The Attitude of Intensive Care and Oncology Nurses Regarding the Care of the Dying Individual and Coping Methods

Yıl 2022, Cilt: 7 Sayı: 4, 602 - 608, 10.12.2022

Seda Kurt Berkay Ertin

https://doi.org/10.26453/otjhs.1134259

Öz

Objective: This study was designed to determine the attitudes of intensive care and oncology nurses towards the care of the dying individual and their coping methods.

Materials and Methods: The sample of the study consisted of 96 nurses working in intensive care units and oncology clinics in a university hospital between January and February 2020. Data were collected using the Characteristics of the Nurse and The Frommelt Attitude Toward Care of the Dying (FATCOD) scale.

Results: 27.2% of the nurses included in the study were working in Oncology clinics, 72.9% of them in Intensive Care Units, and 45.8% of them were working in the clinic they had been in for 1-5 years. The total FATCOD mean score of the nurses was determined to be 80.04 ± 8.80. It was found that the attitudes of nurses who did not think that death is natural, towards the care of the dying individual were significantly higher (p<0.05).

Conclusion: It was found that attitudes of nurses who did not consider death to be natural were more positive. Considering these results, it may be suggested to organize trainings on social support, with negative and inadequacy feelings coping methods, and end-of-life care for nurses working in oncology and intensive care units.  

Anahtar Kelimeler

Attitude, death, intensive care, nurse, oncology

Destekleyen Kurum

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Proje Numarası

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Teşekkür

We would like to thank all nurses who agreed to participate in the study.

Yoğun Bakım ve Onkoloji Hemşirelerinin Ölmekte Olan Bireyin Bakımına İlişkin Tutumları ve Baş Etme Yöntemleri

Öz

Amaç: Bu çalışma; yoğun bakım ve onkoloji hemşirelerinin ölmekte olan bireyin bakımına ilişkin tutumları ve baş etme yöntemlerini belirlemek amacıyla planlandı.

Materyal ve Metot: Araştırmanın örneklemini Ocak-Şubat 2020 tarihleri arasında bir üniversite hastanesinde yoğun bakım ünitelerinde ve onkoloji kliniklerinde çalışan 96 hemşire oluşturdu. Veriler, Hemşireye İlişkin Özellikler ve Frommelt Ölmekte Olan Bireye Bakım Vermeye İlişkin Tutum Ölçeği (FATCOD) kullanılarak toplandı.

Bulgular: Araştırmaya katılan hemşirelerin %27,2’si Onkoloji kliniklerinde, %72,9’u Yoğun Bakım kliniklerinde görev yapmakta olup, %45,8’i 1-5 yıl bulunduğu klinikte çalışmaktaydı. Hemşirelerin FATCOD toplam puan ortalaması 80.04±8.80 olarak bulundu. Ölümün doğal olduğunu düşünmeyen hemşirelerin ölmekte olan bireyin bakımına ilişkin tutumlarının istatistiksel olarak anlamlı düzeyde daha yüksek olduğu belirlendi (p<0,05).

Sonuç: Ölümün doğal olduğunu düşünmeyen hemşirelerin ölmekte olan bireyin bakımına ilişkin tutumlarının daha olumlu olduğu bulundu. Bu sonuçlar doğrultusunda onkoloji ve yoğun bakım ünitesinde çalışan hemşirelere, sosyal destek, olumsuzluk ve yetersizlik duyguları ile baş etme yöntemleri ve yaşam sonu bakım konusunda eğitimler düzenlenmesi önerilebilir. 

Anahtar Kelimeler

Hemşire, onkoloji, ölüm, tutum, yoğun bakım

Proje Numarası

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Kaynakça

• Fadiloglu C, Hancerlioglu S. End of life care death. In: Yildirim Y, Fadiloglu, C, ed. Palliative Care Symptom Management and End of Life Care. Ankara, Nobel Medical Bookstores, Inc; 2018: 701-725.
• Pehlivan S, Lafcı D, Vatansever N, Yıldız E. Relationship between death anxiety of Turkish nurses and their attitudes toward the dying patients. OMEGA—Journal of Death and Dying. 2020;82(1):128–140. doi:10.1177/0030222819895122
• Cevik B, Kav S. Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing. 2013;36(6):58-65. doi: 10.1097/NCC. 0b013e318276924c
• Sahin M, Demirkiran F, Adana F. Nursing students’ death anxiety, influencing factors and request of caring for dying. Journal of Psychiatric Nursing. 2016;7(3):135–141. doi: 10.5505/phd.2016.66588
• Petrongolo M, Toothaker R. Nursing students perceptions of deat hand dying: A descriptive quantitative study. Nurse Education Today. 2021;104:1-9. doi: 10.1016/ j.nedt.2021.104993
• Herrero AA, Sabado JT, Benito JG. Death attitudes and emotional intelligence in nursing students. OMEGA—Journal of Death and Dying. 2013;66(1):39-55. doi: 10.2190/OM.66.1.c
• Kose S, Tunali IB, Yildirim G. Attitudes regarding respec table death princip lesamong intensive care physician sand nurses. Journal of Intensive Care Nursing. 2019;23(1):9-17.
• Yilmaz E, Vermisli S. The intensive care nurses' attitudes toward death and caring for dying patients. Celal Bayar University-Health Sciences Institute Journal. 2015;2(2):41-46.
• Demir Y. Death and care of the dying patient. In: Akca AF, ed. Basic Concepts and Skills in Health Practices. İstanbul, Nobel Medical Bookstores, Inc; 2011: 698-720.
• Lange M, Thom B, Kline NE. Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncology Nursing Forum. 2008;35(6):955-959. doi:10.1188/08.ONF.955-959
• Ozer Z, Yildirim D, Boluktas RP. Attitudes of nursing students towards death. Journal of Economics and Social Research. 2015;2(4):2-13.
• Ozcelik H, Aksoy F, Sonmez E, Fadiloglu E. Attitudes to death of nurses in Turkey and factors affecting them. Hospice & Palliative Medicine International Journal. 2018;2(6):303-309. doi:10.15406/hpmij.2018.02.00112
• Uysal N, Ceylan E, Koc A. Nursing students’ attitudes on care of dying individuals. Gümüşhane University Journal of Health Sciences. 2019;8(1):98-105.
• Ceyhan O, Ozen B, Zincir H, Simsek N, Basaran M. How intensive care nurses perceive good death. Death Studies. 2018;42(10):667-672. doi:10.1080/0748 1187.2018.1430084
• Ay AM, Oz F. Nurses attitudes towards death, dying patient sand euthanasia: A descriptive study. Nursing Ethics. 2019;26(5):1442–14571. doi:10.1177/ 0969733017748481
• Gurdogan PE, Kinici E, Aksoy B. The relation ship between death anxiety and attitudes toward the care of dying patient in nursing students. Psychology Health & Medicine. 2019;24(7):843-852. doi:10.1080/13548506.2019.1576914
• Grubb C, Arthur A. Student nurses’ experience of and attitudes toward scare of the dying: A cross-sectional study. Palliative Medicine. 2016;30(1):83–88. doi:10.1177/0269216315616762
• Paul SS, Renu G, Thampi PT. Creating a positive attitude toward dying patients among nursing students: Is the current curriculum adequate? Indian Journal Palliative Care. 2019;25(1):142–146. doi:10.4103/IJPC.IJPC_148_18