Attitudes of nurses towards care of the dying patient in India

Lancaster, Rachelle J.; Kautzmann, Cynthia; Micheal, Jothi Clara J; Chandrasekaran, Leena; Jambunathan, Jayalakshmi; Chapin, Tammy

doi:10.12968/ijpn.2017.23.11.558

Cited by 12 publications

(15 citation statements)

References 29 publications

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“…This study showed that the overall attitudes toward hospice care score, median 102.00(interquartile range, 95.5-120.50), among front-line nurses was higher than that found in studies by Karadag 21 but lower than that found in the study by Ho et al (Mean + SD, 116.8 + 11.4). 22 Therefore, the nurses' attitudes toward hospice care was moderate.…”

Section: Discussioncontrasting

confidence: 65%

Attitudes of Front-Line Nurses Toward Hospice Care During the COVID-19 Pandemic

Liu

Gao

et al. 2020

Am J Hosp Palliat Care

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Objective: The aim of this study was to understand the attitudes of front-line clinical nurses toward hospice care in the fight against the COVID-19 pandemic, to provide a source of reference for hospice care education and training in hospitals treating patients with COVID-19. Method: Front-line nurses from a designated COVID-19 hospital in Wuhan, China, participated. Participants completed the Chinese versions of the General Information Questionnaire, the Frommelt Attitudes Toward Care of the Dying Scale, the Jefferson Scale of Empathy, and the General Self-Efficacy Scale. Results: A total of 149 questionnaires were included in the analysis. The median total hospice care attitudes score was median 102.00(interquartile range, 95.5-120.50). The nurses’ attitudes toward hospice care were significantly associated with their age, knowledge of hospice care, level of empathy, and self-efficacy. Conclusion: The attitudes of front-line nurses toward hospice care need to be improved. Hospital departments should establish an effective public health emergency strategy, provide training to increase front-line nurses’ knowledge and practical experience of hospice care, cultivate nurses’ empathy, and enhance their sense of self-efficacy, in order to improve the quality of hospice care for patients and their families.

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Section: Discussioncontrasting

confidence: 65%

Attitudes of Front-Line Nurses Toward Hospice Care During the COVID-19 Pandemic

Liu

Gao

et al. 2020

Am J Hosp Palliat Care

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“…The attitudes towards death among participants in our study were more positive than those found among nursing students in Palestine and Turkey, 15 28 similar to those found among nursing students in the USA 29 and poorer than those found among nursing students in Sweden. 30 Further, our sample of nursing students had more positive attitudes than those found among registered nurses in China, 8 India, 31 32 Ethiopia, 33 Saudi Arabia 17 and Japan 9 ; however, nurses in Israel 5 and the USA 34 have been found to have more positive attitudes than those seen in the present study.…”

Section: Discussioncontrasting

confidence: 56%

Factors affecting attitudes towards caring for terminally ill patients among nursing students in Switzerland: a cross-sectional study

et al. 2020

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ObjectivesPositive attitudes towards end-of-life care are essential among nursing students to adequately support terminally ill patients and enable students to feel confident about providing end-of-life care. This study aimed to determine nursing students’ attitudes towards caring for terminally ill patients, as well as the associations between these attitudes and year of study, exposure to terminally ill people, self-perceived nursing skills and subjective impact of instruction.DesignCross-sectional study.SettingA health sciences school in Switzerland.ParticipantsAll preparatory students, first-year nursing students and third-year nursing students were invited to participate; 178 agreed to participate.Primary outcome measureAttitudes towards terminally ill patients were assessed using the Frommelt Attitudes Toward Care of the Dying Scale, Form B (FATCOD, Form B), as the primary outcome. Secondary measures were gender, age, year of study, number of terminally ill persons encountered, self-perceived palliative care nursing skills and subjective impact of instruction.ResultsMean FATCOD, Form B score was 117.7 (SD: 9.8, median: 118.0). Better attitudes towards terminally ill patients were significantly associated with being aged 24–26 years (β=6.97, 95% CI 2.00 to 11.95, p=0.006), year of study (β=3.47, 95% CI 1.69 to 5.25, p<0.001), professional encounters with terminally ill patients (β=3.59, 95% CI 2.23 to 4.95, p<0.001) and self-perceived palliative care nursing competence (β=1.23, 95% CI 0.41 to 2.04; p=0.003). In the multivariate analysis, professionally encountering terminally ill patients remained significant (β=3.00; 95% CI 1.43 to 4.57; p<0.001).ConclusionsNursing students’ attitudes towards caring for terminally ill patients were positive and improved as their year of study progressed. Professional exposure to terminally ill patients was the strongest factor, followed by private encounters, self-perceived palliative care nursing skills, year of study and age.

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“…33 Conversely, older nurses (especially those 50 years and older) and those with a higher number of years of experience, were found to be the strongest indicators of exhibiting a positive attitude toward caring for dying patients. 13,23,33,34 Therefore, in order to ensure that sociodemographic comparisons (i.e., age, gender and years of experience comparisons) are valid and accurate, the items of the FATCOD-SF must have equivalent meaning across these subgroups. 35,36 To our knowledge, no previous studies have investigated the influence of gender, age and experience on the FATCOD items.…”

Section: Discussionmentioning

confidence: 92%

Development and Psychometric Evaluation of a New Short Version of the Swedish Frommelt Attitudes Toward Care of the Dying Scale

et al. 2020

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Background The Frommelt Attitudes Toward Care of the Dying (FATCOD) is widely used as a measure of attitudes toward care of dying patients. However, poor factor structure and item redundancy have been reported across the literature. Objective A short version of the questionnaire is needed, to facilitate effective assessments of the attitudes of those caring for dying patients. The purpose of this study was to develop a FATCOD–Short Form and to secure its psychometric properties. Interventions/Methods Data gathered from 1000 nurses in previous studies were pooled and reanalyzed. Principal components analysis and confirmatory factor analysis were utilized to assess the factor structure of the FATCOD-30. A Rasch model was used to evaluate the measurement functioning of the scale. Results Of the original 30 items, 9 items of FATCOD were chosen for retention in the short form based on the principal components analysis, floor or ceiling effects, interitem correlations, and item-total correlation. All 9 items had good internal reliability. Both confirmatory factor analysis and Rasch analysis supported the unidimensionality of the FATCOD–Short Form. Conclusions The 9-item FATCOD–Short Form demonstrates evidence of acceptable validity and reliability to identify nurses’ attitudes toward caring for dying persons because of its brevity and comprehensive content. Implications for Practice When changing curricula in nursing education or implementing new procedures in nursing practice, it is important to have valid instruments to evaluate the results of the change. Such instruments should not be too lengthy or complicated. FATCOD–Short Form is a brief and valid instrument that can be easily used.

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Attitudes of nurses towards care of the dying patient in India

Abstract: Conferences and low-fidelity simulation are effective methods for improving nurses' knowledge of end-of-life care in India. Improved education surrounding end of life may positively affect attitudes.

Cited by 12 publications

References 29 publications

Attitudes of Front-Line Nurses Toward Hospice Care During the COVID-19 Pandemic

Attitudes of Front-Line Nurses Toward Hospice Care During the COVID-19 Pandemic

Factors affecting attitudes towards caring for terminally ill patients among nursing students in Switzerland: a cross-sectional study

Development and Psychometric Evaluation of a New Short Version of the Swedish Frommelt Attitudes Toward Care of the Dying Scale

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