Second-Year Italian Medical Students' Attitudes toward Care of the Dying Patient: an Exploratory Study

2012 ◽  
Vol 27 (4) ◽  
pp. 759-763 ◽  
Author(s):  
Paolo Leombruni ◽  
Marco Miniotti ◽  
Andrea Bovero ◽  
Lorys Castelli ◽  
Riccardo G. V. Torta
2021 ◽  
pp. 104991
Author(s):  
Chiara Mastroianni ◽  
Anna Marchetti ◽  
Daniela D’Angelo ◽  
Marco Artico ◽  
Diana Giannarelli ◽  
...  

2021 ◽  
Author(s):  
Kayo Sugiyama ◽  
Hirotaka Watanuki ◽  
Yasuhiro Futamura ◽  
Masaho Okada ◽  
Minori Nishimura ◽  
...  

Abstract Background There is currently a chronic shortage of surgeons, particularly cardiac surgeons, in Japan and worldwide. Additionally, the number of female medical students has been increasing worldwide; half of our university’s medical students are females. We assessed the attitudes of medical students regarding preferred lifestyles and specialties, aiming to identify strategies for increasing the number of surgeons in Japan. Methods We conducted a questionnaire survey among second- and fifth-year medical students at Aichi Medical University, to assess their career priorities and ideal lifestyles when choosing specialties. In total, 71 second-year (male:female, 36:35) and 55 fifth-year (male:female, 27:28) students were surveyed. Differences were compared between school year and sex. Results Few students considered becoming general surgeons (19%) or cardiac surgeons (14%). Most students were more interested in how interesting (92%) and rewarding a particular field (88%) would be, rather than in dedication to work (7%) or career advancement (6%), regardless of school year or sex. Females were particularly concerned about a heavy workload (79% vs 68%) and were less likely to prefer surgery (9% vs 27%) compared with males. The importance of acquiring useful skills (77% vs 95%) and wanting to train in the neighboring Tokai area tended to increase (21% vs 60%) with increasing grade. Conclusions Most students had decided their ideal career path in the lower grades and desired controlled lifestyle. To increase the number of surgeons, it is necessary to improve surgeons’ lifestyles, reduce their workloads, develop medical students’ interest in surgery, and ensure development of useful skills.


2018 ◽  
Vol 128 (3) ◽  
pp. 124-127
Author(s):  
Ewelina Mazur ◽  
Beata Dobrowolska ◽  
Renata Rabiasz ◽  
Anna Pilewska-Kozak

Abstract 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.


2013 ◽  
pp. 55-78
Author(s):  
Ivars Neiders ◽  
Vija Sile ◽  
Vents Silis

This article deals with concerns related to truth-telling in interaction between the doctor and the dying patient, exploring such issues as conflicting duties of veracity and non-maleficence, truthfulness and deception, and reasons behind physicians' decisions either to withhold or to disclose information about patients' diagnoses and prognoses. It focuses on various attitudes to truth-telling to dying patients, such as symmetry and asymmetry, both of which can be positive and negative. The empirical part of the article reports on the methods and results of the qualitative study carried out in Latvia during the summer of 2012. This study was based on the assessment of three case scenarios from the quantitative instrument designed by Dalla-Vorgia et al. in 1992. By means of semi-structured and focus-group interviews, evidence was gathered about physicians' and medical students' attitudes towards truth-telling, which allows the drawing of conclusions about the presence of asymmetry and symmetry in both cases. Additionally, an insight about the standards used for making decisions in case scenarios was gained and the origins of these standards were explored, revealing the aftermath of a gradual evolution from the ethics of the Soviet era to modern standards of medical ethics. 


2020 ◽  
pp. 003022282097107
Author(s):  
Mohammad Al Qadire

The purpose of the current inquiry is to measure Jordanian student nurses’ attitudes towards the care of dying patients using a cross-sectional survey. The sample of this study comprises 300 nursing students. Data was collected using the Frommelt’s Attitude Toward Care of the Dying Form B (FATCOD–B). Most of the students were female (72%) in their second year (40.3%). The mean total score of all FATCD-B items was 95.8 out of 150 (SD 8.7). Student nurses had low mean scores for their attitude towards care of the dying. Two approaches could be taken to improve this situation. First, research is needed to fully understand and explain students’ attitudes towards the care of dying patients. It might be more appropriate to utilize mixed research methods. The second is to integrate end-of-life care courses within the curricula of nursing programmes, currently the mainstay in improving students’ knowledge and attitudes toward care of the dying.


2020 ◽  
Vol 7 (6) ◽  
pp. 1164-1168
Author(s):  
Mohammadreza Hojat ◽  
Jennifer DeSantis ◽  
David B Ney ◽  
Hannah DeCleene-Do

The “No One Dies Alone” (NODA) program was initiated to provide compassionate companions to the bedside of dying patients. This study was designed to test the following hypotheses: (1) Empathy scores would be higher among medical students who volunteered to participate in the NODA program than nonvolunteers; (2) Spending time with dying patients would enhance empathy in medical students. Study sample included 525 first- and second-year medical students, 54 of whom volunteered to participate in the NODA program. Of these volunteers, 26 had the opportunity to visit a dying patient (experimental group), and 28 did not, due to scheduling conflicts (volunteer control group). The rest of the sample (n = 471) comprised the “nonvolunteer control group.” Comparisons of the aforementioned groups on scores of the Jefferson Scale of Empathy confirmed the first research hypothesis ( P < .05, Cohen d = 0.37); the second hypothesis was not confirmed. This study has implications for the assessment of empathy in physicians-in-training, and timely for recruiting compassionate companion volunteers (armed with personal protective equipment) at the bedside of lonely dying patients infected by COVID-19.


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