Nursing Students' Attitudes and Experiences Toward End-of-Life Care: A Mixed Methods Study Using Simulation

Ferguson, Rita; Cosby, Patricia

doi:10.1016/j.ecns.2017.03.006

Cited by 25 publications

(24 citation statements)

References 15 publications

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“…This difficulty is shown in the communication component which has the lowest mean value. According to Ferguson and Cosby (2017), communication is one of the most difficult things for students in dealing with palliative patients, and students prefer to do non-verbal communication. of self-efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Communication is one of the important things in providing care for palliative care, but in nursing practice, there are difficulties in communicating with patients. Research conducted by Ferguson and Cosby (2017) with quantitative mixed simulation methods and simulation experience in nursing students showed that there are 4 difficulties in providing palliative care. The difficulties include the existence of things that are unknown, meet the needs and dignity of patients, prepare patients to face end-life, and communication.…”

Section: Introductionmentioning

confidence: 99%

“…The difficulties include the existence of things that are unknown, meet the needs and dignity of patients, prepare patients to face end-life, and communication. Based on these 4 difficulties, the majority of students state that they have difficulty in communicating with patients, nursing students prefer to be quiet if they don't know what to say (Ferguson & Cosby, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Self-Efficacy of internship nursing students in dealing with Palliative patients

Sipayung¹,

Pahria²,

Praptiwi³

2019

JNC

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Palliative care is one of the practice areas that is perceived difficult by nurses and nursing students. Students tend to avoid seeing patients with the deteriorating condition. This research aimed to identify the self-efficacy of internship nursing students in facing palliative patients within communication, management of the patient, and multidisciplinary teamwork components. This study was a descriptive quantitative. Samples were recruited from a population of internship nursing students at Faculty of Nursing Universitas Padjadjaran using a total sampling technique (n=159). Data were collected using Self-Efficacy Palliative Care scale (SEPC). Data were analyzed using mean scores calculated from the total scores of each respondent. The results showed that more than half of the respondents had a low level of self-efficacy. In terms of its components, students' self-efficacy in communication, multidisciplinary team collaboration, and patient management had a mean score of 38.24 (SD 10.35), 39.21 (SD 9.44), and 48.18 (SD 9.56) respectively. Based on the results, it is recommended to develop an active learning strategy for internship nursing students, especially in the aspects of communication, patient management, and multidisciplinary team collaboration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Self-Efficacy of internship nursing students in dealing with Palliative patients

Sipayung¹,

Pahria²,

Praptiwi³

2019

JNC

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“…in the form of medical simulation. The effectiveness of medical simulation in the development of social competences required in the care of the dying has been indicated [4,13].…”

Section: Discussionmentioning

confidence: 99%

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

Mazur¹,

Dobrowolska

Rabiasz

et al. 2018

Polish Journal of Public Health

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Introduction. Well-implemented, holistic care of the dying patient requires appropriate qualifications from the medical personnel. Aim. The aim of the study was to collect the opinions of nursing and medical students before the end of their professional education on their preparation to provide care to the dying patient. Material and methods. The survey was carried out in a group of 213 medical and nursing students during their final year of professional education. Results. Students were unable to clearly express their opinion on their preparation to provide care to patients at the end of their lives (87; 40.8%). Nursing students were more likely to perceive themselves as prepared for such care – 30 (26.7%) than medical students – 11 (10.9%). Statistically significant correlation was observed. A large group of the students (92; 43.2%) had never been present at the scene of a patient’s death during clinical classes. The majority of the respondents chose ‘definitely not’ (59; 27.7%) and ‘rather not’ (53; 24.9%) answers when asked if their university education had prepared them for work with patients at the end of their lives. Students considered their knowledge to be lacking mostly in areas such as coping with their own emotions in the face of a patient’s death (137; 64.3%); communicating with a dying person (119; 55.9%); providing care to the patient’s family (154; 72.3%); cooperating with the patient’s family (125; 58.7%). Conclusions. Students of both majors are not certain about the level of their preparation to provide care to people at the end of their lives, nor about the extent to which their university education had introduced them to the specificity of care of a dying patient. The medical students were observed to exhibit higher statistical significance as compared to the nursing students. The university curriculum prepared the students to take care of the dying patient’s biological sphere, but did not prepare them to assume a holistic approach to care of the patient and his family.

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“…However, the literature cites poor education as a major issue (Parry, 2011;Gillan et al, 2014a). Newly qualified nurses report feeling ill-prepared (Anderson et al, 2015;Ferguson and Cosby, 2017), with communication and not knowing what to say to patients and their families being particular stressors (Österlind et al, 2016). In addition to concerns about the insufficiency of education about end-of-life care, students worry that they may not gain experience of death and dying until after qualification, when they may well be in positions of leadership and in charge of a shift.…”

Section: Introductionmentioning

confidence: 99%

Nurses' early and ongoing encounters with the dying and the dead: a scoping review of the international literature

2020

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Background: End-of-life care is high on policy and political agendas in the UK and internationally. Nurses are at the forefront of this, caring for dying patients, ‘managing’ the dead body, and dealing with the corporeal, emotional and relational dimensions of death. Little is known about nurses' prior or early professional experiences of and reactions to death, dying and the corpse and how these might influence practice. Aims: To appraise the international literature on nurses' early experiences of death, dying and the dead body, to better understand how these might influence subsequent practice, and how this might inform our teaching of death, dying and last offices. Methods: A scoping review was undertaken of peer-reviewed publications between, 2000 and 2019, which included nurses working in hospital, care homes and the community. Medline, PubMed, PsychINFO and CINAHL databases were searched and 23 papers meeting the inclusion criteria were read. Arksey and O'Malley's (2005) five-stage approach was adopted to scope the relevant international literature, using where relevant the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Selected papers were independently reviewed and subjected to thematic analysis, leading to the generation of five overarching themes. Results: The five themes were: different philosophies of care; relationships; knowledge; impact of death; and giving care. The studies came from diverse geographical locations across different settings and were primarily qualitative in design. Conclusions: Students and registered nurses are impacted both positively and negatively by their early encounters with death and dying. Good communication with patients, families and between professionals, understanding of what constitutes a ‘good’ death, and high-quality mentorship and support were of particular importance.

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Nursing Students' Attitudes and Experiences Toward End-of-Life Care: A Mixed Methods Study Using Simulation

Cited by 25 publications

References 15 publications

Self-Efficacy of internship nursing students in dealing with Palliative patients

Self-Efficacy of internship nursing students in dealing with Palliative patients

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

Nurses' early and ongoing encounters with the dying and the dead: a scoping review of the international literature

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