The Relationship Between Death and Do Not Resuscitation Attitudes Among Intensive Care Nurses

The Effect of Emergency Nurses' Psychological Resilience on Their Thanatophobic Behaviors: A Cross-Sectional Study

PURPOSE

This study analyzed the effect of emergency nurses' psychological resilience on their thanatophobic behaviors.

METHODS

The research was conducted with 156 emergency nurses. In the data collection process, the Socio-Demographic Information Form, the Brief Resilience Scale, and the Thanatophobia Scale were used.

RESULTS

It was found that emergency nurses had medium-level psychological resilience and high-level thanatophobia. Besides, it was discerned that there was a moderate negative relationship between psychological resilience and thanatophobia (r:-.643, p: 0.000). Lastly, as per the simple linear regression analysis, it was identified that the predictor variable of psychological resilience accounted for 40.9% of the variance in the predicted variable of thanatophobia (R2:.409, p: 0.000).

PRACTICE IMPLICATIONS

Emergency nurses, who are faced with many negative situations, need to have a high level of psychological resilience in order to get out of the mental state brought by negative conditions as soon as possible, and it is recommended to carry out applications to increase psychological resilience.

Psychometric properties of Persian version of advance care planning questionnaire among older adults in Iran

INTRODUCTION

Advanced age is associated with life-threatening conditions at the end of life. Many of these persons at the end of their lives cannot make decisions because of the variable consciousness. They are able to make decisions and identify their care priorities, in a process called advanced care planning. So, an instrument is required for investigating ACP of the elderly population. This study was performed to determine the psychometric properties of the Persian version of the advanced care planning questionnaire(ACPQ) in elderly population referring to Tehran.

METHOD

This methodological study was performed in five hospitals in 2021-2022. A total of 390 eligible elderlies were included. The psychometric assessment including translation, face validity, content validity were performed Alsothe exploratory factor analysis and confirmatory factor analysis were assessed. Reliability were done by internal consistency by assessing Cronbach alpha and stability was performed using test-retest.

RESULTS

The face validity of the instrument was performed with minor changes. The content validity index for all of the items was above 0.79. In EFA four factors was extracted also CFA showed that the four-factor model has a good fit of the data (RMSEA: 0.04; NFI: 0.97 CFI: 0.99; IFI: 0.99; RFI: 0.96; AGFI: 0.87; GFI 0/90; standardized RMR: 0.02). Cronbach alpha and ICC were 0.72-0.94 and 0.85-0.96, respectively.

CONCLUSION

The Persian version of the advance care planning questionnaire has desirable psychometric properties for measuring the advanced care planning of the elderly population. In addition, healthcare providers in Iran can employ this questionnaire in their practice and research.

Nurses' Attitudes Towards Death and Its Relationship With Anxiety Levels

This study examined nurses' attitudes towards death, anxiety levels, and socio-demographic characteristics affecting their attitudes towards death. Three hundred and eighty-four nurses participated in the study. A questionnaire form, the Death Attitude Profile-Revised (DAP-R), and the Penn State Worry Questionnaire were applied to the nurses. Nurses' attitudes towards death were positive and their level of fear of death was low. Approach acceptance was high in younger ones; the escape acceptance score was higher in single ones. The neutral acceptance score was higher in those who received training on death. A statistically significant positive correlation was found between nurses' anxiety level and escape acceptance score. There was a statistically significant positive correlation between the length of working years of nurses and the escape acceptance and approach acceptance. Nurses should be prepared for and supported on death with in-service training. It will be useful to provide these training programs to nursing students during their education process.

Death attitudes and associated factors among health professional students in China

Background

China is entering an era of aging population with an increased mortality rate among this category of population. Health professional students' attitudes toward death directly affect their quality of palliative care in their future careers. It is thus important to understand their death attitudes and associated factors to guide future educational and training development.

Objectives

This study aimed to investigate death attitudes and analyze the associated factors among health professional students in China.

Methods

In this cross-sectional study, 1,044 health professional students were recruited from 14 medical colleges and universities. The Chinese version of the Death Attitude Profile-Revised (DAP-R) was used to evaluate their death attitudes. A multiple linear regression model was used to analyze the influencing factors of attitudes toward death.

Results

Health professional students tended to accept death more neutrally. Multivariate analysis showed that their negative death attitudes were associated with age (β = -0.31, p < 0.001) and religious belief (β = 2.76, p = 0.015), while positive death attitudes were associated with age (β = -0.42, p < 0.001), hearing of Advance Care Plan (ACP) (β = 2.21, p = 0.001), and attending funeral/memorial services (β = 2.69, p = 0.016).

Conclusion

Our study stresses the importance of including death and palliative care education in healthcare courses among health professional students in China. Incorporation of ACP education along with experiences of funeral/memorial services may help promote health professional students' positive attitudes toward death and improve the quality of palliative care in their future careers.

The Relationship Between Attitudes Towards Caring for Dying Patients and Self Compassion in ICU Nurses

The study aims to investigate the relationship between ICU nurses' attitudes towards caring for dying patients and self compassion.This cross-sectional study (Aug-Oct 2022) was conducted with the volunteer participation of 219 ICU nurses in Isfahan University of Medical Sciences, Iran. Data were collected through the Socio-demographic Form, the Frommelt Attitude toward Care of Dying Scale (FATCOD), and the Self-Compassion Scale (SCS).The mean score of attitude of end-of-life care and self-compassion were 92.77 ± 21.5 and 47.83 ± 7.69 respectively. A statistically significant difference was found between nurses' education level and attitudes of end-of-life care (p < 0.001) and self-compassion. (p < 0.04) A significant difference was found between end of life care training experience and self-compassion (p < 0.03). A positive, statistically significant relationship was found between the attitudes of end-of-life care total score and self-compassion total score (p < 0.001). A significant relationship between the self-compassion and attitude toward caring for dying patients is an important finding for quality of care in ICU nurses.