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Journal of Religion and Health

, Volume 58, Issue 1, pp 303–316 | Cite as

Attitudes of Nurses in Turkey Toward Care of Dying Individual and the Associated Religious and Cultural Factors

  • Ezgi KaradagEmail author
  • Serap Parlar Kilic
  • Ozlem Ugur
  • Merve Aliye Akyol
Original Paper
  • 179 Downloads

Abstract

The aim of this study was to determine the attitudes of nurses working in two university hospitals located in the west and east of Turkey toward care of dying individual as well as religious and cultural factors that influence their attitudes. The descriptive and comparative study was conducted with a total of 189 nurses who were working in adult inpatient clinics of two university hospitals in western (101 nurses) and eastern (88 nurses) Turkey between July and November 2016. The data were obtained by using the questionnaire and Frommelt Attitudes Toward Care of the Dying Scale. As a result of this study, it was determined that in terms of the status of receiving training the end-of-life care the majority of nurses received this training; however, this rate was higher (51.0%) in nurses working in the eastern hospital (p = 0.025). The nurses working in the east (51.6%) were determined to have more problems during caregiving due to their religious and cultural beliefs, the most frequent problem they experienced was “being uncomfortable due to privacy when giving care to patients from opposite gender” (57.1%). The emotions felt mostly by nurses during the care of dying patient were grief (nurses in the east = 48.5%, nurses in the west = 51.5%) and despair (nurses in the east = 40.4%, nurses in the west = 59.6%). Nurses working both in the east (98.27 ± 7.71) and in the west (97.19 ± 8.99) were determined to have positive attitude toward death, and there was no statistically significant difference between both groups in terms of the mean scores of the Attitudes Toward Care of the Dying Scale (p = 0.373). In accordance with these results, it is recommended to focus on death issues in end-of-life care during the nursing education and to support nurses with in-service trainings regularly after the graduation.

Keywords

Attitude toward death Care of dying person Religious and cultural factors Nursing 

Notes

Acknowledgements

This a self-funded study. The authors are grateful to the nurses who participated in this study.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consents were obtained from all nurses in line with the Declaration of Helsinki.

References

  1. Abu Hasheesh, M. O., Al-Sayed AboZeid, S., Goda El-Said, S., & Alhujaili, A. D. (2013). Nurses’ characteristics and their attitudes toward death and caring for dying patients in a public hospital in Jordan. Health Science Journal, 7(4), 384–394.Google Scholar
  2. Ağılkaya, Z. (2010). Suicide and religion: An empirical study on suicide attempts. Journal of Faculty of Divinity of Marmara University, 38, 173–202.Google Scholar
  3. Aksu, T., & Okçay, H. (2010). Perception of death according to the periods of life. Fırat Journal of Health Services, 5(14), 113–126.Google Scholar
  4. Arslan, D., Akça, N. K., Şimşek, N., & Zorba, P. (2014). Student nurses’ attitudes toward dying patients in central Anatolia. International Journal of Nursing Knowledge, 25(3), 183–188.  https://doi.org/10.1111/2047-3095.12042.CrossRefGoogle Scholar
  5. Ayaz, S., & Bilgili, B. (2009). Culturally sensitive care: Nurses have difficulties. In Intercultural approach to nursing and midwifery symposium (Symposium Book) (pp. 89). Çanakkale.Google Scholar
  6. Besti, Ü., Akgün, E., & Günüşen, N. (2005). Approach patient and family expected the death. Ölümü beklenen hasta ve ailesine yaklaşım. In Teaching communication skills in nursing (pp. 213–216). İzmir: Schools Publishing House Printing and Electronic Industry Trade.Google Scholar
  7. Bilge, A., Embel, N., & Kaya, F. G. (2013). Attitudes of students who will become medical professionals regarding death and the variables that affect these attitudes. Journal of Psychiatric Nursing, 4(3), 119–124.CrossRefGoogle Scholar
  8. Çevik, B., & Kav, S. (2013). Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing, 36(6), 58–65.  https://doi.org/10.1046/j.1365-2648.2001.02000.x.CrossRefGoogle Scholar
  9. Chin, E. L. (2015). Observed experiences: Cultural differences in caring for dying patients in Malaysia. International Archives of Nursing and Health Care, 1(1), 1–3.CrossRefGoogle Scholar
  10. Duffy, M. E. (2001). A critique of cultural education in nursing. Journal of Advanced Nursing, 36, 487–495.  https://doi.org/10.1046/j.1365-2648.2001.02000.x.CrossRefGoogle Scholar
  11. Erdoğdu, M. Y., & Özkan, M. (2007). Relations between the death concerns of individuals in different religious beliefs, psychological manifestations and socio-demographic variables. Journal of Inonu University Medical Faculty, 14(3), 171–179.Google Scholar
  12. Eues, S. K. (2007). End of life care: Improving quality of life at the end of life. Professional Case Management, 12(6), 339–344.  https://doi.org/10.1097/01.PCAMA.0000300408.00325.1c.CrossRefGoogle Scholar
  13. Feudtner, C. (2005). Hope and the prospects of healing at the end of life. The Journal of Alternative and Complementary Medicine, 11(1), 23–30.  https://doi.org/10.1089/acm.2005.11.s-23.CrossRefGoogle Scholar
  14. Fleming, A. D. (2003). Cultural sensitivity in end of life discussions. Missouri Medicine, 100(1), 67–73.Google Scholar
  15. İnci, F., & Öz, F. (2012). Palliative care and death anxiety. Current Approaches in Psychiatry, 4(2), 178–187.  https://doi.org/10.5455/cap.20120411.Google Scholar
  16. Işık, E., Fadıloğlı, Ç., & Demir, Y. (2009). The scale of attitudes toward death in the population study of validity and reliability of the Turkish translation of nurse. Journal of Research and Development in Nursing, 2, 28–43.Google Scholar
  17. Jo, K.-H., Doorenbos, A. Z., & An, G. J. (2009). Effect of an end-of-life care education program among Korean nurses. Journal of Hospice and Palliative Nursing, 11(4), 230–238.  https://doi.org/10.1097/NJH.0b013e3181aada60.CrossRefGoogle Scholar
  18. Joarder, T., Cooper, A., & Zaman, S. (2014). Meaning of death: An exploration of perception of elderly in a Bangladeshi village. Journal of Cross-Cultural Gerontology, 29, 299–314.  https://doi.org/10.1007/s10823-014-9237-6.CrossRefGoogle Scholar
  19. Karahisar, F. (2006). The evaluation of the thoughts and ideas of the physicians, nurses and fatal patients about the death and euthanasia. Unpublished Master’s Thesis. Atatürk University Institute of Health Sciences, Erzurum.Google Scholar
  20. Lange, M., Thom, B., & Kline, N. E. (2008). Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncology Nursing Forum, 35(6), 955–959.  https://doi.org/10.1188/08.ONF.955-959.CrossRefGoogle Scholar
  21. Menekli, T., & Fadıloğlu, Ç. (2014). Examination of nurses’ perception of death and affecting factors. Anatolian Journal of Nursing and Health Sciences, 17(4), 226.Google Scholar
  22. Neimeyer, R. A., Wittkowski, J., & Moser, R. P. (2004). Psychological research on death attitudes: An overview and evaluation. Death Studies, 28, 309–340.  https://doi.org/10.1080/07481180490432324.CrossRefGoogle Scholar
  23. Olgun, N. (2014). Ölüm ve ölümü yaklaşan bireye yaklaşım. In Ayfer Karadakovan, & Fatma Eti Arslan (Ed.) Care in internal and surgical disease (pp. 211–219). İstanbul: Akademi Publisher.Google Scholar
  24. Özdemir, Z., & Şenol Çelik, S. (2010). Practices of the nurses working in surgical intensive care units for the patients who are in death process. Turkiye Klinikleri Journal of Nursing, 2(1), 32–41.Google Scholar
  25. Parlar Kilic, S., Buyukkaya Besen, D., Tokem, Y., Fadiloglu, C., & Karadag, G. (2014). An analysis of the cultural problems encountered during caregiving by the nurses working in two different regions of Turkey. International Journal of Nursing Practice, 20(3), 310–319.  https://doi.org/10.1111/ijn.12152.CrossRefGoogle Scholar
  26. Taşçı, S. (2012). Cultural factors affecting health and disease. In Seviğ & Tanrıverdi (Eds.), Transcultural nursing (pp. 19–44). İstanbul: İstanbul Medicine Publisher.Google Scholar
  27. Yılmaz, E., & Vermişli, S. (2015). Attitudes of nurses working in intensive care unit to death and dying individual care. Journal of Institute of Medical Sciences of Celal Bayar University, 2(2), 41–46.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Oncology Nursing, Faculty of NursingDokuz Eylul UniversityIzmirTurkey
  2. 2.Health Science FacultyFirat UniversityElazigTurkey
  3. 3.Department of Internal Medicine Nursing, Faculty of NursingDokuz Eylul UniversityIzmirTurkey
  4. 4.Department of Internal Medicine Nursing, Institute of Health SciencesDokuz UniversityIzmirTurkey

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