Impact of an educational program on oncology nurses' attitudes and behaviors toward care of the dying.

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES Palliative & Supportive Care Pub Date : 2024-11-12 DOI:10.1017/S1478951524000488

Xiaoting Hou, Xin Li, Renxiu Guo, Yun Wang, Shuangzhi He, Hong Yang, Dongli Bai, Yuhan Lu

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Abstract

Objectives: Care of the dying is an essential part of holistic cancer nursing. Improving nurses' attitudes and behaviors regarding care of the dying is one of the critical factors in increasing the quality of nursing service. This study aims to examine the impact of an educational program based on the CARES tool on nurses' attitudes and behaviors toward care of the dying.

Methods: A quasi-experimental study with pre- and post-intervention measures was conducted. A total of 222 oncology nurses from 14 hospitals in Beijing, China, were enrolled using a convenient sampling method. This online educational course developed based on the CARES framework comprised 7 modules and 10 sessions. Each session was carried out twice a week over 30-60 min. Data were collected using a sociodemographic characteristics questionnaire, the Frommelt Attitude Towards Care of the Dying Scale (FATCOD) and the Nurses' Practice Behavior Toward Care of the Dying Questionnaire (NPBTCOD). Reassessment of attitudes and behaviors was conducted when completed the learning and 6 months after the learning, respectively. The sociodemographic characteristics of the nurses were analyzed using descriptive statistics, and differences in attitudes and behaviors were reported and compared by the paired t-test.

Results: All the 222 oncology nurses completed educational courses, and 218 nurses (98.20%) completed the pre- and post-attitudes evaluation and 213 (95.9%) nurses completed the pre- and post-behaviors evaluation. The mean (SD) FATCOD score before and after the educational program was 108.83 (12.07) versus 115.09 (14.91), respectively (t = -8.546, p ≥ 0.001). The mean (SD) NPBTCOD score before and after the educational program was 69.14 (17.56) versus 73.40 (18.96), respectively (t = -3.231, p = 0.001).

Significance of results: This educational intervention was found to be an effective method for improving oncology nurses' attitudes and behaviors toward caring for dying patients.

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教育计划对肿瘤科护士临终关怀态度和行为的影响。

目的：临终关怀是癌症整体护理的重要组成部分。改善护士对临终关怀的态度和行为是提高护理服务质量的关键因素之一。本研究旨在探讨基于 CARES 工具的教育项目对护士临终关怀态度和行为的影响：方法：进行了一项准实验研究，采用了干预前和干预后的测量方法。采用方便抽样法，共招募了来自中国北京 14 家医院的 222 名肿瘤科护士。该在线教育课程基于 CARES 框架开发，包括 7 个模块和 10 节课。每节课每周两次，每次 30-60 分钟。通过社会人口学特征问卷、Frommelt临终关怀态度量表（FATCOD）和护士临终关怀实践行为问卷（NPBTCOD）收集数据。在完成学习时和学习 6 个月后分别对态度和行为进行了重新评估。采用描述性统计分析了护士的社会人口学特征，报告了态度和行为的差异，并采用配对 t 检验进行比较：所有 222 名肿瘤科护士都完成了教育课程，其中 218 名护士（98.20%）完成了态度前后评估，213 名护士（95.9%）完成了行为前后评估。教育计划前后的 FATCOD 平均得分（标清）分别为 108.83 (12.07) 和 115.09 (14.91)（t = -8.546，p ≥ 0.001）。教育计划前后的 NPBTCOD 平均得分（标清）分别为 69.14 (17.56) 对 73.40 (18.96)（t = -3.231，p = 0.001）：该教育干预是改善肿瘤科护士对临终患者护理态度和行为的有效方法。

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