scholarly journals The Relationship of Faith-Related Characteristics to Attitudes and Behaviors Regarding End-of-Life Care

2017 ◽  
Vol 43 (2) ◽  
pp. 1-12
Author(s):  
Hwa-Young Chong ◽  
◽  
Thomas Smith ◽  
Shane Sharp ◽  
◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Relationship Of ◽  
The Relationship

scholarly journals The attιtudes and behavιors of intensιve care unιt nurses towards end-of-lιfe care

2020 ◽  
Vol 6 (3) ◽  
pp. 93
Author(s):  
Sadık Hançerlioğlu ◽  
Gülbin Konakçı
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
University Hospitals ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Positive Correlations ◽  
Intensive Care Unit Nurses

Introduction: The end-of-life period is a process in which anxiety of death is experienced intensely and there are positive and negative experiences for the nurse and the patient. Nurses' attitudes and behaviors about death affect the quality of care in the end-of-life process.Aim: The aim of the present study was to determine the attitudes and behaviors of intensive care unit nurses towards end-of-life care.Material and Method: The studied sample consisted from 216 nurses working in the intensive care units of three university hospitals. In the present study, the Nurse Identification Form and The Attitude and Behaviors of The Intensive Care Unit Nurses Towards The End-of-Life Care Scale were used as the data collection forms.Results: Statistically significant differences were found between attitudes subscale, behavior subscale, scale total mean scores and some variables such as the education level, the intensive care unit classification, knowledge for end-of-life care, the frequency of death in their unit.  As a result of the correlation analysis, there were statistically significant positive correlations between attitudes subscale, behavior subscale, scale total mean scores, and some variables such as total working years as a nurse,  total working years in the intensive care unit, age.Conclusions: The level of education, the intensive care unit classification,  knowledgeabout end-of-life care, the frequency of death in their unit, age, total working years as a nurse, and total working year in the intensive care unit have relationship with the attitudes and behaviors of intensive care unit nurses towards end-of-life care.

scholarly journals Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

Experiences of a Group of Senior Nursing Students with End of Life Care and Death in Turkey

2020 ◽  
pp. 003022282096123
Author(s):  
Deniz Sanli ◽  
Fatma Iltus
Keyword(s):  
Nursing Students ◽  
End Of Life ◽  
End Of Life Care ◽  
Quality Care ◽  
Death And Dying ◽  
Life Care ◽  
Death Attitudes ◽  
Positive Attitudes ◽  
Dying Patients ◽  
And Behaviors

Nursing students may feel unprepared to manage the care of dying individuals and may experience anxiety and fear related to death and dying. Preparing nursing students for this situation can help them provide quality care to dying patients. This study aimed to examine the end-of-life care values and behaviors and death attitudes of senior nursing students. In examining these variables, the Values and Behaviors of Intensive Care Nurses for End-of-Life Instrument and the Death Attitude Profile-Revised Scale were used. It was found that the students developed positive attitudes and behavior towards end-of-life care, and that they believed death to be a natural part of life and there is life after death. Students who felt that the information they received during their education was partially sufficient were more likely to have negative death attitudes. It can be recommended that teaching strategies in the education of the nursing students be developed.

Education and the Curious Case of Conservative Compromise

2019 ◽  
pp. 106591291986650
Author(s):  
James M. Glaser ◽  
Jeffrey M. Berry ◽  
Deborah J. Schildkraut
Keyword(s):  
Political Attitudes ◽  
Body Politic ◽  
Democratic Governance ◽  
The Body ◽  
Attitudes And Behaviors ◽  
Political Compromise ◽  
And Behaviors ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

“Education,” notes Philip Converse, “is everywhere the universal solvent.” Whatever the ill of the body politic, many believe that greater education improves the condition. Much scholarship explores the impact of education on political attitudes and behaviors, but scholars have not examined the relationship of education to support for political compromise. This is especially topical, as compromise between parties seems harder than ever to achieve, yet compromise is necessary for democratic governance. We examine whether higher levels of education lead to support for compromise and find that education does matter, but the relationship is conditional. For liberals and moderates, more education promotes greater support for compromise. For conservatives, those with more education are not more likely to support compromise than those with less education. We argue that for conservatives, education matters for compromise support, but it also leads to better understanding of bedrock ideological principles that inhibit approval of compromise.

scholarly journals Dying From Cancer

2017 ◽  
Vol 4 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Larry D Cripe ◽  
Richard M Frankel
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Symptom Burden ◽  
Emergent Property ◽  
Life Care ◽  
Shared Experiences ◽  
Medical Oncologists ◽  
Informed Preferences ◽  
Timely Fashion ◽  
The Relationship

Medical oncologists and patients with advanced cancer struggle to discuss prognosis, goals, options, and values in a timely fashion. As a consequence, many patients die receiving aggressive treatment potentially inconsistent with their fully informed preferences and experience increased symptom burden and distress. The goals of patient - oncologist communication include exchanging information, building relationship, and engaging in shared decisions. Empathy is perhaps especially essential to effective patient - oncologist communication when the end of life is approaching. We speculate that, in addition to being a skilled response to a patient’s negative emotions, empathy is an emergent property of the relationship that allows the patient and oncologist to imagine what it will be like to navigate the transition from living with to dying from cancer; and to prepare for the transition. We propose that effective empathy: 1) requires an attentive, curious and imaginative physician; 2) acknowledges the complex and shifting goals as the end of life approaches; and 3) begins with a willingness of physicians to check in and find out what she may have misunderstood or misperceived. Empathy in end of life conversations cultivates the shared experiences necessary to co-create the new goals of care that underlie excellent end of life care.

Countertransference and ethics: A perspective on clinical dilemmas in end-of-life decisions

2003 ◽  
Vol 1 (4) ◽  
pp. 367-375 ◽  
Author(s):  
BRIAN J. KELLY ◽  
FRANCIS T. VARGHESE ◽  
DAN PELUSI
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Assisted Suicide ◽  
Clinical Decision Making ◽  
Ethical Dilemmas ◽  
Clinical Decision ◽  
Life Care ◽  
End Of Life Decisions ◽  
The Relationship ◽  
Dying Patient

Ethical dilemmas in end-of-life care, such as the request for assisted suicide, must be understood in the context of the relationship that exists between patients and the clinicians treating them. This context includes the way health professionals respond to the tasks in caring for a dying patient. This article reviews the literature exploring the factors the influence clinical decision making at the end of life. The interplay of ethics, countertransference and transference are explained in detail.

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