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Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0002-7182-511X
University West, Department of Health Sciences, Section for nursing - undergraduate level.ORCID iD: 0000-0003-1981-455X
University West, Department of Health Sciences, Section for nursing - graduate level. Stroke Unit, Skaraborg Hospital Skövde, Sweden.ORCID iD: 0000-0002-6454-9575
2019 (English)In: Heliyon, E-ISSN 2405-8440, Vol. 5, no 10, article id e02578Article in journal (Refereed) Published
Abstract [en]

Background: Many nursing students are not prepared to encounter death and care for patients who are at the end of life as newly educated nurses. The Frommelt Attitude Toward Care of Dying Scale (FATCOD) has been used to assess nursing students' attitudes during their education and changes have been noted.

Objective: To examine nursing students' attitudes towards care of dying patients before and after a course in palliative care.

Design: A descriptive study with a pre and post design.

Settings & participants: Nursing students (n = 73) enrolled in a mandatory palliative course in the nursing programme at a Swedish university.

Methods: Data were collected before and after a palliative care course using FATCOD and qualitative open-ended questions. Data from FATCOD were analysed using descriptive and analytical statistics. The open-ended questions were analysed with qualitative content analysis.

Results: The students' mean scores showed a statistically significant change toward a more positive attitude toward care of dying. Students with the lowest pre-course scores showed the highest mean change. The qualitative analysis showed that the students had gained additional knowledge, deepened understanding, and increased feelings of security through the course.

Conclusions: A course in palliative care could help to change nursing students' attitudes towards care of patients who are dying and their relatives, in a positive direction. A course in palliative care is suggested to be mandatory in nursing education, and in addition to theoretical lectures include learning activities such as reflection in small groups, simulation training and taking care of the dead body.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 5, no 10, article id e02578
Keywords [en]
Attitudes, Education, End of life, Health profession, Medicine, Nursing, Nursing education, Nursing students, Palliative care, Work integrated learning
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-14705DOI: 10.1016/j.heliyon.2019.e02578ISI: 000494641300124PubMedID: 31667412Scopus ID: 2-s2.0-85072935231OAI: oai:DiVA.org:hv-14705DiVA, id: diva2:1370216
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2020-12-15Bibliographically approved

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Berndtsson, InaKarlsson, MargaretaRejnö, Åsa

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