Nurses' attitudes toward assisting patients/families with end-of-life decision-making
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Abstract
Nurses often feel unable to help with decision-making near the end of life. The purpose of this study was to develop an instrument to measure medical-surgical nurses' attitudes toward assisting patients and families with end-of-life decision-making and to evaluate its psychometric properties.
The Nurses' Attitudes Toward End-of-Life Decision-Making (NATED), a 37-item instrument with a Likert-scale format was developed based on analysis of interviews with medical-surgical nurses and their experiences with patients and families making end-of-life decisions. The interviews were analyzed and common themes with corresponding instrument items identified. After Content Validity was estimated by a panel of expert consultants (CVI = .78), the resulting instrument was administered to acute care medical-surgical nurses (n = 100). The responses of participants to this instrument were subjected to principal components analysis (PCA) with varimax rotation.
The final PCA model consisted of 29 variables in five factors accounting for 44% of the total variance. These factors were Advocate Role—influenced by ethical and legal guidelines; Preparation—influenced by education and experience; Physician Behavior; Helplessness; and No Time. Internal consistency reliability, using Cronbach's alpha, for the final 29-item instrument was .85.
The NATED can be a useful instrument for measuring acute-care medical-surgical nurses' attitudes toward assisting patients and families with end-of-life decision-making and designing educational programs and patient care interventions. Future research with groups of nurses in different acute care settings in various geographic areas would expand our understanding of nurses' attitudes.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3152886; ProQuest document ID: 305119654. The author still retains copyright.
Repository Posting Date
2020-08-24T20:33:34Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Descriptive/Correlational |
Research Approach | Mixed/Multi Method Research |
Keywords | End-of-life Decisions; Family Dynamics; Nursing Care |
CINAHL Subject(s) | Nurse Attitudes; Decision Making, Family; Decision Making, Patient; Instrument Construction; Nurse Attitudes--Evaluation; Terminally Ill Patients |
Degree Information
Grantor | University of South Florida |
Advisor | McMillan, Susan C. |
Level | PhD |
Year | 2004 |
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