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      Nursing student attitudes toward dying patient care: A European multicenter cross-sectional study

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          Abstract

          Background and aim of the work:

          Nursing education plays a key role in preparing future nurses to deal with dying patients, which represents one of the most emotionally involving aspect of nursing. The aims of the study were to explore nursing students’ attitudes towards care of dying patients in three different European contexts and to analyze the variables that can influence them.

          Methods:

          We conducted an international multicenter cross-sectional study. We administered the Frommelt Attitude Toward Care of the Dying Scale form B (FATCOD-B) and a demographic form to 569 students, enrolled in three Nursing Programmes in different countries (Italy, Spain and United Kingdom), who accepted to participate in the study. The data were analyzed using SPSS software version 26.0.

          Results:

          Median total FATCOD-B scores indicated intermediate levels of students’ attitudes towards care for dying patients, with a statistically significant difference among the three student groups. The median total FATCOD-B scores did not statistically significantly change in students with different age, gender, year of study, religious beliefs, nursing education on palliative care, previous experiences of dying patient care and personal grieving.

          Conclusions:

          In our study, nursing students feel partially prepared in caring for dying patients and their attitudes do not change as the course of study progresses. No selected variables had an impact on students’ attitudes towards palliative care. Since nurses play a vital role in ensuring the quality of care, education on end-of-life care should be offered as a core part of undergraduate nursing programs. (www.actabiomedica.it)

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          Most cited references71

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          How Death Anxiety Impacts Nurses’ Caring for Patients at the End of Life: A Review of Literature

          Nurses are frequently exposed to dying patients and death in the course of their work. This experience makes individuals conscious of their own mortality, often giving rise to anxiety and unease. Nurses who have a strong anxiety about death may be less comfortable providing nursing care for patients at the end of their life. This paper explores the literature on death anxiety and nurses’ attitudes to determine whether fear of death impacts on nurses’ caring for dying patients. Fifteen quantitative studies published between 1990 and 2012 exploring nurses’ own attitudes towards death were critically reviewed. Three key themes identified were: i). nurses’ level of death anxiety; ii). death anxiety and attitudes towards caring for the dying, and iii). death education was necessary for such emotional work. Based on quantitative surveys using valid instruments, results suggested that the level of death anxiety of nurses working in hospitals in general, oncology, renal, hospice care or in community services was not high. Some studies showed an inverse association between nurses’ attitude towards death and their attitude towards caring for dying patients. Younger nurses consistently reported stronger fear of death and more negative attitudes towards end-of-life patient care. Nurses need to be aware of their own beliefs. Studies from several countries showed that a worksite death education program could reduce death anxiety. This offers potential for improving nurses’ caring for patients at the end of their life.
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            Nurse-patient relationships in palliative care.

            The aim of this paper is to report a study exploring aspects of nurse-patient relationships in the context of palliative care. Although there are numerous studies addressing nurse-patient relationships, little research has focused on these in the context of palliative are. Furthermore, no previous study has examined the relationship in the Chinese context. Qualitative data were collected from 10 hospice nurses and 10 terminally ill patients by means of open ended unstructured interviews. Respondents were asked to reflect on practices and incidents that would allow an understanding of the meaning of nurse-patient relationships in palliative care. Four major categories emerged from the perspectives of patients and nurses: (1) forming a relationship of trust; (2) being part of the family; (3) refilling with fuel along the journey of living and dying; and (4) enriched experiences. Responses revealed that a relationship of trust is formed, and that nurses are not only regarded as health professionals, but also become part of the family or a good friend. Nurses who develop trusting relationships demonstrate a holistic approach to caring, show their understanding of patients' suffering, are aware of their unvoiced needs, provide comfort without actually being asked, and are reliable, proficient, competent and dedicated in their care. Trust, the achievement of the goals of patients and nurses, caring and reciprocity are important elements of nurse-patient relationships in palliative care. Such relationships not only improve patients' physical and emotional state, but also facilitate their adjustment to their illness, ease pain and can ultimately lead to a good death experience. It is nurses' personal qualities and skills, which are embedded in these relationships, that constitute excellence in nursing care. Nurses also derive satisfaction and are enriched through the relationships.
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              Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey

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                Author and article information

                Journal
                Acta Biomed
                Acta Biomed
                Acta Bio Medica : Atenei Parmensis
                Mattioli 1885 (Italy )
                0392-4203
                2531-6745
                2021
                31 March 2021
                : 92
                : Suppl 2
                : e2021018
                Affiliations
                [1 ] Nursing Degree Course of Modena, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Italy
                [2 ] Psychiatric Intensive Treatment Facility, Mental Health and Drug Abuse Department of AUSL-Modena, Italy
                [3 ] Primary care of Sassuolo, AUSL-Modena, Italy
                [4 ] Nursing Degree Course of Modena, University of Modena and Reggio Emilia, Italy
                [5 ] Nursing Degree Course of Modena, University of Modena and Reggio Emilia, Italy
                [6 ] Grado de Enfermería, Tarragona, Universidad Rovira i Virgili, Spain
                [7 ] Department of Adult and Mental Health Nursing, Anglia Ruskin University, United Kingdom
                [8 ] Palliative Care Unit of Reggio Emilia, AUSL-IRCCS of Reggio Emilia, Italy
                [9 ] Nursing Degree Course of Faenza, University of Bologna, Italy
                [10 ] Department of Medical Science, Udine University, Italy.
                Author notes
                Correspondence: Ferri Paola, Nursing Degree Course of Modena, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Italy. E-mail: paola.ferri@ 123456unimore.it . ORCID: 0000-0001-7761-7226.
                Article
                ACTA-92-18
                10.23750/abm.v92iS2.11403
                8138802
                33855982
                13957f4f-cbbc-40bd-99e3-3c51619feb30
                Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA

                This work is licensed under a Creative Commons Attribution 4.0 International License

                History
                : 01 March 2021
                : 04 March 2021
                Categories
                Original Article: Training and Research for Hp

                nursing students,nursing education,fatcod-b,attitudes towards caring for dying patients,palliative care

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