EN | TR
E-ISSN: 2602-2974
The Effects of Nurses’ Attitudes and Behaviors Toward End-of-life Care on Clinical Decision-making
PDF
Cite
Share
Request
Original Research
VOLUME: 20 ISSUE: 4
P: 230-237
December 2022

The Effects of Nurses’ Attitudes and Behaviors Toward End-of-life Care on Clinical Decision-making

J Turk Soc Intens Care 2022;20(4):230-237
DOI: 10.4274/tybd.galenos.2021.00710
Saadet Erzincanlı
Kadriye Sayın Kasar
1. Aksaray Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Aksaray, Türkiye
No information available.
No information available
Received Date: 12.12.2019
Accepted Date: 28.12.2021
Publish Date: 28.11.2022
PDF
Cite
Share
Request

ABSTRACT

Objective:

This study aimed to determine the effects of nurses’ attitudes and behaviors toward end-of-life care on clinical decision-making.

Materials and Methods:

This descriptive and cross-sectional study was conducted between April 2019 and August 2019 with 84 nurses who work in the intensive care units of a training and research hospital. Data were collected using the Individual Introduction Form, the Scale of the Attitudes and Behaviors of Intensive Care Nurses Intended for End-of-Life Care, and the Clinical Decision-Making Scale in Nursing.

Results:

The mean age of the intensive care nurses who participated in the study was 33.13±5.79 years. Of whom, 89.3% were females and 64.3% were undergraduate. The total mean score of the Scale of the Attitudes and Behaviors of Intensive Care Nurses Intended for End-of-Life Care was 57.91±10.53 and 140.64±23.52 for the Clinical Decision Making in Nursing Scale. The total mean score of the Scale of the Attitudes and Behaviors of Intensive Care Nurses Intended for End-of-Life Care of nurses with a master of education level was significantly higher. Additionally, the total mean score of the Clinical Decision Making in Nursing Scale of nurses who received training for end-of-life care was higher, with a positive low-level relationship with the Scale of the Attitudes and Behaviors of Intensive Care Nurses Intended for End-of-Life Care.

Conclusion:

Therefore, the nurses’ attitudes and behaviors toward end-of-life care have low-level relationship and effects on the clinical decision-making level.

Keywords:
Nursing, end-of-life care, clinical decision making

References

1
Yıldırım B, Özkahraman Ş. Hemşirelikte karar verme süreci. Electronic Journal of Vocational Colleges 2012;2:165-73.
2
Wu M, Yang J, Liu L, Ye B. An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills. West J Nurs Res 2016;38:974-91.
3
Mirsaidi G, Lakdizaji S, Ghojazadeh M. How nurses participate in clinical decision making process. J Appl Environ Biol Sci 2012;2:620-4.
4
Stubbings L, Chaboyer W, McMurray A. Nurses' use of situation awareness in decision-making: an integrative review. J Adv Nurs 2012;68:1443-53.
5
Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. J Clin Nurs 2018;27:917-28.
6
Ten Ham W, Ricks EJ, van Rooyen D, Jordan PJ. An Integrative Literature Review of the Factors That Contribute to Professional Nurses and Midwives Making Sound Clinical Decisions. Int J Nurs Knowl 2017;28:19-29.
7
Muntean WJ. Nursing clinical decision-making: A literature review. Paper commissioned by the National Council of State Boards of Nursing 2012.
8
Sucu G, Dicle A, Saka O. Hemşirelikte klinik karar verme, etkileyen etmenler ve karar verme modelleri. Hemşirelikte Eğitim ve Araştırma Dergisi 2012;9:52-60.
9
Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004;13:145-51; discussion 151-2.
10
Smith M, Higgs J, Ellis E. Factors influencing clinical decision making. In: Higgs J, Jones M, Loftus S, Christensen N, editors. Clinical reasoning in the health professions. 3rd ed. Sydney: Elsevier; 2008.
11
Kuşlu S, Yılmaz M, Cengiz M, Ramazanoğlu A. Yoğun bakım ünitesinde yaşam sonu bakım kararları ve Türkiye’deki uygulamalar. Kızılkaya M, editör. Yoğun Bakım Çalışma Modelleri ve Etik Problemler. 1. Baskı. Ankara: Türkiye Klinikleri; 2019. p.34-8.
12
Ranse K, Yates P, Coyer F. End-of-life care in the intensive care setting: a descriptive exploratory qualitative study of nurses' beliefs and practices. Aust Crit Care 2012;25:4-12.
13
Harris M, Gaudet J, O'reardon C. Nursing care for patients at end of life in the adult intensive care unit. J Nurs Educ Pract 2014;4:84.
14
Fridh I. Caring for the dying patient in the ICU--the past, the present and the future. Intensive Crit Care Nurs 2014;30:306-11.
15
Maharmeh M, Alasad JA, Salami I, Saleh Z, Darawad MW. Clinical decision-making among critical care nurses: A qualitative study. Health 2016;8:1807-19.
16
Zomorodi MG. Instrument development to measure critical care nursing values and behaviors when providing end-of-life care (thesis). Chapel Hill: The University of North Carolina, 2008.
17
Zomorodi M, Lynn MR. Critical care nurses' values and behaviours with end-of-life-care. J Hosp Palliat Nurs 2010;12:89-96.
18
Yalçınkaya SÖ. Yoğun bakım hemşirelerinin yaşam sonu bakıma yönelik tutum ve davranışları ölçeği’nin Türk kültürüne uyarlanması: Geçerlik ve güvenirlik çalışması. Yayınlanmamış Yüksek Lisans Tezi, Abant İzzet Baysal Üniversitesi, Bolu. 2016
19
Jenkins H. Perceptions of decision making among baccalaureate nursing students as measured by the clinical decision making in nursing scale. Doctors of thesess, University of Maryland. 1983.
20
Jenkins HM. Cinical decision making in nursing scale. In: Waltz CF, Jenkins LS, editors. Measurement of Nursing Outcomes volume:1 measuring nursing performance in practice, education and research, USA, Springer Publishing Company; 2001. p. 33-7.
21
Durmaz-Edeer A, Sarıkaya A. Adaptation of Clinical Decision Making in Nursing Scale to Undergraduate Students of Nursing: The Study of Reliability and Validity. International Journal of Psychology and Educational Studies 2015;2:1-9.
22
Özden D, Özveren H, Gülnar E. Hemşirelik Öğrencilerinin Klinik Karar Verme Düzeyleri ve Etkileyen Faktörler. DEUHFED 2018;11:41-7.
23
Özen N, Yazıcıoğlu İ, Çınar Fİ. Hemşirelik öğrencilerinin sağlık bakımında bilgisayar kullanımına yönelik tutumları ile klinik karar verme becerileri arasındaki ilişkinin incelenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi 2017:14:112-8.
24
Ho SE, Koo YL, Ismail S, Hıng HL, Wıdad O, Chung HT, et al. Clinical decision making ability of nursing students in a tertiary hospital. Medicine&Health 2013;8:73-80.
25
Pramilaa R. Clinical decision making skills among nurses working in selected hospitals: Comparison between government and private sector. Manipal Journal of Nursing and Health Sciences 2018;4:1-7.
26
D, Antonio J. End-of-Life Nursing Care and Education: End-of-Life Nursing Education: Past and Present. J Christ Nurs 2017;34:34-8.
27
Bjørk IT, Hamilton GA. Clinical decision making of nurses working in hospital settings. Nurs Res Pract 2011;2011:524918.
28
Lauri S, Salanterä S, Chalmers K, Ekman SL, Kim HS, Käppeli S, et al. An exploratory study of clinical decision-making in five countries. J Nurs Scholarsh 2001;33:83-90.
29
Ajzen I. The theory of planned behavior. In: Lange, PAW. Kruglanski AW, Higgins ET, editors. Handbook of theories of social psychology. London, UK: Sage; 2012. p. 438-59.
30
Yang L, Liu YF, Sun HF, Chiang HH, Tsai YL, Liaw JJ. Psychometric Testing of Two Chinese-Version Scales on Attitudes Toward and Caregiving Behaviors for End-of-Life Patients and Families. Clin Nurs Res 2018;27:1017-40.
31
American Nurses Association (ANA). Nurses’ roles and responsibilities in providingcare and support at the end of life. 2016. Available from: URL: https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf.