Nurses are at the forefront of caring for dying patients in hospices, nursing homes, acute-care hospitals, and patients' homes. This study was conducted to explore the emotional and practical experience as well as attitudes of nurses caring for the dying and the deceased in an acute-care hospital in Singapore. The authors explored differences in opinion among the various ethnic groups (Malay, Chinese, Indian, Filipino) that make up the nurse population in this particular hospital. A structured questionnaire was self-administered by the participants to explore nurses' views, opinions, and experiences in caring for dying patients from a quantitative aspect. It specifically addressed attitudinal, ethical, and communicational issues involved in caring for dying patients. Where applicable, a Likert scale ranging from Always to Never or from Strongly Agree to Strongly Disagree was used. One hundred and eighty of 246 questionnaires were returned (73%). Most respondents never or only occasionally felt uncomfortable caring for dying patients, and felt it reminded them of their own mortality, made them treasure life more, and made them ask questions about life and death. In this descriptive study, some difference in attitudes and views among the various ethnic groups was observed.
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http://dx.doi.org/10.3928/00989134-20060501-05 | DOI Listing |
BMC Palliat Care
January 2025
Caring Futures Institute, Flinders University, Sturt Rd, Bedford Park, Adelaide, South Australia, 5042, Australia.
Background: Clinicians are frequently asked 'how long' questions at end-of-life by patients and those important to them, yet predicting timeframes to death remains uncertain, even in the last weeks and days of life. Patients and families wish to know so they can ask questions, plan, make decisions, have time to visit and say their goodbyes, and have holistic care needs met. Consequently, this necessitates a more accurate assessment of empirical data to better inform prognostication and reduce uncertainty around time until death.
View Article and Find Full Text PDFAm J Hosp Palliat Care
January 2025
Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.
Anticipatory grief is associated with post-bereavement grief; however, reports on the influence of pre-loss depression are limited. Therefore, we investigated the association between the anticipatory grief of family members and post-loss and post-depression grief adjusted for pre-loss depression. This cohort study included the family members of dying patients with cancer.
View Article and Find Full Text PDFIssues Ment Health Nurs
January 2025
School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
BMJ Support Palliat Care
December 2024
Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.
Implantable cardioverter defibrillators (ICDs) are implanted in increasing numbers of patients with the aim of treating ventricular arrhythmias in high-risk patients and reducing their risk of dying. Individuals are also living longer with these devices. As a result, a greater number of patients with an ICD will deteriorate either with worsening cardiac failure, another non-cardiac condition or general frailty and will have a limited prognosis.
View Article and Find Full Text PDFNurs Rep
December 2024
Department of Philosophy, Idaho State University, Pocatello, ID 83209, USA.
Background/objectives: Caring for patients at the end of life can involve issues that are ethically and legally fraught: withholding or withdrawing artificial nutrition and hydration, pain control that could hasten death, aggressive treatment that is continued when it seems only to be prolonging suffering, patients who request medical assistance in dying, and so forth. Clinicians may find that their deeply held ethical principles conflict with law, institutional policy, or patients' choices. In these situations, they may consider either refusing to participate in procedures that they find morally abhorrent (conscientious refusal) or providing care that they believe to be ethically obligatory despite being contrary to law or policy (conscientious commitment).
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