American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(3), 316-321
DOI: 10.12691/ajnr-7-3-12
Open AccessArticle

Self-Rated Anxiety and Attitude Responses of Pediatric Nurses Surveyed about Providing End of Life Care

Maha Mahmoud Saadoon1, , Mona Ibrahim Abouzeid1, Ebtsam Salah Shalaby Salama2 and Nadia Mohamed Wahba3

1Department of Pediatric Nursing, Nursing College, University of Port-Said, Egypt

2Psychiatric and Mental Health Nursing, Elmansoura University, Egypt

3Psychiatric and Mental Health Nursing, Port-Said University, Egypt

Pub. Date: March 27, 2019

Cite this paper:
Maha Mahmoud Saadoon, Mona Ibrahim Abouzeid, Ebtsam Salah Shalaby Salama and Nadia Mohamed Wahba. Self-Rated Anxiety and Attitude Responses of Pediatric Nurses Surveyed about Providing End of Life Care. American Journal of Nursing Research. 2019; 7(3):316-321. doi: 10.12691/ajnr-7-3-12

Abstract

Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses’ abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses’ attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion & Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses’ attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.

Keywords:
attitude end of life care pediatric nurse self-rated anxiety

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References:

[1]  Warwick, B., (2012). Outcome after pediatric intensive care unit discharge. Journal of Pediatrics, 88, 1-3.
 
[2]  Ward Betsy, N., Kennesaw. (2017). Nursing Students’ Knowledge and Attitudes Toward Care of the Dying,Doctorate of Nursing Science Dissertations, Wellstar School of Nursing Fall 12-12.
 
[3]  Robinson, J., Gott, M. &Ingleton, C. (2014). Patient and family experiences of palliative care in hospital: What do we know? An integrative review. Palliative Medicine, 28 (1), 18-33.
 
[4]  Ali, W.G., &Ayoub, N.S. (2010). Nurses’ perception towards caring for end of life pediatric patient in Mansoura University Hospitals. Journal of Medical and Biomedical Science. 5, 16-23.
 
[5]  Cevik, B., & Kav, S. (2013). Attitudes and experiences of nurses toward deathand caring for dying patients in Turkey. Cancer Nursing, 36(6), 58-65.
 
[6]  Raphael, D., Waterworth, S., & Gott, M. (2014). The role of practice nurses in providing palliative and End of Life care to older patients with long-termconditions. International Journal of Palliative Nursing, 20(8), 373-9.
 
[7]  Tan, A., & Manca, D. (2013). Finding common ground to achieve a “gooddeath”: Family physicians working with substitute decision-makers of dying patients. Aqualitative grounded theory study. BMC Family Practice, 1414.
 
[8]  Bloomer, M. J., Endacott, R., O'Connor, M., & Cross, W. (2013). The 'disease' of dying: Challenges in nursing care of the dying in the acute hospitalsetting. A qualitative observational study. Palliative Medicine, 27(8), 757-64.
 
[9]  Cui, J., Shen, F., Ma, X., & Zhao, J. (2011). What do nurses want to learn from death education? A survey of their needs. Oncology Nursing Forum, 38(6), p 402-8.
 
[10]  Peters, L., Cant, R., Payne, S., O'Connor, M., McDermott, F., Hood, K., Shimoinaba, K. (2013). How death anxiety impacts nurses' caring for patients at the end of life: A review of literature. Open Nursing Journal, 7, 14-21.
 
[11]  Maben, J., Peccei R., Adams, M., Robert, G., Richardson, A., Murrells, T., et al. (2012). Patients’ experiences of care and the influence of staff motivation, affect and well-being. Final Report. NIHR Service Delivery and Organization Program. http:// www.nets.nihr.ac.uk/__data/assets/pdf_file/0007/85093/ES-08-1819-213.pdf. Accessed 10 Feb 2016.
 
[12]  Klassen, A., Gulati, S., Dix D. (2012). Health care Providers’ perspectives about working with parents of children with cancer: A qualitative study. Journal of Pediatric Oncology Nursing, 29, 92-7.
 
[13]  McConnell, T., Scott, D., Porter S. (2016). Healthcare staff experience of providing end of life care to children: a mixed method review. Pall Med.
 
[14]  Spielberger, C., (1983). Manual for the State-Trait Anxiety Inventory. (rev. ed.). Palo Alto, (CA): Consulting Psychologists Press.
 
[15]  Spielberger, C. D. (1985). Assessment of state trait anxiety: conceptual and methodological issues. The Southern Psychologist, 2, 6-16.
 
[16]  Hoover, T. L,( 2006).  "The relationship between nurses' anxiety and attitude related to pediatric hospice" Graduate Theses and Dissertations. https://scholarcommons.usf.edu/etd/2563
 
[17]  Bradley, E. H., Cicchetti, D. V., Fried, T. R., Rousseau, D. M., Johnson-Hurzeler, R., Kasl, S. V., et al. (2000). Attitudes about care at the end of life among clinicians: a quick, reliable, and valid assessment instrument. Journal of Palliative Care, 16, 6-14.
 
[18]  Tubbs-Cooley, H L.., Santucci, G., APRN. B C, Tammy I. K., James A. F,., Kari R. H., & Feudtner, Chris. (2011). Pediatric Nurses’ Individual and Group Assessments of Palliative, End of Life, and Bereavement Care.Journal of palliative medicine, 14(5).
 
[19]  Razban F, Iranmanesh S, Rafiei H. Nurses’ attitudes toward palliative care in southeast Iran. International Journal of Palliative Nursing. Aug; 19(8): 403-10.
 
[20]  Hussin E. O. D. Wong L. P. Chong M. C. Subramanian P. (2018). Factors associated with nurses’ perception about quality of end-of-life care. International Nursing Review, 65 (2).
 
[21]  Beccaro, M., Caraceni, A., Costantini, M. & ISDOC Study Group (2010): End-of-life care in Italian hospitals: quality of and satisfaction with care from the caregivers’ point of view–results from the Italian Survey of the Dying of Cancer. Journal of Pain and Symptom Management, 39, 1003-15.
 
[22]  Tripathy S, Pragyan K. Routray, and Jagdish C. Mishra. (2017). Intensive Care Nurses' Attitude on Palliative and End of Life Care. Indian J Crit Care Med. Oct, 21(10), 655-9.
 
[23]  Jackson, J., Derderian, L., White, P., Ayotte, J., Fiorini, J., Osgood Hall, R., & Shay, J.T. (2012, June). Family perspective on End of Life care. Journal of Hospice and Palliative Nursing, 14(4), 303-311.
 
[24]  Feudtner C, Santucci G, Feinstein JS, Snyder CR, Rourke MT, Kang TI. (2007). Hopeful thinking and level of comfort regarding providing pediatric palliative care: A survey of hospital nurses. Pediatrics, 119(1): e186-e192.
 
[25]  Havyer R. D. A ,Wingo M. T., Comfere N. I. et al. (2014). “Teamwork assessment in internal medicine: a systematic review of validity evidence and outcomes,” Journal of General Internal Medicine, 29 (6), 894-910,
 
[26]  Boev, C and Xia, Y(2015). “Nurse-physician collaboration and hospital-acquired infections in critical care,” Critical Care Nurse, 35(2), 66-72.
 
[27]  Wang Y., Liu Y., Li H.,& Li T. (2015). Attitudes toward Physician-Nurse Collaboration in Pediatric Workers and Undergraduate Medical/Nursing Students Hindawi Publishing Corporation. Behavioural Neurology, 2015, Article ID 846498, 6 pages.
 
[28]  Moawad, G.N.A. (2013). Nurses perception of obstacles and supportive behaviors in providing end of life care to critically ill pediatric patients. Journal of Biology, Agriculture and Healthcare, 3(2), 95-105.
 
[29]  Louw, N. (2016). Pediatric nurses’ perception of obstacles and supportive behaviors in end of life care in pediatric intensive care units. Master thesis, Johannesburg
 
[30]  Ek, K., Westin, L., Prahl, C., Österlind, J., Strang, S., Bergh, I., . . . Hammarlund, K. (2014). Death and caring for dying patients: Exploring first-year nursing students’ descriptive experiences. International Journal of Palliative Nursing, 20(10), 509-515.
 
[31]  King-Okoye, M., & Arber, A. (2014). 'It stays with me': The experiences of second- and thirdyear student nurses when caring for patients with cancer. European Journal of Cancer Care, (4), 441.