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Attitudes of Iranian nurses toward caring for dying patients

Published online by Cambridge University Press:  13 November 2008

Sedigheh Iranmanesh ,
Helen Dargahi  and
Abbas Abbaszadeh
Sedigheh Iranmanesh*
Affiliation:
Department of Health Science, Luleå University of Technology, Luleå, Sweden
Helen Dargahi
Affiliation:
Valiasr Hospital, Tehran University of Medical Science, Tehran, Iran
Abbas Abbaszadeh
Affiliation:
Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
*
Address correspondence and reprint requests to: Sedigheh Iranmanesh, Department of Health Science, Luleå University of Technology, Luleå, 97187, Sweden. E-mail: sedigheh.iranmanesh@ltu.se
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Abstract

Objective:

To examine the attitudes of Iranian nurses toward caring for dying patients.

Methods:

Nurses' attitudes toward death and caring for dying patients were examined by using two types of questionnaires: the Death Attitude Profile–Revised (DAP-R) and Frommelt's Attitude towards Caring for Dying Patients (FATCOD), both with a demographic survey.

Results:

The results showed that most respondents are likely to view death as a natural part of life and also as a gateway to the afterlife. The majority reported that they are likely to provide care and emotional support for the people who are dying and their families, but they were unlikely to talk with them or even educate them about death. They had a tendency not to accept patients and their families as the authoritative decision makers or involve families in patient care. Nurses' personal views on death, as well as personal experiences, affected their attitudes toward care of the dying.

Significance of results:

Lack of education and experience, as well as cultural and professional limitations, may have contributed to the negative attitude toward some aspects of the care for people who are dying among the nurses surveyed. Creating a reflective narrative environment in which nurses can express their own feelings about death and dying seems to be a potentially effective approach to identify the factors influencing their interaction with the dying. Continuing education may be required for Iranian palliative care nurses in order to improve the patients quality of care at the end of life.

Keywords

Attitude toward caring for dying patientsAttitude toward deathPalliative carePalliative care educationIranian nurses
Type
Original Articles
Information
Palliative & Supportive Care , Volume 6 , Issue 4 , December 2008 , pp. 363 - 369
Copyright
Copyright © Cambridge University Press 2008

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References

REFERENCES

Adib Hajbaghery, M. & Salsali, M. (2005). A model for empowerment of nursing in Iran. BMC Health Services Research, 5, 24.CrossRefGoogle Scholar
Bauman, Z. (1992). Survival as a Social Construct. In Cultural Theory and Cultural Change, Featherstone, M. (ed.), pp. 1–36. London: Sage.Google Scholar
Brent, S.B., Speece, M.W., Gates, M.F. et al. (1991). The contribution of death related experiences to health care providers' attitudes toward dying patients: I. Graduate and undergraduate nursing students. Omega, 23, 249–278.Google Scholar
Budget and Planning Organization (1998). National Atlas of Iran: Higher Education. Tehran, Iran: National Mapping and Geographical Organization Publishers.Google Scholar
Cheraghi, M.A., Payne, S.H. & Salsali, M. (2005). Spiritual aspects of end of life care for Muslim patients: Experiences from Iran. International Journal of Palliative Nursing, 11, 468–479.Google Scholar
Dunn, K.S., Otten, C. & Stephens, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum, 32, 97–104.Google Scholar
European Values Study Group and World Values Surveys Association. (2000). European and World Values Surveys Four-wave Integrated Data File, 1981–2004. Retrieved September 2007 from http://www.worldvaluessurvey.org/services/index.html.Google Scholar
Ferrell, B. (2001). Caring at the end of life. The Journal of the American Society of Ophthalmic Registered Nurses, 4, 109–113.Google Scholar
Franke, K.J. & Durlak, J.A. (1990). Impact of life factors upon attitudes toward death. Journal of Death & Dying, 21, 41–49.CrossRefGoogle Scholar
Frommelt, K.H. (1991). The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice Palliative Care, 8, 37–43.CrossRefGoogle ScholarPubMed
Ghavamzadeh, A. & Bahar, B. (1997). Communication with the cancer patients in Iran: Information and truth. Annals of the New York Academy of Sciences, 809, 261–265.Google Scholar
Hainsworth, D.S. (1996). The effect of death education on attitudes of hospital nurses toward care of the dying. Oncology Nursing Forum, 23, 963–967.Google Scholar
Holloway, M. (2006). Death the great leveller? Towards a transcultural spirituality of dying and bereavement. Journal of Clinical Nursing, 15, 833–839.Google Scholar
International Council of Nurses. (1997). Basic principles of nursing care. Washington, DC: American Nurses Publishing.Google Scholar
Kao, Sh.F. & Lusk, B. (1997). Attitudes of Asian and American graduate nursing students towards death and dying. International Journal of Nursing Studies, 34, 438–443.CrossRefGoogle ScholarPubMed
Leininger, M. (1985). Transcultural care diversity and universality: A theory of nursing. Nursing and Health Care, 6, 209–212.Google ScholarPubMed
Neimeyer, R.A., Moser, R. & Wittkowski, J. (2004). Psychological research on death attitudes: An overview and evaluation. Death Studies, 28, 309–340.CrossRefGoogle ScholarPubMed
Nikbakht Nasrabadi, A.R. & Emami, A. (2006). Perceptions of nursing practice in Iran. Nurse Outlook, 54, 320–327.Google Scholar
Olthuis, G. & Dekkers, W. (2003). Medical education, palliative care and moral attitude, some objectives and future perspectives. Journal of Medical Education, 37, 928–933.CrossRefGoogle ScholarPubMed
Olthuis, G., Dekkers, W., Leget, C., et al. (2006). The caring relationship in hospice care: An analysis based on the ethics of the caring conversation. Nursing Ethics, 13, 29–40.Google Scholar
Richardson, J. (2002). Health promotion in palliative care: The patients' perception of therapeutic interaction with the palliative nurse in the primary care setting. Journal of Advanced Nursing, 40, 432–440.CrossRefGoogle Scholar
Rooda, L.A., Clements, R. & Jordan, M.L. (1999). Nurses' attitudes towards death and caring for dying patients. Oncology Nursing Forum, 26, 1683–1687.Google Scholar
Waltman, N.L. & Zimmerman, L. (1992). Variations among nurses in behavioral intentions toward the dying, The Hospice Journal, 7, 37–49.CrossRefGoogle Scholar
Wessel, E.M. & Garon, (2005). Introducing reflective narratives into palliative care home care education. Home Healthcare Nurse, 23, 516–522.Google Scholar
Wessel, E.M. & Rutledge, D.N. (2005). Home care and hospice nurses' attitudes towards death and caring for dying patients. Journal of Hospice and Palliative Nursing, 7, 212–218.Google Scholar
Wong, P., Reker, G. & Gesser, G. (1994). Death Attitude Profile–Revised. In Death Anxiety Handbook, Neimeyer, R.A. (ed.), pp. 120–144. Washington, DC: Taylor & Francis.Google Scholar
World Health Organization. (2005). Retrieved June 2007 from http://www.who.int/countries/en/#S.Google Scholar