Integration of End-of-Life Care Content in Undergraduate Nursing Curricula: Student Knowledge and Perceptions

Wallace, Meredith; Grossman, Sebastian P.; Campbell, Suzanne; Robert, Tracey E.; Lange, Jean; Shea, Joyce

doi:10.1016/j.profnurs.2008.08.003

Cited by 73 publications

(57 citation statements)

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“…Their recommendation is that palliative care education needs to be incorporated within nursing courses and should cover care and management across the entire life spectrum so that nurses are prepared for practice. Wallace et al [14] indicated a substantial need to integrate content across the curriculum. Bush and Shahwan-Akl [10], reported on Australian students in an elective palliative care subject who expressed the view that palliative care should be compulsory within undergraduate nursing courses.…”

Section: The Importance Of Palliative Care In Undergraduate Nursing Cmentioning

confidence: 99%

Are newly graduated nurses ready to deal with death and dying? - A literature review

Deravin¹,

Anderson²,

Croxon³

2016

Nurs Palliat Care

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Objectives: This article examines the literature currently available to explore the readiness of students and new graduate nurses when faced with death and dying within the workplace.Design: This study was a systematic literature review on research articles from peer reviewed journals using the PRISMA framework.Data sources: Databases utilised in the search included EBSCOHost, Primo Search and Google Scholar.Review methods: Key search terms included new graduate nurses, life limiting illness, nursing undergraduate, nursing students, palliative care. Abstracts of these articles were reviewed to ensure that they related to new graduate and undergraduate nurse experiences with death and dying. Further interrogation of the reference lists located another 39 articles for possible inclusion. Duplicates were removed. Articles for inclusion were to be full text articles available in English and within the date range of 2009 to 2015. This left a total of 31 articles for the review.Results: From the review four key themes emerged. These were; the importance of palliative care in undergraduate nursing curricula, readiness for dealing with death and dying, the death experience for different patient populations and education strategies. Conclusions:There is an increasing emphasis on education strategies to assist with the end of life care knowledge and skills for nursing students. Simulation is seen to be a positive way to provide undergraduate education in end of life care as simulated exposure to dying patients is recognised as an effective means alleviating anxiety regarding death and the care of dying patients. While palliative care is viewed as an important aspect of undergraduate nursing education it is recognised as an area of practice that undergraduate nurses feel they are not adequately prepared for. Undergraduate education needs to incorporate skills such as having conversations and communicating effectively with patients and families experiencing end of life issues.

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Section: The Importance Of Palliative Care In Undergraduate Nursing Cmentioning

confidence: 99%

Are newly graduated nurses ready to deal with death and dying? - A literature review

Deravin¹,

Anderson²,

Croxon³

2016

Nurs Palliat Care

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“…However, recent studies reported that nursing students feel unprepared when they should face patients and family within dying care (Gillan et al, 2014;Wallace et al, 2009). Grubb and Arthur (2016) emphasized that positive students' attitudes in caring for dying patients can be used as an indicator of effective therapeutic relationship with dying patients.…”

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confidence: 99%

Nursing Students’ Attitudes towards Caring for Dying Patients

A'la

Setioputro

Kurniawan

2018

Nurs. Med. J. Nursing

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Background: Dying is a normal human phenomenon that requires a holistic care approach. Nurses' attitudes towards the care for dying patients need to be explored, understood, and analyzed to improve the quality of care in palliative setting, including in nursing students. Purpose: This study explored the nursing students' attitude and its relationship with the students' demographic profile in caring for the dying patients in Indonesia. Methods: This study used a quantitative descriptive cross-sectional research design. The samples were 192 nursing students from Universitas Jember, Indonesia, who were recruited by using simple random sampling. Data were collected using the Frommelt Attitudes towards the Care of the Dying Care Form B Indonesian version (FATCOD-BI). The reliability test of FATCOD-BI showed a Cronbach's alpha of 0.68, and the result of validity test using correlation coefficient showed the range of -0.278 to 0.544. Data were analyzed using frequency distribution, and mean differences test using t-test and One-Way Analysis of Variance (ANOVA). Results: Results showed that the mean of nursing students' attitudes in caring for dying patients was 93.83±5.96 (range 30-120). Gender and training experiences had no relationship with students' attitudes in caring for dying patients (p=0.22 and p=0.943). There was a relationship between the experiences and student academic level and the students' attitudes in caring for dying patients (p=0.023 and p=0.036). The students' experiences and academic level become a primary factor in the attitudes toward caring for dying patients. Conclusion: Findings revealed that student nurses' attitudes in caring for dying patients was in low category and there was no significant relationship between gender and training experience and students' attitudes towards caring for the dying patients. In contrast, experiences in caring for dying patients and academic level were associated with students' attitudes. Further studies in the development of curriculum on dying patient care emphasizing on socio-demographic status are recommended.

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“…Extensive research indicates that nursing students at the end of their curricula feel unprepared to cope with issues related to death, to care for dying patients and address grieving caregivers [3,7,8] . Many nursing students consider their curricula to be inadequate in teaching the end-of-life care and, more precisely, in providing the knowledge and in promoting the development of the attitudes required to care for dying patients [8][9][10] .…”

mentioning

confidence: 99%

“…Many nursing students consider their curricula to be inadequate in teaching the end-of-life care and, more precisely, in providing the knowledge and in promoting the development of the attitudes required to care for dying patients [8][9][10] . The opinions given by nursing students on their own curricula have been confirmed by numerous studies aimed to identify the amount of contents on end-of-life care education provided throughout nursing curricula.…”

mentioning

confidence: 99%

Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

Leombruni

Miniotti

Bovero

et al. 2013

JNEP

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Background: Extensive research indicated that nursing students at the end of their curricula feel unprepared to care for the dying. Therefore, studies on nursing students' attitudes to caring for dying patients play a key role in nursing education, and the FATCOD-B scale is the only tool that specifically evaluates them. Methods:A cross-sectional study design was used. During 2013, the FATCOD-B scale was administered to a sample of 82 nursing students. Descriptive statistics, the Student's t-test, Cronbach's alpha and principal components analysis were used in data analyses. Results:Italian nursing students' scores on the FATCOD-B scale seemed to be lower than literature evidence on sums of ratings; however, mean ratings revealed similar levels of attitudes to the dying. Gender and personal experience with dying persons were not predictors of FATCOD-B scores. Internal consistency of the FATCOD-B scale was not satisfactory. Principal component analysis found a four-factor questionable solution for the FATCOD-B scale. Conclusions:Findings from the present study suggest a need for end-of-life care nursing education in Italy. The preliminary results concerning the psychometrics of the scale suggest that the Italian version of the FATCOD-B could be in need of revision. The implications for practice are discussed.

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Integration of End-of-Life Care Content in Undergraduate Nursing Curricula: Student Knowledge and Perceptions

Cited by 73 publications

References 13 publications

Are newly graduated nurses ready to deal with death and dying? - A literature review

Are newly graduated nurses ready to deal with death and dying? - A literature review

Nursing Students’ Attitudes towards Caring for Dying Patients

Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

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