Background: Awareness and attitudes of nurses regarding end of life care are important factors in providing hospice care. In an extensive literature review, we found no related articles investigating Iranian nurses awareness and attitudes about providing such care. Objectives: The aims of this study...
Background: Awareness and attitudes of nurses regarding end of life care are important factors in providing hospice care. In an extensive literature review, we found no related articles investigating Iranian nurses awareness and attitudes about providing such care. Objectives: The aims of this study were to investigate the awareness and attitudes of Iranian nurses in providing hospice care. Materials and Methods: In this descriptive-correlational study, 240 nurses employed in six educational centers were selected by non-randomized stratified sampling. The data collection instruments included an awareness test and attitudes regarding providing end of life care in hospice questionnaire. The data were analyzed using descriptive statistics and independent sample t-tests, one-way ANOVA, and Pearson correlation tests. Results: The nurses' awareness score was 14.3 out of 29 and 55.7% of them stated that they had not received any education in providing end of life care. Also, by obtaining the score of 91.7 out of 120 the attitudes of participants in providing end of life care in hospices were positive. In addition, the highest attitudes score of nurses were in the dimensions of benefits of implementation and health care team. Conclusions: Considering low awareness of nurses about end of life care in hospices, continuing education should be provided for them in this regard. Especially, by considering the positive attitude of nurses, providing such programs could help develop hospice care in Iran.
Background: Awareness and attitudes of nurses regarding end of life care are important factors in providing hospice care. In an extensive literature review, we found no related articles investigating Iranian nurses awareness and attitudes about providing such care. Objectives: The aims of this study were to investigate the awareness and attitudes of Iranian nurses in providing hospice care. Materials and Methods: In this descriptive-correlational study, 240 nurses employed in six educational centers were selected by non-randomized stratified sampling. The data collection instruments included an awareness test and attitudes regarding providing end of life care in hospice questionnaire. The data were analyzed using descriptive statistics and independent sample t-tests, one-way ANOVA, and Pearson correlation tests. Results: The nurses' awareness score was 14.3 out of 29 and 55.7% of them stated that they had not received any education in providing end of life care. Also, by obtaining the score of 91.7 out of 120 the attitudes of participants in providing end of life care in hospices were positive. In addition, the highest attitudes score of nurses were in the dimensions of benefits of implementation and health care team. Conclusions: Considering low awareness of nurses about end of life care in hospices, continuing education should be provided for them in this regard. Especially, by considering the positive attitude of nurses, providing such programs could help develop hospice care in Iran.
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문제 정의
The aim of this study was to investigate the awareness and attitude of Iranian nurses about providing hospice care at end of life. According to an extensive literature review there is no previous studies investigated the awareness and attitude of Iranian nurses about provides end of life care in hospice.
The aims of this study were to investigate the Awareness and attitude of nurses in providing hospice cares.
대상 데이터
Inclusion criteria included: working in one of the mentioned educational centers, having at least one year of job experience, and willingness to participate in the study. After a pilot study on 30 nurses, the sample size was estimated as 225 nurses. During data collection, 250 nurses were invited to participate in the study with non-random stratified sampling method.
The validity of the questionnaires was approved by a panel of 12 academic staff from Tabriz University Medical Sciences. To evaluate the reliability of questionnaires a pilot study was conducted by participating 30 nurses. Reliability was determined by using Cronbach’s alpha coefficient that was calculated as 0.
데이터처리
Also, independent samples t-test, one-way ANOVA, and Pearson correlation test was performed to investigate the relationships of nurses’ demographic characteristics and their awareness and attitude toward providing palliative care in hospice.
Reliability was determined by using Cronbach’s alpha coefficient that was calculated as 0.82 for attitude questionnaire and 0.80 for the awareness questionnaire.
이론/모형
After a pilot study on 30 nurses, the sample size was estimated as 225 nurses. During data collection, 250 nurses were invited to participate in the study with non-random stratified sampling method. Finally, the data of 240 nurses were collected (participation rate=96%).
성능/효과
001). Also, the results of Pearson correlation test showed that there is no significant correlation between age of participants and awareness (p=0.67) and attitude (p=0.05) of participants toward end of life care at hospice. The relationship between some demographic characteristics of participants with their awareness and attitudes regarding providing end of life care in hospice is reported in Table 2.
Also, the results of this study showed that the nurses with a previous history of care of end of life patients had more Awareness regarding providing end of life care in hospice. This result is consistent with previous studies (Cramer et al.
The results of this study show that nurses’ awareness regarding providing end life care in hospice is weak and even about 65% of participants did not have enough information on this issue.
Over the 55% of nurses were not having an adequate education in the care end of life patients and close to 65% of them did not have enough information about hospice care. The results showed that the mean score of awareness of nurses about end of life care in hospice system was 14.26 (SD=4.37). In addition, the general score of nurses’ attitude in end of life care in hospices and the scores of all four sub-scales are reported in table 1.
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