PMID- 37300363
OWN - NLM
STAT- MEDLINE
DCOM- 20230921
LR  - 20230921
IS  - 1365-2702 (Electronic)
IS  - 0962-1067 (Linking)
VI  - 32
IP  - 19-20
DP  - 2023 Oct
TI  - Registered Nurses' attitudes towards end-of-life care: A sequential explanatory 
      mixed method study.
PG  - 7162-7174
LID - 10.1111/jocn.16787 [doi]
AB  - 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).
CI  - (c) 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons 
      Ltd.
FAU - Alshammari, Fares
AU  - Alshammari F
AUID- ORCID: 0000-0002-1223-1426
AD  - School of Nursing, University of Wollongong, Wollongong, New South Wales, 
      Australia.
AD  - College of Applied Medical Sciences, University of Hafr Al-Batin, Hafr Al-Batin, 
      Saudi Arabia.
FAU - Sim, Jenny
AU  - Sim J
AUID- ORCID: 0000-0001-6863-0541
AD  - School of Nursing, University of Wollongong, Wollongong, New South Wales, 
      Australia.
AD  - School of Nursing & Midwifery, University of Newcastle, Callaghan, New South 
      Wales, Australia.
AD  - WHO Collaborating Centre for Nursing, Midwifery & Health Development, University 
      of Technology Sydney, Sydney, New South Wales, Australia.
FAU - Lapkin, Samuel
AU  - Lapkin S
AUID- ORCID: 0000-0002-1618-3812
AD  - School of Nursing, University of Wollongong, Wollongong, New South Wales, 
      Australia.
AD  - Discipline of Nursing, Faculty of Health, Southern Cross University, Gold Coast, 
      Queensland, Australia.
FAU - McErlean, Gemma
AU  - McErlean G
AUID- ORCID: 0000-0001-6496-5678
AD  - School of Nursing, University of Wollongong, Wollongong, New South Wales, 
      Australia.
LA  - eng
GR  - University of Hafr Al Batin/
PT  - Journal Article
DEP - 20230609
PL  - England
TA  - J Clin Nurs
JT  - Journal of clinical nursing
JID - 9207302
MH  - Humans
MH  - Cross-Sectional Studies
MH  - Attitude of Health Personnel
MH  - *Terminal Care/psychology
MH  - *Hospice Care
MH  - *Nurses
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - attitude
OT  - barriers
OT  - end-of-life care
OT  - facilitators
OT  - palliative care
OT  - registered nurses
EDAT- 2023/06/10 15:14
MHDA- 2023/09/21 06:42
CRDT- 2023/06/10 03:43
PHST- 2023/04/12 00:00 [revised]
PHST- 2023/02/01 00:00 [received]
PHST- 2023/05/29 00:00 [accepted]
PHST- 2023/09/21 06:42 [medline]
PHST- 2023/06/10 15:14 [pubmed]
PHST- 2023/06/10 03:43 [entrez]
AID - 10.1111/jocn.16787 [doi]
PST - ppublish
SO  - J Clin Nurs. 2023 Oct;32(19-20):7162-7174. doi: 10.1111/jocn.16787. Epub 2023 Jun 
      9.