Factors Related to Nurses’ Practice for a Good Death for End of life Pediatric Cases

Authors

  • Nisapichayapak Meesomsak Pakchongnana Hospital
  • Jutarat Mesukko Faculty of Nursing, Chiang Mai University
  • Srimana Niyomkar Faculty of Nursing, Chiang Mai University

Keywords:

Good death, Nurses’ practices, Knowledge, Attitude, Pediatric patients at the end-of-life

Abstract

Helping patients have a good death is an important goal for nurses providing pediatric patient care at the end-of-life. These nurses relieve the physical, psychological, and spiritual suffering for pediatric patients and their family. This descriptive correlational research study aimed to study the relationship between nurses’ knowledge, attitudes, and nursing practice for a good death in pediatric patients at the end-of-life. The participants were selected using purposive sampling and consisted of 97 registered nurses who worked in the pediatric chronic disease department in tertiary hospitals in upper Northeastern Thailand. The research instruments consisted of 1) the demographic questionnaire, 2) the nurses’ practice for a good death in pediatric patients at the end-of-life questionnaire, 3) the nurses’ knowledge for a good death in pediatric patients at the end-of-life questionnaire, and 4) the nurses’ attitudes toward pediatric patients at the end-of-life questionnaire. The data were analyzed using descriptive statistics and Pearson correlation coefficient.

The results of the study revealed that nurses had a high level of practice ( = 60.85, SD = 14.61), high level of knowledge ( = 15.16, SD = 2.14), and good attitudes ( = 3.68, SD = 0.31) toward good death in pediatric patients at the end-of–life. In additional, nurses’ knowledge had a moderate statistically significant positive correlation with the nurses’ practice (r = 0.61, p < 0.01) and nurses’ attitude had a low statistically significant positive correlation with the nurses’ practice (r = 0.24, p < 0.05).

            The findings indicated that knowledge and attitude of nurses were associated with good death nursing practices in pediatric patients at the end-of-life. This information can be used to enhance knowledge and good attitudes among nurses to provide effective practices for good death in pediatric patients at the end-of-life.

References

Bailey, C., Murphy, R., & Porack, D. (2011). Trajectories of end -of – life care in the emergency department. Annals of Emergency Medicine, 57(4), 362 – 369. doi: 10.1016j.annemer gmed.2010.10.010

Baren, J. M., & Mahon, M. (2003). End-of-life issues in the pediatric emergency department. Clinical Pediatric Emergency Medicine, 4(4), 265-272.

Beckstrand, R. L., Rawle, N. L., Callister, L., & Mandleco, B. L. (2010). Pediatric nurses’ perceptions of obstacles and supportive behaviors in end-of-life care. American Journal of Critical Care, 19(6), 543-552.

Bloom, B. S. (Ed). (1975). Taxonomy of educational objectives: The classification of educational goals: Handbook: Cognitive domain (20th ed.). New York: David McKay.

Bureau of policy and strategy, Ministry of Public Health (2015). Health Information.
Retrieved from http;//bps.moph.go.th/new_bps/healthdata.

Cevik, B., & Kav, S. (2013). Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing, 36(6), E58-E65.

Carter, B. S., Levetown, M., & Friebert, S. E. (Eds.). (2013). Palliative care for infants, children, and adolescents: A practical handbook. JHU Press.

Chan, G. K. (2011). Trajectories of approaching death in the emergency department: Clinician narratives of patient transitions to the end of life. Journal of pain and Symptom Management, 42(6), 864-881.

Children's Project on Palliative/Hospice Services. (2009). National Hospice and Palliative Care Organization. Standards of Practice for Pediatric Palliative Care and Hospice.
Company. Retrieved from https://www.nhpco.org/quality/nhpco%E2%80%99s-standards-pediatric-care

Department of Medical Services (2014). Guideline for Patient at End – of-Life. Retrieved from www.dms.moph.go.th/dmsweb/cpgcorner/ Guideline for Patient at End – of-Life.pdf

Feudtner, C., Hexem, K., & Rourke, M. T. (2011). Epidemiology and the care of children with complex conditions. In J. Wolfe, P. S. Hinds, B. M. Sourkes (Eds.), Textbook of interdisciplinary pediatric palliative care. Philadelphia: Elsevier Saunders.

Foster, T. L., Bell, C. J., & Gilmer M. J. (2012). Symptom management of spiritual suffering in pediatric palliative care. Journal of Hospice and Palliative Nursing 14, 109–115.

Frommelt, K. H. (1991). The effect of death education on nurses’ attitude toward caring for terminally ill persons and their families. American Journal of Hospice and Palliative Care, 8(3), 37-43.

Hendrickson, K., & McCorkle, R. (2008). A dimensional analysis of the concept: Good death of a child with cancer. Journal of Pediatric Oncology Nursing, 25(3), 127-138.

Ito, Y., Okuyama, T., Ito, Y., Kamei, M., Nakaguchi, T., Sugano, K., ... Akechi, T. (2015). Good death for children with cancer: A qualitative study. Japanese journal of clinical oncology, 45(4), 349-355.

Kassa, H., Murugan, R., Zewdu, F., Hailu, M., & Woldeyohannes, D. (2014). Assessment of knowledge attitude and practice and associated factors toward palliative care among nurses working in selected hospitals Addis Ababa Ethiopia. Journal of Palliative Nurse, 13(6), 1-11. doi: 1186/1471-684X-13-6

Kunsongkeit, W. (2011). Good death as perceived by the patients. The Journal of Faculty of Nursing Burapha University, 19(2), 1-12.

Lawson, B. J., Burge, F. I., McIntyre, P., Field, S., & Maxwell, D. (2008). Palliative care patients in the emergency department. Journal of Palliative Medicine, 24(4), 247-287.

Morgan, D. (2009). Caring for dying children: Assessing the needs of the pediatric palliative care nurse. Pediatric Nursing, 35(2), 86-90.

Somanasak, N., Mesukko, J., & Jintrawet, U. (2016). Practices of end-of-life care pediatric patients and related factors among emergency nurses. Nursing Journal, 43(2), 82-92.

National Center for Health Statistics [NCHS]. (2015). National vital statistics reports.
Retrieved From http://www.cdc.gov/nchs/data/nvsr/61/nvsr61_04.pdf

Nursing Department, Maharaj Nakorn Chiang Mai Hospital. (2014). Policies and guidelines for “Palliative Care.” Retrieved from www.https://w2.med.cmu.ac.th/ha/wp-content/

Pediatrics, A. A. (2000). American academy of pediatrics committee on bioethics and committee on hospital care. Pediatrics, 106, 351-357.

Peters, L., et al. (2013). Emergency and palliative care nurses’ levels of anxiety about death and coping with Death: A questionnaire survey. Journal of Australasian Emergency Nursing, 16(4), 152-159. doi: 10.1016/j.aenj.2013.08.001

Polit, D. F. (2010). Statistic and data analysis for nursing research (2nd ed.). New Jersey: Pearson Education Inc.

Tamburro, R. F., Shaffer, M. L., Hahnlen, N. C., Felker, P., & Ceneviva, G. D. (2011a).
Care goals and decisions for children referred to a pediatric palliative care program. Journal of Palliative Medicine, 14(5), 607-613. doi: 10.1089/jpm.2010.0405

Tubbs-Cooley, H. L., Santucci, G., Kang, T. I., Feinstein, J. A., Hexem, K. R., & Feudtner, C. (2011). Pediatric nurses' individual and group assessments of palliative, end-of-life, and bereavement care. Journal of Palliative Medicine, 14(5), 631-637.

Von Lützau, P., Otto, M., Hechler, T., Metzing, S., Wolfe, J., & Zernikow, B. (2012). Children dying from cancer: Parents’ perspectives on symptoms, quality of life, characteristics of death, and end-of-life decisions. Journal of palliative care, 28(4), 274-281.

Welch, S. B. (2008). Can the death of a child be good? Journal of pediatric nursing, 23(2), 120-125.

Wolfe, J., Grier, H. E., Klar, N., Levin, S. B., Ellenbogen, J. M., Salem-Schatz, S., ... Weeks, J. C. (2000). Symptoms and suffering at the end of life in children with cancer. New England Journal of Medicine, 342(5), 326-333.

Yang, S. C. (2013). Assessment and quantification of Taiwanese children's views of a good death. OMEGA-Journal of Death and Dying, 66(1), 17-37.

Downloads

Published

2021-06-11

How to Cite

Meesomsak , N. . . . ., Mesukko , J. . . . . . . . . ., & Niyomkar , S. . . . . (2021). Factors Related to Nurses’ Practice for a Good Death for End of life Pediatric Cases. Nursing Journal CMU, 48(2), 220–231. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/251809

Issue

Section

RESEARCH  ARTICLES