, (b) the Palliative Care Quiz for Nursing, (c) the Frommelt Attitudes Towards Care of the Dying Scale, and (d) the Death Attitude Profile-Revised.
Slightly over half of the nursing students (51.9%) were younger than 20 years, with a mean age of 22.8±13.5 years, and 51.4% were female. The vast majority of participants in this study (86.6%) had no prior education or training in palliative care. After participating in the palliative education programme, students showed significant improvements in their overall knowledge, Frommelt Attitudes and Death Attitude Profile-Revised scores in the post-test assessment. These results highlight the programme's effectiveness in enhancing nursing students' comprehension and attitudes toward palliative care.
A palliative care education programme can improve nursing students' knowledge and attitudes toward caring for patients at the end of life and supporting their families. Therefore, it is recommended that a palliative care course should be a mandatory part of nursing curricula. This course should incorporate experiential learning activities, including postmortem care, small group reflections and simulation-based training. To provide a well-rounded educational experience, these practical components should be reinforced with theoretical lectures.
Changing nurses' perceptions of mortality requires specialised training, and this should be prioritised in Saudi Arabia.
许多护理专业学生在照顾临终患者方面准备不足，且缺乏姑息治疗知识。一种有针对性的教学策略可以帮助学生更好地理解自己的感受和行为。它还可以培养积极的态度，从而更易于提供优质护理。
评估针对护理专业学生照顾临终患者的姑息治疗教育项目的效果。
采用按比例分层随机抽样方法，对沙特阿拉伯哈吉尔王子萨塔姆·本·阿卜杜勒阿齐兹大学的216名护理专业学生进行了一项准实验研究。教育干预包括三个关键模块：丧亲支持、理解死亡过程和专业姑息护理。学生通过智能手机或平板电脑上的Blackboard平台观看60个视频片段。数据收集涉及四份问卷：(a)人口统计学调查，(b)护理专业姑息治疗测验，(c)弗罗梅尔临终关怀态度量表，以及(d)修订后的死亡态度量表。
略多于一半的护理专业学生（51.9%）年龄小于20岁，平均年龄为22.8±13.5岁，51.4%为女性。本研究的绝大多数参与者（86.6%）此前没有接受过姑息治疗方面的教育或培训。参与姑息治疗教育项目后，学生在测试后评估中的总体知识、弗罗梅尔态度和修订后的死亡态度量表得分均有显著提高。这些结果凸显了该项目在增强护理专业学生对姑息治疗的理解和态度方面的有效性。
姑息治疗教育项目可以提高护理专业学生对照顾临终患者及其家属的知识和态度。因此，建议姑息治疗课程应成为护理课程的必修部分。该课程应纳入体验式学习活动，包括尸体护理、小组反思和基于模拟的培训。为提供全面的教育体验，这些实践内容应辅以理论讲座。
改变护士对死亡的认知需要专门培训，这在沙特阿拉伯应被列为优先事项。
