Registered Nurses' attitudes towards end-of-life care: A sequential explanatory mixed method study.

Alshammari, F; Sim, J; Lapkin, S; McErlean, G

Registered Nurses' attitudes towards end-of-life care: A sequential explanatory mixed method study.

Alshammari, F Sim, J

Lapkin, S McErlean, G

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: J Clin Nurs, 2023, 32, (19-20), pp. 7162-7174
Issue Date:: 2023-10

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Field	Value	Language
dc.contributor.author	Alshammari, F
dc.contributor.author	Sim, J https://orcid.org/0000-0001-6863-0541
dc.contributor.author	Lapkin, S
dc.contributor.author	McErlean, G
dc.date.accessioned	2023-11-06T22:26:59Z
dc.date.available	2023-05-29
dc.date.available	2023-11-06T22:26:59Z
dc.date.issued	2023-10
dc.identifier.citation	J Clin Nurs, 2023, 32, (19-20), pp. 7162-7174
dc.identifier.issn	0962-1067
dc.identifier.issn	1365-2702
dc.identifier.uri	http://hdl.handle.net/10453/173090
dc.description.abstract	AIMS: To examine registered nurses' attitudes about end-of-life care and explore the barriers and facilitators that influence the provision of high-quality end-of-life care. DESIGN: A sequential explanatory mixed methods research design was used. METHODS: An online cross-sectional survey was distributed to 1293 registered nurses working in five different hospitals in the Kingdom of Saudi Arabia. The Frommelt Attitudes Towards Care of the Dying Scale was used to assess nurses' attitudes towards end-of-life care. Following the survey, a subset of registered nurses were interviewed using individual semi-structured interviews. RESULTS: Four hundred and thirty-one registered nurses completed the online survey, and 16 of them participated in individual interviews. Although nurses reported positive attitudes towards caring for dying patients and their families in most items, they identified negative attitudes towards talking with patients about death, their relationship with patients' families and controlling their emotions. The individual interview data identified the barriers and facilitators that registered nurses experience when providing end-of-life care. Barriers included a lack of communication skills and family and cultural and religious resistance to end-of-life care. The facilitators included gaining support from colleagues and patients' families. CONCLUSION: This study has identified that while registered nurses hold generally favourable attitudes towards end-of-life care, they have negative attitudes towards talking with patients and families about death and managing their emotional feelings. RELEVANCE TO CLINICAL PRACTICE: Education providers and leaders in healthcare settings should consider developing programmes for undergraduate nurses and nurses in clinical practice to raise awareness about the concept of death in a cross-section of cultures. Nurses' attitudes towards dying patients will be enhanced with culture-specific knowledge which will also enhance communication and coping methods. REPORTING METHOD: This study used the Mixed Methods Article Reporting Standards (MMARS).
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	J Clin Nurs
dc.relation.isbasedon	10.1111/jocn.16787
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Nurses
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Nurses
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Nurses
dc.subject.mesh	Surveys and Questionnaires
dc.title	Registered Nurses' attitudes towards end-of-life care: A sequential explanatory mixed method study.
dc.type	Journal Article
utslib.citation.volume	32
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/WHO Collaborating Centre
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-06T22:26:58Z
pubs.issue	19-20
pubs.publication-status	Published
pubs.volume	32
utslib.citation.issue	19-20

Abstract:

AIMS: To examine registered nurses' attitudes about end-of-life care and explore the barriers and facilitators that influence the provision of high-quality end-of-life care. DESIGN: A sequential explanatory mixed methods research design was used. METHODS: An online cross-sectional survey was distributed to 1293 registered nurses working in five different hospitals in the Kingdom of Saudi Arabia. The Frommelt Attitudes Towards Care of the Dying Scale was used to assess nurses' attitudes towards end-of-life care. Following the survey, a subset of registered nurses were interviewed using individual semi-structured interviews. RESULTS: Four hundred and thirty-one registered nurses completed the online survey, and 16 of them participated in individual interviews. Although nurses reported positive attitudes towards caring for dying patients and their families in most items, they identified negative attitudes towards talking with patients about death, their relationship with patients' families and controlling their emotions. The individual interview data identified the barriers and facilitators that registered nurses experience when providing end-of-life care. Barriers included a lack of communication skills and family and cultural and religious resistance to end-of-life care. The facilitators included gaining support from colleagues and patients' families. CONCLUSION: This study has identified that while registered nurses hold generally favourable attitudes towards end-of-life care, they have negative attitudes towards talking with patients and families about death and managing their emotional feelings. RELEVANCE TO CLINICAL PRACTICE: Education providers and leaders in healthcare settings should consider developing programmes for undergraduate nurses and nurses in clinical practice to raise awareness about the concept of death in a cross-section of cultures. Nurses' attitudes towards dying patients will be enhanced with culture-specific knowledge which will also enhance communication and coping methods. REPORTING METHOD: This study used the Mixed Methods Article Reporting Standards (MMARS).

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http://hdl.handle.net/10453/173090