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Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center
Michelle Lange1, Bridgette Thom, Nancy E Kline
1Pain and Palliative Care Unit, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. langem@mskcc.org
Purpose/Objectives:
To assess how nurses employed in a comprehensive cancer center feel about death and caring for dying patients and examine any relationships between their attitudes and demographic factors.
Design:
Descriptive quantitative.
Setting:
A 432-bed comprehensive cancer center in New York, NY.
Sample:
A convenience sample of 355 inpatient and outpatient oncology nurses.
Methods:
Voluntary and anonymous completion of the Frommelt Attitude Toward Care of the Dying (FATCOD), the Death Attitude Profile-Revised (DAP-R), and a demographic questionnaire.
Main Research Variables:
Years of total nursing experience, years employed at the cancer center, previous experience with caring for dying patients, age, gender, and attitudes toward death and caring for dying patients.
Findings:
Statistically significant relationships were noted among age, nursing experience, previous experience with caring for terminally ill patients, and scores on the FATCOD and DAP-R. Nursing experience and age were the variables most likely to predict nurses' attitudes toward death and caring for dying patients.
Conclusions:
RNs with more work experience tended to have more positive attitudes toward death and caring for dying patients.
Implications For Nursing:
Based on the data collected in the study, less experienced oncology nurses will most likely benefit from increased education, training, and exposure to providing and coping effectively with end-of-life care.
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