Attitudes of Oncology Nurses Towards Care of Dying Patients and the Principles of Dying with Dignity and Their Views on Good Death

2021 ◽  
pp. 003022282110577
Author(s):  
Pinar Uzunkaya Oztoprak ◽  
Fusun Terzioglu
Keyword(s):  
Educational Research ◽  
Descriptive Study ◽  
Oncology Nurses ◽  
Assessment Scale ◽  
Good Death ◽  
University Hospitals ◽  
Professional Characteristics ◽  
Dying Patients ◽  
Dying With Dignity ◽  
Care Of The Dying

This study investigated oncology nurses’ attitudes toward caring for dying patients, their principles of dying with dignity, and their views on good death. This descriptive study included 257 oncology nurses working at two university hospitals, an educational research hospital and a state hospital in Turkey. Data were collected using the descriptive characteristics information form, the Frommelt Attitudes toward Care of the Dying scale, the Assessment Scale of Attitudes toward the Principles of Dying with Dignity, and the Good Death Scale. The nurses obtained mean scores of 99.53 ± 7.76 on the Frommelt Attitudes toward Care of the Dying scale, 26.84 ± 12.45 on the Assessment Scale of Attitudes toward the Principles of Dying with Dignity, and 57.23 ± 7.48 on the Good Death Scale. The nurses’ personal and professional characteristics influenced their attitudes toward caring for dying patients, the principles of dying with dignity, and their views on good death.

The Meaning of Death for Nursing Students and Their Attitudes Toward Dignified Death Principles

2021 ◽  
pp. 003022282110097
Author(s):  
Şebnem Bilgiç
Keyword(s):  
Nursing Students ◽  
Significant Relationship ◽  
Personal Information ◽  
Descriptive Study ◽  
Assessment Scale ◽  
State University ◽  
Low Level ◽  
Personal Meanings ◽  
Dying With Dignity

This study aims to determine the meaning of death for nursing students and their attitudes toward dignified death principles. The descriptive study was conducted with nursing students studying at a state university in Turkey. The data were collected using the Personal Information Form, the Personal Meanings of Death Scale (PMDS), and the Assessment Scale of Attitudes toward the Principles of Dying with Dignity (ASAPDD). A positive and low-level significant relationship was determined between the students' age and the scores for the PMDS subdimensions and the ASAPDD. It was found that the students had positive perceptions of death and adopted the principles of a dignified death. It was determined that an increase in the students' perceptions of death positively affected their adoption of the principles of a dignified death.

Italian nursing students' attitudes towards care of the dying patient: a multi-center descriptive study

2021 ◽  
pp. 104991
Author(s):  
Chiara Mastroianni ◽  
Anna Marchetti ◽  
Daniela D’Angelo ◽  
Marco Artico ◽  
Diana Giannarelli ◽  
...  
Keyword(s):  
Nursing Students ◽  
Descriptive Study ◽  
Students Attitudes ◽  
Dying Patient ◽  
Care Of The Dying

Procedures used in withdrawal of mechanical ventilation

1996 ◽  
Vol 5 (5) ◽  
pp. 331-338 ◽  
Author(s):  
BJ Daly ◽  
D Thomas ◽  
MA Dyer
Keyword(s):  
Mechanical Ventilation ◽  
Medical Records ◽  
Descriptive Study ◽  
Survival Duration ◽  
University Hospitals ◽  
Convenience Sample ◽  
Nurse Caring ◽  
Terminal Weaning ◽  
Patient Responses ◽  
Nurses Perceptions

OBJECTIVE: The purpose of this study was to describe ways in which withdrawal of mechanical ventilation is carried out in one institution, patient responses to the various methods of withdrawal, and nurses' perceptions of the methods and morality of ventilator withdrawal. METHOD: A retrospective descriptive study was used with a convenience sample of adult patients who underwent terminal weaning at University Hospitals of Cleveland. Demographic and clinical data, and descriptions of the exact method of ventilator withdrawal were collected from the medical records of these patients. The nurse caring for the patient was interviewed about his or her perceptions, within 7 days of the withdrawal. RESULTS: Data were obtained on 42 subjects. There were no differences in mental status, ventilatory status, age, or duration of survival between the patients who had support removed gradually and those from whom it was abruptly removed. Morphine was administered to 88% of the sample during withdrawal. Survival duration was unrelated to morphine dosage, but did correlate with ventilatory status at the time of withdrawal. Every nurse interviewed reported that he or she believed the act of withdrawal for that patient was morally correct, although only 85% were completely comfortable with carrying out the procedure. CONCLUSIONS: These results provide a foundation for preliminary recommendations about the most humane form of ventilator withdrawal and the appropriate use of narcotics and sedatives during withdrawal.

Definition of a Good Death, Attitudes Toward Death, and Feelings of Interconnectedness Among People Taking Care of Terminally ill Patients With Cancer: An Exploratory Study

2019 ◽  
Vol 37 (5) ◽  
pp. 343-349 ◽  
Author(s):  
Andrea Bovero ◽  
Francesco Gottardo ◽  
Rossana Botto ◽  
Chiara Tosi ◽  
Marta Selvatico ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Terminally Ill ◽  
Good Death ◽  
Care Providers ◽  
Death Attitudes ◽  
Patients With Cancer ◽  
Terminally Ill Patients ◽  
Attitudes Toward Death ◽  
Open Questions ◽  
Dying Patients

The concept of a good death is crucial in palliative care, but its relationship with attitudes toward death and feelings of interconnectedness needs to be further deepened. The first aim of this study was to explore the concept of good death, attitudes toward death, and feelings of interconnectedness among family caregivers (FCs) and health-care providers (HCPs) of terminally ill patients with cancer. The second aim was to analyze associations of good death concept with attitudes toward death and feelings of interconnectedness. Participants were asked to assess the importance of features that characterize a good death. To explore each person’s attitude toward death and feelings of interconnectedness, 3 open questions were used. The sample consisted of 49 participants: 24 (48.98%) FCs and 25 (51.02%) HCPs. Nine good death features were considered essential by more than 70% of participants. These referred to the physical (eg, symptoms control), social (eg, loved ones’ presence), emotional (eg, sharing emotions), and spiritual (eg, inner peace) dimensions. Importance attributed to components of a good death such as patient’s awareness and acceptance of death, meaning, respect for the patient’s wishes, and inner peace were found to be associated with lack of avoidance and acceptance toward death and feelings of interconnectedness. Given the importance of FCs and HCPs in providing care and their impact on the patients’ dying process, it is necessary to reflect upon how their personal attitudes and previous experiences influence the care of dying patients.

scholarly journals Productivity of subjectivity and autonomy of nursing professionals in Pediatrics

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 41-48 ◽  
Author(s):  
Juliane Portella Ribeiro ◽  
Giovana Calcagno Gomes ◽  
Marina Soares Mota ◽  
Camila Daiane Silva ◽  
Paulo Roberto Boeira Fuculo Junior
Keyword(s):  
Work Environment ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Nursing Profession ◽  
University Hospitals ◽  
Structured Interviews ◽  
Pediatric Hospitalization ◽  
Nursing Managers ◽  
Nursing Team ◽  
Nursing Professionals

ABSTRACT Objective: To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units. Method: An exploratory and descriptive study, with a qualitative approach, performed with users, professionals and nursing managers, totaling 44 participants. Data collection took place in the pediatric hospitalization units of two University Hospitals through semi-structured interviews, organized and treated by Nvivo 10 software and then submitted to content analysis. Results: The production of subjectivity and autonomy in nursing workers involves both the conditions of the work environment as the relation of the nursing team, the relation of hierarchy and the profile of the professional that works in the Pediatric Unit. Final considerations: The valorization path of the nursing profession emerges, whose knowledge and competence in the area of work contribute to the construction of autonomous subjectivities.

Improving the final year of life at the institutional level: Quality dying initiative (QDI).

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 124-124
Author(s):  
Jeff Myers ◽  
Tracey DasGupta
Keyword(s):  
Acute Care ◽  
Large Scale ◽  
Care Setting ◽  
Family Members ◽  
Care Plan ◽  
Acute Care Setting ◽  
Improvement Project ◽  
Implementation Phase ◽  
Dying Patients ◽  
Care Of The Dying

124 Background: For a tertiary academic health sciences and comprehensive cancer centre, care of the dying is a significant element of the institution’s overall patient and family care experience. The aim for this large-scale quality improvement project was to improve the quality of the experience for a patient in the final year of life and their family members. Methods: This is descriptive study involves one institution and the characterization of three distinct patient populations: A - Imminently dying patients for whom care goals have been clarified to be comfort, B - Patients for whom death “this admission” would not be a surprise and C - Among patients being discharged, death “within the next year” would not be a surprise, linking in the outpatient cancer care setting. Results: On average 19 deaths per week are in some way expected for the institution’s acute care setting. Phase 1 of the QDI included a review of evidence and best practices in care of the dying as well as comprehensive plans for both organizational engagement and communications. Phase 2 of the QDI (i.e. “Implementation Phase”) involved interventions for each patient population. A corporate-wide “Comfort Strategy” was developed to address Population A. Components include standardized order sets, standardized interprofessional “Comfort Assessment and Documentation”, the palliative care team’s “Coaching Consult”, a “Family Member Education” process and an evaluation plan that includes an experience survey routinely sent to family members following a patient’s death. The intervention was piloted on and subsequently rolled out to all inpatient oncology units. Interventions for Population B and C are the triggering of Goals of Care and Advance Care Plan discussions respectively. Key metrics have been identified for all three patient populations and are based on care elements considered important by dying patients and their family members. These now comprise a dashboard, which has been endorsed for roll out to all patient care units in the acute care setting. Conclusions: A quality framework can be effectively applied for the institutional context of developing an approach to improving the final year of life for a cancer patient.

A descriptive study of stress management in a group of pediatric oncology nurses

1997 ◽  
Vol 20 (6) ◽  
pp. 414-421 ◽  
Author(s):  
Talma Kushnir ◽  
Stanley Rabin ◽  
Sima Azulai
Keyword(s):  
Stress Management ◽  
Pediatric Oncology ◽  
Descriptive Study ◽  
Oncology Nurses

Associations Between Oncology Nurses' Attitudes Toward Death and Caring for Dying Patients

2009 ◽  
Vol 37 (1) ◽  
pp. E43-E49 ◽  
Author(s):  
Michal Braun ◽  
Dalya Gordon ◽  
Beatrice Uziely
Keyword(s):  
Oncology Nurses ◽  
Attitudes Toward Death ◽  
Dying Patients

The Symbolic Functions of Nurses’ Cognitive Artifacts on a Medical Oncology Unit

2016 ◽  
Vol 40 (4) ◽  
pp. 520-536
Author(s):  
Jacquelyn W. Blaz ◽  
Alexa K. Doig ◽  
Kristin G. Cloyes ◽  
Nancy Staggers
Keyword(s):  
Acute Care ◽  
Medical Oncology ◽  
Descriptive Study ◽  
Oncology Nurses ◽  
Cognitive Artifacts ◽  
Acute Care Nurses ◽  
Specialty Hospital ◽  
Field Notes ◽  
Oncology Unit ◽  
Support Work

Acute care nurses continue to rely on personally created paper-based tools—their “paper brains”—to support work during a shift, although standardized handoff tools are recommended. This interpretive descriptive study examines the functions these paper brains serve beyond handoff in the medical oncology unit at a cancer specialty hospital. Thirteen medical oncology nurses were each shadowed for a single shift and interviewed afterward using a semistructured technique. Field notes, transcribed interviews, images of nurses’ paper brains, and analytic memos were inductively coded, and analysis revealed paper brains are symbols of patient and nurse identity. Caution is necessary when attempting to standardize nurses’ paper brains as nurses may be resistant to such changes due to their pride in constructing personal artifacts to support themselves and their patients.

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