Department of Fundamental Nursing, Faculty of Health Sciences, Giresun University, Giresun, Türkiye , asuman.cobanoglu@giresun.edu.tr
Abstract: (70 Views)
Background: Critical care nurses’ spiritual care and end-of-life care practices are important in providing and maintaining holistic care. This study aimed to explore the relationship between critical care nurses’ perceptions of spiritual care and their attitudes and behaviors toward end-of-life care.
Methods: This cross-sectional and correlational study was conducted with 174 critical care nurses employed in two state hospitals in northern Turkey. Research data were collected from May 2024 to July 2024. The inclusion criteria were being employed as a nurse in the intensive care unit for at least one year and voluntarily participating in the study. Data were collected using a Nurse Introduction Form, the Spirituality and Spiritual Care Rating Scale (SSCRS), and the End-of-Life Care Attitudes and Behaviors Scale (EACAS) of Intensive Care Nurses. The data were analyzed using SPSS version 25.0. The Mann-Whitney U test and Kruskal-Wallis test were employed, along with Pearson correlation analysis and hierarchical multiple regression analysis, to analyze the data.
Results: There was no significant correlation between the mean total score of critical care nurses on SSCRS and their mean total score regarding attitudes and behaviors toward end-of-life care (r = -0.063, p = 0.408). There was a moderate positive correlation between age (r = 0.224, p = 0.03) and professional experience (r = 0.189, p = 0.013) of critical care nurses and their attitudes and behaviors toward end-of-life care (p <0.05). Age (β = 0.013, p = 0.014), professional experience (β = 0.018, p = 0.041), and the status of receiving training on end-of-life care (β = 0.399, p = 0.00) were the most important predictors of the attitudes and behaviors of critical care nurses toward end-of-life care.
Conclusion: In this study, it was determined that critical care nurses’ perception of spiritual care was not a significant predictor of their attitudes and behaviors toward end-of-life care. However, it was seen that nurses' age and professional experience may affect their attitudes and behaviors toward end-of-life care. In this regard, educational programs to improve nurses’ perception of spiritual care and their attitudes and behaviors toward end-of-life care are recommended.
Methods: This cross-sectional and correlational study was conducted with 174 critical care nurses employed in two state hospitals in northern Turkey. Research data were collected from May 2024 to July 2024. The inclusion criteria were being employed as a nurse in the intensive care unit for at least one year and voluntarily participating in the study. Data were collected using a Nurse Introduction Form, the Spirituality and Spiritual Care Rating Scale (SSCRS), and the End-of-Life Care Attitudes and Behaviors Scale (EACAS) of Intensive Care Nurses. The data were analyzed using SPSS version 25.0. The Mann-Whitney U test and Kruskal-Wallis test were employed, along with Pearson correlation analysis and hierarchical multiple regression analysis, to analyze the data.
Results: There was no significant correlation between the mean total score of critical care nurses on SSCRS and their mean total score regarding attitudes and behaviors toward end-of-life care (r = -0.063, p = 0.408). There was a moderate positive correlation between age (r = 0.224, p = 0.03) and professional experience (r = 0.189, p = 0.013) of critical care nurses and their attitudes and behaviors toward end-of-life care (p <0.05). Age (β = 0.013, p = 0.014), professional experience (β = 0.018, p = 0.041), and the status of receiving training on end-of-life care (β = 0.399, p = 0.00) were the most important predictors of the attitudes and behaviors of critical care nurses toward end-of-life care.
Conclusion: In this study, it was determined that critical care nurses’ perception of spiritual care was not a significant predictor of their attitudes and behaviors toward end-of-life care. However, it was seen that nurses' age and professional experience may affect their attitudes and behaviors toward end-of-life care. In this regard, educational programs to improve nurses’ perception of spiritual care and their attitudes and behaviors toward end-of-life care are recommended.
Type of study: Original Article |
Subject:
Nursing
References
1. Esendir İN, Kaplan H. [Perception of spirituality and spiritual support among health care professionals: The example of İstanbul]. Ekev Academy Dergisi. 2018;73:317-32. [View at Publisher] [Google Scholar]
2. Wu LF, Tseng HC, Liao YC. Nurse education and willingness to provide spiritual care. Nurse Educ Today. 2016;38:36-41. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. de Brito Sena MA, Damiano RF, Lucchetti G, Peres MFP. Defining spirituality in healthcare: A systematic review and conceptual framework. Front Psychol. 2021;12:756080. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Bakır E, Samancioglu S, Kilic SP. Spiritual experiences of muslim critical care nurses. J Relig Health. 2017;56(6):2118-28. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Edwars A, Pang N, Shiu V, Chan C. The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: A meta-study of qualitative research. Palliat Med. 2010;24(8):753-70. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. García-Navarro EB, Medina-Ortega A, García Navarro S. Spirituality in patients at the end of life-is it necessary? A qualitative approach to the protagonists. Int J Environ Res Public Health. 2021;19(1):227. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Batstone E, Bailey C, Hallett N. Spiritual care provision to end-of-life patients: A systematic literature review. J Clin Nurs. 2020;29(19-20):3609-24. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Aslakson RA, Kweku J, Kinnison M, Singh S, Crowe II TY. Operationalizing the measuring what matters spirituality quality metric in a population of hospitalized, critically ill patients and their family members. J Pain Symptom Manage. 2017;53(3):650-5. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Tüzer H, Kırca K, Özveren H. Investigation of nursing students' attitudes towards death and their perceptions of spirituality and spiritual care. J Relig Health. 2020;59(4):2177-90. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. O'Brien MR, Kinloch K, Groves KE, Jack BA. Meeting patients' spiritual needs during end-of-life care: A qualitative study of nurses' and healthcare professionals perceptions of spiritual care training. J Clin Nurs. 2019;28(1-2):182-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Intensive Care National Audit and Research Centre (ICNARC). Intensive Care National Audit and Research Centre; Reporting. 2021. [View at Publisher] [Google Scholar]
12. Hançerlioğlu S, Konakçı G. The attitudes and behaviors of intensive care unit nurses towards end-of-life care. Health Res J. 2020;6(3):93-100. [View at Publisher] [DOI] [Google Scholar]
13. Çifci A. [End of life and palliative care]. J Med Palliat Care. 2021;2(1):21-4. [View at Publisher] [DOI] [Google Scholar]
14. Şahin M. Nursing students' death anxiety, influencing factors and request of caring for dying people. J Psychiatr Nurs. 2016;7(3):135-41. [View at Publisher] [DOI] [Google Scholar]
15. Yeloğlu ÇH, Güveli H, Hocaoğlu Ç. [Psychiatric approach in terminaly ill patients]. Literatür Sempozyum. 2014;43-50. [View at Publisher] [Google Scholar]
16. Ay MA. Hemşirelerin ölüm, ölümcül hasta ve ötenaziye ilişkin tutumları. [Thesis] [View at Publisher] [Google Scholar]
17. Aktaş G, Keskin Güleç S. [Investigation of the relationship between the professional self concept and spiritual care of clinical nurses]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2023;16(1):79-91. [View at Publisher] [DOI] [Google Scholar]
18. Özcan T, Çilingir D, Candaş Altınbaş B. The knowledge, practices, and perceptions of surgical nurses concerning spirituality and spiritual care. J Perianesth Nurs. 2023;38(5):732-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Ercan F, Körpe G, Demir S. Spirituality and spiritual care related perceptions of nurses working at the inpatient services of a university hospital. Gazi Med J. 2018;29(1):17-22. [View at Publisher] [Google Scholar]
20. Taheri-Kharameh Z, Asayesh H, Shariffifard F, Alinnoori A. Attitude toward spiritualty, spiritual care, and its relationship with mental health among intensive care nurses. Health Spiritual Med Ethics. 2016;3(3):25-9. [View at Publisher] [Google Scholar]
21. Efil S, Turen S, Demir G. Relationship between intensive care nuırses' attitudes and behaviors toward end-of-life care and ethical attitudes. Dimens Crit Care Nur. 2023;42(6):325-32. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Erzincanlı S, Kasar KS. The effects of nurses' attitudes and behaviors toward end-of-life care on clinical decision-making. J Turk Soc Intens Care. 2022;20(4):230-7. [View at Publisher] [DOI] [Google Scholar]
23. Cengiz Z, Yıldırım H, Kömürkara S. [How does self-realization in nurses affect attitudes and behaviors towards palliative care?] İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2020;8(3):578-89. [View at Publisher] [DOI] [Google Scholar]
24. Akkuş Y, Karabağ Aydın A. Determining the relationship between spirituality and perceptions of care in nursing students: A cross-sectional study. Perspect Psychiatr Care. 2022;58(4):2079-87. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. McSherry W, Draper P, Kendrick D. The construct validity of a rating scale designed to assess spirituality and spiritual care. Int J Nurs Stud. 2002;39(7):723-34. [View at Publisher] [DOI] [PMID] [Google Scholar]
26. Ergül S, Temel AB. [Validity and reliability of 'The Spirituality and Spiritual Care Rating Scale' Turkish version]. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2007;23(1):75-87. [View at Publisher] [Google Scholar]
27. Zomorodi M, Lynn MR. Instrument development measuring critical care nurses' attitudes and behaviors with end-of-life care. Nurs Res. 2010;59(4):234-240. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Özel Yalçınkaya S. Yoğun bakım hemşirelerinin yaşam sonu bakıma yönelik tutum ve davranışları ölçeği'nin Türk kültürüne uyarlanması: geçerlik ve güvenirlik çalışması. Abant İzzet Baysal University Institute of Health Sciences. 2016. [Thesis] [View at Publisher] [Google Scholar]
29. Erden Melikoğlu S, Köktürk Dalcalı B, Güngörmüş E, Kaya H. The relationship between the individualized care perceptions and spiritual care perceptions of nurses. Perspect Psychiatr Care. 2022;58(4):1712-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Tan M, Ozdelikara A, Polat H. An exploratory study of spirituality and spiritual care among Turkey nurses. Int J Caring Sci. 2018;11(2):1311-8. [View at Publisher] [Google Scholar]
31. Kang, KA, Chun J, Kim HY, Kim HY. Hospice palliative care nurses' perceptions of spiritual care and their spiritual care competence: A mixed‐methods study. J Clin Nurs. 2021;30(7-8):961-74. [View at Publisher] [DOI] [PMID] [Google Scholar]
32. Karadağ Arli S, Bakan AB, Erisik E. An investigation of the relationship between nurses' views on spirituality and spiritual care and their level of burnout. J Holist Nurs. 2017;35(3):214-20. [View at Publisher] [DOI] [PMID] [Google Scholar]
33. Ertürk C, Özmen D. [Determination the variables that predicting the professional attitudes of nurses]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2018;11(3):191-9. [View at Publisher] [Google Scholar]
34. Okçin F. Onkoloji palyatif bakım hemşirelerinin mesleki yaşam deneyimlerinin incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2019;6(4):234-46. [View at Publisher] [DOI]
35. Kaddourah B, Abu‐Shaheen A, Al‐Tannir M. Nurses' perceptions of spirituality and spiritual care at five tertiary care hospitals in Riyadh, Saudi Arabia: A cross‐sectional study. Oman Med J. 2018;33(2):154-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
36. Yildirim JG, Ertem M. Professional quality of life and perceptions of spirituality and spiritual care among nurses: Relationship and affecting factors. Perspect Psychiatr Care. 2021;58(2):438-47. [View at Publisher] [DOI] [PMID] [Google Scholar]
37. Hussin EOD, Wong LP, Chong MC, Subramanian P. Factors associated with nurses' perceptions about quality of end‐of‐life care. Int Nurs Rev. 2018;65(2):200-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
38. Gupta M, Pruthi G, Gupta P, Singh K, Kanwat J, Tiwari A. Impact of end-of-life nursing education consortium on palliative care knowledge and attitudes towards care of dying of nurses in India: A quasi-experimental pre-post study. Am J Hosp Palliat Care. 2023;40(5):529-38. [View at Publisher] [DOI] [PMID] [Google Scholar]
39. Chu E-Y, Jang S-H. The effects of a death preparation education program on death anxiety, death attitudes, and attitudes toward end-of-life care among nurses in convalescent hospitals. J Hosp Palliat Care. 2021;24(3):154-64. [View at Publisher] [DOI] [PMID] [Google Scholar]
40. Abu Hasheesh MO, AboZeid SAS, El-Said SG, Alhujaili AD. Nurses' characteristics and their attitudes toward death and caring for dying patients in a public hospital in Jordan. Health Sci J. 2013;7(4):384-94. [View at Publisher] [Google Scholar]
41. Tripathy S, Routray PK, Mishra JC. Intensive care nurses' attitude on palliative and end of life care. Indian J Crit Care Med. 2017;21(10):655-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
