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The Relationship Between End Of Life Education Obtained Through Didactic Clinical Personal And Introspective Experiences And The Attitudes Of Nursing Students Toward Care Of The Dying Patient
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Book Synopsis The Relationship Between End of Life Education, Obtained Through Didactic, Clinical, Personal, and Introspective Experiences and the Attitudes of Nursing Students Toward Care of the Dying Patient by : Nancy Jean Price Silverman
Download or read book The Relationship Between End of Life Education, Obtained Through Didactic, Clinical, Personal, and Introspective Experiences and the Attitudes of Nursing Students Toward Care of the Dying Patient written by Nancy Jean Price Silverman and published by . This book was released on 2004 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Relationship Between Life Experiences and Attitudes of Student Nurses Toward Providing End-of-life Care by : Nancy Price Silverman
Download or read book The Relationship Between Life Experiences and Attitudes of Student Nurses Toward Providing End-of-life Care written by Nancy Price Silverman and published by . This book was released on 2021 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: The capabilities of modern medicine have precluded the sanctity of what it means to die, extending life while too often prolonging suffering along a trajectory of functional decline that typifies terminal illness, leaving patients with little say in how they want to experience their final days (Connors et al., 1995). End-of-life care has evolved to ensure that people with terminal illnesses know what to expect, understand their options, and have a voice in their care. It is the nurse-patient relationship at the bedside where patients express their wishes and the opportunity to advocate for patient-directed end-of-life care occurs. Unfortunately, these nurses often are not prepared for this role, cognitively or attitudinally. With an aging generation of baby boomers and prevalence of chronic illness, the need for nurses to be comfortable with end-of-life caregiving is urgent. This requires nurses to be educated in the principles of end-of-life care and possess attitudes conducive to putting their knowledge into practice. Often, though, nurses are confronted with their own attitudinal barriers toward death and dying borne of experiences in life that must first be overcome to freely empower their patients' voices and choices for care. Using a correlational design, the intent of this study was to learn how to improve nursing education in end-of-life care by determining the relationship between undergraduate student nurses' personal, didactic, clinical, and introspection life experiences with death and dying and their attitudes toward providing care to the dying. The study found that the personal, clinical, and introspective domains were associated with attitudes toward care of the dying with introspection showing the strongest correlation with attitudes. Forward regression, however, revealed that all four domains were predictive of attitudes toward care of the dying. Didactic experiences indirectly predicted attitudes by enhancing clinical experiences at the bedside, resulting in the clinical domain ranking as the strongest predictor of attitudes while introspection emerged as the strongest unique predictor. The value of introspection in ameliorating attitudes toward death and dying borne of experiences in all realms of life was pervasive. The study further investigated the association between attitudes toward death and dying and attitudes toward providing care to the dying. Fear of Death and Death Avoidance were inversely associated with comfort in giving care to the dying whereas Neutral Acceptance was positively associated. This study revealed the complexity of educating to attitudes conducive to comfortably providing nursing care at the end of life, revealing the need for a multimodal approach. Assuming that attitudes engender behaviors, discomfort or aversion toward death may negatively impact giving care at the end of life. The study outcomes recommend introspective exploration of student nurses' attitudes toward death and the origins of those attitudes as well as offering deliberate didactic and clinical experiences with the dying to prepare nurses with the aptitudes and attitudes to comfortably provide end-of-life care.
Book Synopsis The Impact of a Palliative Care Educational Component on Attitudes Toward Care of the Dying in Undergraduate Nursing Students by :
Download or read book The Impact of a Palliative Care Educational Component on Attitudes Toward Care of the Dying in Undergraduate Nursing Students written by and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse educators have identified that historically nurses have not been preparedto care for dying patients. Research also has identified that nursing students haveanxieties about death, dying, and caring for dying patients. Several factors have beenidentified as affecting nurses', nursing students', and medical students' attitudes toward care of the dying. Factors addressed in this research will be death education, and death experience. As part of a national movement to improve end-of-life (EOL) care, schools ofnursing are starting to implement EOL education in their curricula. This researchlooked at one component of EOL education, which incorporates experiential learningusing Quint's (1967) model of death education and transformative learning theory. The educational experiences were geared to help students understand the skills neededto competently and compassionately care for the dying; those behaviors include: (1)responding during the death scene, (2) providing comfort, (3) responding to anger, (4)enhancing personal growth, (5) responding to colleagues, (6) enhancing the quality oflife during dying, and (7) responding to the family (Degner, Gow, & Thompson,1991). The study examined the long-term effects of an educational experience todetermine if a one- time educational experience provides sufficient, lasting effects in a6-week format. Results of this study indicate that education can have a positive effect onnursing students' attitudes toward care of the dying. Nursing students in the treatmentgroup had a significant positive increase in their attitudes toward care of thedying after the treatment. It was also noted on the pretest that those students who hadprevious experience in caring for dying patients had a statistically significant higherpositive attitude toward care of the dying than those who did not have previousexperience in care of the dying. The attitude change increased slightly after a 4-weekperiod. The use of the End of Life Nursing Education Consor.
Book Synopsis Nursing Students' Attitudes Toward Death and the Dying Patient by : Carmella D. Steen
Download or read book Nursing Students' Attitudes Toward Death and the Dying Patient written by Carmella D. Steen and published by . This book was released on 1982 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Factors Associated with Health Education Specialists' Attitudes Towards Providing End-of-life Education by : Amy J. Piontek
Download or read book Factors Associated with Health Education Specialists' Attitudes Towards Providing End-of-life Education written by Amy J. Piontek and published by . This book was released on 2017 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: End-of-life decisions are often difficult to make for patients and families, particularly with a new diagnosis of a terminal disease. Completing advance directives can alleviate much of the burden related to the end-of-life decision making process; however, many Americans do not have advance directives established. Additionally, there is a lack of knowledge and use of end- of-life resources available to terminally ill patients and their families, resulting in a poor quality of life. End-of-life and palliative care initiatives have been developed in the United States over the last two decades. There is an increasing number of terminally ill patients receiving end-of- life care due to the Patient Self-Determination Act (PSDA) of 1991 and the credentialing mandates set forth by the accrediting body for baccalaureate nursing programs. However, there are still many Americans who are unaware of end-of-life issues. By broadening the scope of practice among health educators, the general public will have a greater awareness of end-of-life issues, and an opportunity to establish advance directives. The purpose of the current study was to explore attitudinal differences between Certified Health Education Specialists (CHES) and Master Certified Health Education Specialists (MCHES) towards providing end-of-life education based on the factors of age, gender, ethnicity, religious influence, religious affiliation, level of education, additional certifications and licensures, previous coursework with death and dying, experience with terminally ill patients, and experience with loss of a loved one. A purposive, random sample of CHES and MCHES health education specialists whose names and mailing addresses were provided from the National Commission for Health Education Credentialing (NCHEC), was used for this study. Participants completed a demographic survey as well as a survey pertaining to their attitudes towards providing end-of- life education. It was anticipated that, like the attitudes of nurses, health educators would want to take active roles in assisting people with end-of-life decisions and provide end-of-life education for the general population. A sample size of 373 health education specialists participated in this study. The three factors of age, previous education on death and dying, and experience with caring for terminally ill persons and their families were associated with positive attitudes towards providing end-of-life education. This study suggests a need for death and dying education along with experiential learning to be incorporated in the health education curricula in order prepare health educators to advocate and educate the public and terminally ill patients as well as their families about advance care planning and their health care options at the end-of-life. By increasing the job role of the health educator, more people will understand the dying process and make informed healthcare decisions, thus improving their quality of life at the end of life.
Book Synopsis A Comparison of Methodologies Used to Teach End-of-life Care to Baccalaureate Nursing Students by : Frances Figueroa Mal
Download or read book A Comparison of Methodologies Used to Teach End-of-life Care to Baccalaureate Nursing Students written by Frances Figueroa Mal and published by . This book was released on 2015 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals facing serious life-threatening illnesses and approaching death deserve to be treated with dignity, respect and compassion. They deserve to receive care that focuses on the individuals goals for care. Their families need and deserve to receive support as well. Unfortunately, the way end of life is handled in today's medical settings has much to do with what healthcare professionals consider to be their obligation, not only what such obligations are, but also to whom they are owed. Much has been written about the limited amount of end-of-life care education and training medical and nursing students receive in their respective programs in the United States. Research on end-of-life care instruction in baccalaureate nursing programs in the State of New Jersey shows that many programs integrate the subject of death and dying into their curriculum. Currently, only two programs have courses that are specifically on end-of life. Thus, a great majority of nursing students graduate without sufficient instruction on end-of-life care or have ever taken care of a patient who is in the stages of dying. Nurses take care of patients who are sick and patients who are dying; it is surprising that little attention is given to a subject that is so important to the human spirit. Nurses need to have preparation in order to achieve an understanding of the dynamics that occur when a patient is dying. They need to be able to care for the patient and the family during this crucial time. Our students are not being given the fundamental knowledge or the clinical experiences that will allow them to achieve a comfort level in this area. This dissertation compares two methodologies used in teaching end-of-life care to determine which provides the best outcome for learning.
Book Synopsis Exploring how Nurse Beliefs and Attitudes Influence End-of-life-care Practice by : Cara Chandler
Download or read book Exploring how Nurse Beliefs and Attitudes Influence End-of-life-care Practice written by Cara Chandler and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses are the cornerstones to provide safe patient care. Studies about nurses experiencing challenges while providing end-of-life care (EOLC) are limited. It is imperative to understand how nurses' beliefs and attitudes influence their actions while providing EOLC. The aims of this study were to (a) explore the relationship of personal factors and nurse beliefs and attitudes on providing EOLC and (b) examine the relationship of nurse beliefs and attitudes on intention and performance to provide EOLC. These aims were explored in a convenience sample of nurses working in multiple adult patient settings. The Theory of Planned Behavior guided a cross-sectional correlational research design. The sample included 621 members of the Oncology Nurses Society and the American Association of Critical Care Nurses who completed a questionnaire. Constructs evaluated included EOLC behavioral, normative, and control beliefs, behavior intention, and past behavior performance, religiosity, personal and professional experience with death, and personal demographic variables. Behavioral, normative, and control beliefs were hypothesized to influence both intention to provide care for patients at end-of-life and actual care provided. Among the personal factors examined, only age and professional experience with death predicted either intention or performance. Although religiosity was a strong predictor of EOLC beliefs, it was not a significant predictor of either intention or performance. Behavioral, normative, and control beliefs were significant predictors of intention to communicate, but only behavioral vii beliefs and control beliefs significantly predicted intention to act. Actual communication performance was predicted by both behavioral beliefs and normative beliefs, but not control beliefs. Given the substantial involvement nurses have in providing EOLC, it is important to understand how their beliefs and attitudes about EOLC and death might influence their intention and actual behavioral performance. Guided by a psychosocial theory, these study results determined that religiosity was a strong predictor of behavioral, normative, and control beliefs, but when intention and performance are added to the multivariate regression analysis, faith gain and faith loss were no longer significant predictors. Nurses' intentions to perform EOLC were related to their prior behavior performance. The results of this study provide insight into potential interventions to improve patient EOLC.
Book Synopsis The Effect of an Undergraduate Nursing Course in Palliative Care on Death Anxiety and Attitudes to Care of the Dying in Nursing Students by : Lesley Faith Degner
Download or read book The Effect of an Undergraduate Nursing Course in Palliative Care on Death Anxiety and Attitudes to Care of the Dying in Nursing Students written by Lesley Faith Degner and published by . This book was released on 1986 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Using Simulation to Discuss End-of-life Prognosis with an Adolescent by : Donna Lingerfelt
Download or read book Using Simulation to Discuss End-of-life Prognosis with an Adolescent written by Donna Lingerfelt and published by . This book was released on 2017 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Relationship Between the Physician and the Dying Patient by : Ori Tzvieli
Download or read book The Relationship Between the Physician and the Dying Patient written by Ori Tzvieli and published by . This book was released on 1998 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Care of the Dying Patient by : Phyllis Carlisle Bray
Download or read book Care of the Dying Patient written by Phyllis Carlisle Bray and published by . This book was released on 2012 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: People are living longer today due to lifestyle changes and treatment of illnesses. End of life nursing care has become a field of nursing practice that requires focus on meeting the needs of the patient and family. Nurses are central figures in advocating for interventions that minimize burden and distress and enhance quality of life for their patients. Given these extremely important responsibilities, new nurses must be adequately prepared to provide sensitive quality of care for patients at the end of life. This quantitative study aimed to assess how comfortable nursing students feel toward the care of dying patients at the completion of an associate nursing degree program. The subjects in this study were obtained by using a convenience sample of second year associate nursing degree students in one nursing program. Forty second year associate degree nursing students were recruited using a face-to-face recruitment method. The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) was administered to second year associate degree nursing students during the last semester of their program. Participants' scores ranged from 111 points to 150 points. The median score for the group was 130 points and the average score was 128.3 points, which shows an overall positive attitude toward care of the dying amongst the participants.
Book Synopsis End-of-life Preparation of Undergraduate Nursing Students by : Renee B. Kumpula
Download or read book End-of-life Preparation of Undergraduate Nursing Students written by Renee B. Kumpula and published by . This book was released on 2008 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this study is to answer the question: Is there a difference in the acquired knowledge of end-of-life nursing care and concerns about caring for dying patients of senior nursing students who complete an end-of-life nursing course during their undergraduate education compared with students who do not complete an end-of-life course? This question postulates potential difference between groups in knowledge of end-of-life care and related concern about dealing with death and dying. In this study, the independent variable is educational treatment through an end-of-life elective course and the dependent variable is any resulting change in knowledge and concern."--leaf 11.
Book Synopsis The Relationship Between Nurses' Educational Background and Their Attitudes Toward Caring for the Dying Patient by : Ginger A. Peterson
Download or read book The Relationship Between Nurses' Educational Background and Their Attitudes Toward Caring for the Dying Patient written by Ginger A. Peterson and published by . This book was released on 1986 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Impact of a Death and Dying Simulation on Nursing Students Levels of Empathy, Attitude Towards Caregiving, and Fear of Death by :
Download or read book The Impact of a Death and Dying Simulation on Nursing Students Levels of Empathy, Attitude Towards Caregiving, and Fear of Death written by and published by . This book was released on 2019 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nursing students often lack proper training needed to handle the emotional and mental aspects of caring for end-of-life patients. They are interested in saving and helping people but, may be ill prepared for caring for patients in end-of-life cases. Many nursing students are not exposed to potentially stressful situations they may encounter in their career as it relates to a dying patient. Previous research suggests that the use of simulations with nursing students has proven to be effective in reinforcing topics taught in the classroom. This study will offer insight into several factors that could affect how nursing students perform in patient death circumstances. The current study aims to assess the effectiveness of death and dying simulations experience on the development of empathy, identification of fear of death and whether these factors attribute to attitudes towards caregiving. Students from a private university will engage in death and dying simulations as part of their course requirements. Using a pre-test- post-test design with a follow-up post-test, we hypothesize: the death and dying training simulation will increase the nursing student's level of empathy, the death and dying training simulation will increase the nursing student's level of their attitude towards caregiving, empathy and fear of death will significantly predict the nursing student's attitude towards caregiving"--Page 6.
Book Synopsis The Effects of a Small Group Education/counseling Experience on the Attitudes of Nurses Toward Death and Toward Dying Patients by : Margaret Shandor Miles
Download or read book The Effects of a Small Group Education/counseling Experience on the Attitudes of Nurses Toward Death and Toward Dying Patients written by Margaret Shandor Miles and published by . This book was released on 1976 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to measure the effects of a small group education/counseling experience on the attitudes toward death and toward dying patients of nurses who work in high risk death areas of local hospitals. The subjects were from three populations: registered nurses who work in high risk death areas of local hospitals, and who registered for a continuing education course on death and dying, registered nurses from high risk death areas of local hospitals who did not register for the course, and freshman students from a local university. The experimental design used four groups of subjects. One group experienced the treatment. Another group served as a waiting list control group and then experienced the treatment. Two groups were control groups. Subjects from all groups were given the outcome measures before the course began. Subjects from the treatment group were retested at the end of the six weeks course. Subjects from the waiting list control-treatment group were retested twice: after six weeks and twelve weeks, the latter after they had attended the six-week course. The treatment consisted of attendance at a six-week continuing education course entitled, "Coping with Death and Dying in High Risk Areas of Hospitals", in which techniques from both education and counseling were used. Two instruments were used as the dependent variables in the study: the Death Anxiety Semantic Differential, Parts I and II, and the Attitude Toward Dying Patients Questionnaire. The scores on the DASD, Part I and II were analyzed by analysis of variance, analysis of covariance, and two-way analysis of variance with the following results; (1) There were no statistically significant differences between the groups at the beginning of the experiment; (2) Subjects from the first treatment group had significantly greater changes in attitude toward death and toward dying patients as measured by the DASD, Part I and II, than subjects in the waiting list control group: (3) There was no significant difference between pre-post-attendance scores of both treatment groups as measured by the DASD, Part I because of interaction. There was a statistically significant difference between pre- and post-attendance scores of subjects from both treatment groups as measured by the DASD, Part II. A change score was computed for each subject based on answers to three of the questions on the Attitude Toward Dying Patients Questionnaire. Scores were analyzed by one-way analysis of variance which showed a statistically significant difference in attitude change toward death and dying between subjects who experienced the treatment and control group subjects. Responses to nineteen questions on the Attitude Toward Dying Patients Questionnaire were examined by item analysis of coded responses. Because of the lack of statistical analyses on these items, findings are considered extremely tentative. It appears, however, that the course did have an impact in changing attitudes of subjects from the first treatment group. Change of attitude of subjects from the waiting list control-treatment group occurred less frequently. It was concluded that attendance at the continuing education/counseling course on death and dying did appear to have an impact on changing attitudes toward death and toward dying patients of the nurses from high risk death areas who attended the course
Book Synopsis Vicarious Learning and Perceived Self-efficacy Among Pre-licensure Nursing Students During Pediatric End-of-life Situations by : Stephanie Barger Mohr
Download or read book Vicarious Learning and Perceived Self-efficacy Among Pre-licensure Nursing Students During Pediatric End-of-life Situations written by Stephanie Barger Mohr and published by . This book was released on 2018 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite decades of acknowledgement among nursing academics and organizations, end-of-life (EOL) nursing education is significantly lacking. Insufficient EOL care education leaves nursing students feeling ill-prepared to adequately care for clients and their loved ones at EOL. Though the literature reveals a recent increase in didactic and simulation-related EOL education sporadically being integrated into nursing curricula, minimal research addresses important topics of pediatric EOL care and provision of therapeutic communication, considered critical to EOL care. End-of-life clinical experiences, particularly in pediatrics, are limited for pre-licensure nursing students. Though effective, simulations can be costly and timely to execute, are restricted by limited availability of space, and require facilitators who are adequately trained in provision of EOL care. Such barriers prompt the question as to whether there is a more cost and time-effective alternative to active simulation, by which students can gain improved self-efficacy in provision of therapeutic communication during pediatric EOL situations. The literature has shown vicarious learning to provide students with opportunities to gain experience and knowledge through observation of their peers in simulated settings. This study specifically evaluated the effectiveness of vicarious versus active learning on pre-licensure nursing students' perceived self-efficacy in providing therapeutic communication during pediatric EOL situations. Data collected over time with baseline Self-Efficacy in Communication During Difficult Situations Scale scores (SECS1), post-EOL simulation self-efficacy scale scores (SECS2), and post-simulation debriefing self-efficacy scale scores (SECS3) revealed no statistically significant differences in perceived self-efficacy within or between the vicarious and active learner groups. Therefore, vicarious learning seems to be a viable pedagogical approach for providing pre-licensure nursing students important learning opportunities related to pediatric EOL care, as well as improved self-efficacy in providing therapeutic communication during difficult situations.
Book Synopsis Effect of Selected Learning Experiences on the Attitudes of Nursing Students Toward Death and Dying by : Billie Garrett Carroll
Download or read book Effect of Selected Learning Experiences on the Attitudes of Nursing Students Toward Death and Dying written by Billie Garrett Carroll and published by . This book was released on 1985 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt:
