| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 106 === Background : The numbers of death in hospitals have been rising year after year. As the result, clinical nurses more often face death and dying issues. The competence of nursing staff to deal with death and how they care for terminally ill patients become a very important issue.
Purpose : To investigate the competence to deal with death issues and caring behaviors of nursing staffs, and its influencing factors.
Methods : This is a cross-sectional retrospective study by structured questionnaire. In this study, a total of 235 questionnaires were collected from the hospital nurses in eastern Taiwan and among which 201 (85%) were valid. In this research, a structural questionnaire was used to collect data from these nurses, which included Bugen’s Coping with Death Scale and Caring Behaviors Scale, and then statistically analyzed by using means of descriptive analysis, independent sample T-test, one-way ANOVA, Pearson correlation analysis and stepwise regression with software SPSS 22.0 version.
Results : The average age of nursing staff involved in this study was 39.25 years old, with an average 13.82 years of service, females accounting for 95.5%, university education accounting for 57.7%, and married persons accounting for 61.2%. Participants performed above average in the competence to deal with death in Bugen’s Coping with Death Scale standardized score. Nursing staffs who were 41-50 years old (P=.029), married (P=.032), had parental death experiences (P=.001), working years greater than 21 years (P=.046), had inpatient experiences (P=.002), participated in life and death education courses (P=.001), and participated in caring education courses (P=.002) had higher competence to deal with death. They were rated moderate in caring behaviors with an average CBS standardized score. Th nursing staffs who were 31-50 years old (P=.029), had master degrees or above (P=.015), had children 2-3 (P=.011), job title were head nurses (P=.001), served more than 11 years (P=.001), had nursing clinical ladder level N2 or above (P=.029), had inpatient experiences (P=.001), had participated in life and death education courses (P=.013), and had participated in caring education courses (P=.001), had higher scores in caring behaviors. Nurses skills in dealing with death and caring behaviors were positively correlated. The better their competence to death with death, the higher their caring behaviors. Had parental death experiences, life and death education, had inpatient experiences, etc. were the primary indicators to influence nurses’ competence to deal with death. On the other hand, the primary indicators to influence nurses’ caring behaviors were having inpatient experiences, job title as head nurses, caring education, etc.
Conclusions : We hope these impact factors found in this research can provide hospitals as references to improve their nurses’ competence to deal with death and caring behaviors, to reduce their anxiety and losses through those process, and to elevate caring qualities.
Keywords : Nursing staffs, Death competence, Caring behaviors.
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