The COVID-19 pandemic and nurses’ attitudes toward death

Cardoso, Maria Filomena Passos Teixeira; Martins, Manuela; Trindade, Letícia de Lima; Ribeiro, Olga Maria Pimenta Lopes; Fonseca, Esmeralda Faria

doi:10.1590/1518.8345.4769.3448

Cited by 21 publications

(31 citation statements)

References 19 publications

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“…Thai people regularly listen to the most recent updates on the number of cases and deaths from COVID-19. Furthermore, a prior study on the COVID-19 pandemic and attitudes toward death have showed that the participants featured attitudes of fear and avoidance [ 42 ]. This may alter the attitude of participants in this study.…”

Section: Discussionmentioning

confidence: 99%

General population-based study on preferences towards end-of-life care in Southern Thailand: a cross-sectional survey

Jiraphan

Pitanupong

2022

BMC Palliat Care

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Background End-of-life care preferences are potentially due to individual choice and feature variation due to culture and beliefs. This study aims to examine end-of-life care preferences and any associated factors, among the general Thai population. This could inform physicians in regards to how to optimize the quality of life for patients that are near the end of their lives. Methods A cross-sectional study surveyed the general population in the Thai province of Songkhla; from January to April 2021. The questionnaires inquired about: 1) demographic information, 2) experiences with end-of-life care for their relatives, and 3) end-of-life care preferences. To determine end-of-life preferences, the data were analyzed using descriptive statistics. The data concerning patient demographics and end-of-life care preferences were compared using Fisher’s exact test. Results The majority of the 1037 participants (67.6%) were female. The mean age among the adult and older adult groups were 40.9 ± 12.2, 70.0 ± 5.1, respectively. Half of them (48%) had an experience of observing someone die and 58% were satisfied with the care that their relatives had received. Most participants identified the following major end-of-life care preferences: having loved ones around (98.1%), being free from distressing symptoms (95.8%), receiving the full truth (95.0%), and having meaning in their lives (95.0%). There were no statistically significant differences in regards to end-of-life care preferences apart from being involved in treatment decisions, between adult and older adult groups. Conclusion There was only one difference between the end-of-life preferences of the adult group versus the older adult group in regards to the topic of patient involvement in treatment decisions. Furthermore, receiving the full truth regarding their illness, being free from distressing symptoms, having loved ones around, and living with a sense of meaning were important end-of-life care preferences for both groups. Therefore, these should be taken into account when developing strategies towards improving patient life quality during their end-of-life period.

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Section: Discussionmentioning

confidence: 99%

General population-based study on preferences towards end-of-life care in Southern Thailand: a cross-sectional survey

Jiraphan

Pitanupong

2022

BMC Palliat Care

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“…With regard to nursing professional practice environments, the investment made in the institution during the first two critical periods of the pandemic, such as the increased availability of material resources, the hiring of more nurses, the mobilization of nurses from services with decreased activity to those that ensured care for COVID‐19 patients, the strict separation of COVID and non‐COVID areas and the frequent assessment of the adopted strategies (Almeida, 2020 ; Cardoso et al, 2021 ), had a positive impact on the Structure and Outcome components. However, the mean percentages confirm that, similarly to the pre‐pandemic context, these components remained moderately favourable to the quality of care.…”

Section: Discussionmentioning

confidence: 99%

“…Of the various implemented measures, we highlight the acquisition of clinical and non‐clinical material and the early definition of independent circuits for patients with COVID‐19. In addition, some services were remodelled, and professionals were hired to satisfy more adequate ratios, as well as reinforced training and constant dissemination of guidelines issued by national and international entities (Almeida, 2020 ; Cardoso et al, 2021 ; Ventura‐Silva et al, 2020 ).…”

Section: Methodsmentioning

confidence: 99%

“…Since the beginning of the pandemic, in March 2020, the definition of areas for hospitalization of COVID patients, non‐COVID patients and areas for patients awaiting the results of disease testing assisted to reduce the risk of cross infection and to ensure the assistance of those who sought the institution for other pathologies (Cardoso et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

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Impact of COVID‐19 on professional nursing practice environments and patient safety culture

Ribeiro

Trindade

Fassarella

et al. 2022

J Nursing Management

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Aim To analyse the impact of COVID‐19 on professional nursing practice environments and patient safety culture. Background The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self‐completion questionnaire was used. Results The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management Improving professional nursing practice environments can be achieved through managers' investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.

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“…Estudo sobre as atitudes de enfermeiros portugueses frente à morte no período crítico pandêmico, em ambiente hospitalar e principalmente na área de atendimento da COVID-19, aponta média superior em relação às atitudes de medo (28,9%) e de evitamento (18,4%), ou seja, medo da morte e evitar pensar sobre ela, com o objetivo de minimizar ansiedade. Salienta também que a atitude de medo perante a morte em pessoas casadas, em união estável e/ou que vivem com companheiros é mais significativa (Cardoso et al, 2021), o que corrobora achados do presente estudo, em que o medo de morrer foi expresso majoritariamente por profissionais casadas. Portanto, é fundamental que nos processos formativos e de capacitação, estudantes e profissionais de enfermagem recebam conteúdos e discorram sobre como lidar e enfrentar situações de morte no contexto do cuidado.…”

Section: Discussionunclassified

Fear-Generating Circumstances in Brazilian Nursing Professionals in the Context of the Covid-19 Pandemic

Nóbrega¹,

Marcheti²,

Nasi³

et al. 2022

New Trends in Qualitative Research

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The context of COVID-19 made it possible for professionals in the nursing category to be in a state of alert and emotional distress, and they were afraid to perform procedures on suspected or confirmed patients of COVID-19. Objective: To understand the fear-generating circumstances experienced by nursing professionals in the context of the COVID-19 pandemic. Method: Qualitative, exploratory study, developed in the five geographic regions of Brazil, through interviews in a virtual environment with 215 professionals, between April and December 2020. The data were processed by the IRaMuTeQ® software and analyzed in the light of the theoretical-philosophical framework of Phenomenological Sociology. Results: Most females mean 37.9 years old, married, white and mixed-race, nursing technicians (15.5%) and nurses (84.5%), working in public institutions. The textual corpus was divided by the software into 3 classes and subclasses: fear of personal and family life circumstances, related to the risk of self-contamination, transmission, loss of family members, co-workers and life itself; fear of exposure and social distancing in the face of the feeling of loneliness arising from social distancing, despite understanding that loneliness implies the absence of emotional connections with the people around, and not associated with physical distance; fear of subjective and objective working conditions, related to insecurity in the face of precarious working conditions, such as physical infrastructure, biosafety inputs, human resources, technical unpreparedness, lack of training and qualifications to take on highly complex care units, such as the needs to acquire and improve technical-scientific knowledge. Conclusion: The circumstances that generate fear are multiple and are processed in the physical, social, psychological and work dimensions, and it marks the lack of knowledge about the disease. The interpretations of the everyday world are based on a stock of previous experiences and transmitted by our predecessors, if they didn't have them (didn't live a pandemic) they can hardly deal with the current problem.

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The COVID-19 pandemic and nurses’ attitudes toward death

Cited by 21 publications

References 19 publications

General population-based study on preferences towards end-of-life care in Southern Thailand: a cross-sectional survey

General population-based study on preferences towards end-of-life care in Southern Thailand: a cross-sectional survey

Impact of COVID‐19 on professional nursing practice environments and patient safety culture

Fear-Generating Circumstances in Brazilian Nursing Professionals in the Context of the Covid-19 Pandemic

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