medigraphic.com
Instituto Nacional de Salud Pública

2017, Number 6

<< Back Next >>

salud publica mex 2017; 59 (6)

Facing death in the clinical practice: a view from nurses in Mexico

Marván ML, Oñate-Ocaña LF, Santillán-Doherty P, Álvarez-del Río A

Language: English
References: 21
Page: 675-681
PDF size: 212.44 Kb.


ABSTRACT

Objective. To explore the views of nurses on death in their practice, and their perception about physicians’ actions dealing with terminally ill patients. Materials and methods. Two hundred ninety-five nurses with experience caring for terminally ill patients responded to a questionnaire developed for this study. Results. The majority of participants considered that terminally ill patients should know about their prognosis. Although nearly all nurses said that when a patient brings up the subject and they talk with the patient about death, several of the nurses find it difficult to establish a relationship with these patients. Concerning nurses’ perception about physicians’ actions, they considered that physicians avoid the subject of death with their patients more than the physicians acknowledge. Conclusions. More education and training of physicians and nurses on end-of-life issues is needed to improve communication with dying patients and to provide them with better care.


REFERENCES

  1. Álvarez-del Río A, Cerón-Aguilar E. Un adiós en armonía. Una invitación para aceptar la muerte y abrazar la vida. Ciudad de México: Grijalbo, 2015.

  2. Gawande A. Being mortal. Medicine and what matters in the end. New York: Metropolitan Books, 2014.

  3. Temel JS, Greer JA, El-Jawahri A, Piri WF, Park ER, Jackson VA, et al. Effects of early integrated palliative care in patients with lung cancer and GI cancer: a randomized clinical trial. J Clin Oncol 2017;35(8):834-841. https://doi.org/10.1200/JCO.2016.70.5046

  4. García-Rueda N, Errasti-Ibarrondo B, Arantzamendi-Solabarrieta M. La relación enfermera-paciente con enfermedad avanzada y terminal: revisión bibliográfica y análisis conceptual. Med Paliat 2016;23(3):141-152. https:// doi.org/10.1016/j.medipa.2014.01.003

  5. Maza M, Zavala M, Merino J. Actitud del profesional de enfermería ante la muerte de pacientes. Cien Enferm. 2008;15:39-48.

  6. Mutto EM, Errázquin A, Rabhansl MM, Villar MJ. Nursing education: the experience, attitudes, and impact of caring for dying patients by undergraduate Argentinean nursing students. J Palliat Med 2010;13(12):1445- 1450. https://doi.org/10.1089/jpm.2010.0301

  7. Anderson LW, Gustavson CU. The impact of a knitting intervention on compassion fatigue in Oncology nurses. Clin J Oncol Nurs. 2016;20(1):102-4. https://doi.org/10.1188/16.CJON.102-104

  8. Vargas-Daza ER, Pacheco-Rodríguez A, Arellano-Martínez M, Martínez- González L, Galicia-Rodríguez L. Percepción de enfermería en torno a la muerte de pacientes en etapa terminal. Rev Enferm IMSS. 2008;16:37-44.

  9. Álvarez-del Río A, Marván ML, Santillán-Doherty P, Delgadillo S, Oñate- Ocaña LF. Facing death in the clinical practice: a view from physicians in Mexico. Arch Med Res. 2013;44(5):394-400. https://doi.org/10.1016/j. arcmed.2013.05.005

  10. Deschepper R, Bernheim JL, Stichele RV, Van den Block L, Michiels E, Van Der Kelen G, et al. Truth-telling at the end of life: a pilot study on the perspective of patients and professional caregivers. Patient Educ Couns. 2008;71(1):52-6. https://doi.org/10.1016/j.pec.2007.11.015

  11. Kendall S. Being asked not to tell: nurses’ experiences of cancer patients not told their diagnosis. J Clin Nurs. 2006;15(9):1149-57. https:// doi.org/10.1111/j.1365-2702.2006.01460.x

  12. Glaser BG, Strauss AL. Awareness of Dying. Chicago: Aldine Transaction, 1965.

  13. Tolstoy L. The Death of Ivan Ilyich. New York, USA: Bantam Dell, 1981.

  14. Ángeles-Llerenas A, Álvarez del Río A, Salazar-Martínez E, Kraus- Weissman A, Zamora-Muñoz S, Hernández-Ávila M, et al. Perceptions of nurses with regard to doctor-patient communication. Br J Nurs. 2003;12(22):1312-21. https://doi.org/10.12968/bjon.2003.12.22.11894

  15. Anderson N, Kent B, Owens RG. Experiencing patient death in clinical practice: nurses’ recollections of their earliest memorable patient death. Int J Nurs Stud. 2015;52(3):695-704. https://doi.org/10.1016/j. ijnurstu.2014.12.005

  16. Hanzeliková-Pogrányivá A, García-López MV, Conty-Serrano MR, López-Dávila Sánchez B, Barriga-Martín JM, Martín-Conty JL. Reflexiones de los alumnos de enfermería sobre el proceso de la muerte. Enferm Glob. 2014;13(1):133-44. https://doi.org/10.6018/eglobal.13.1.170641

  17. Kisorio LC, Langley GC. Intensive care nurses’ experiences of end-oflife care. Intensive Crit Care Nurs. 2016;33:30-8. https://doi.org/10.1016/j. iccn.2015.11.002

  18. Lange M, Thom B, Kline NE. Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum. 2008;35(6):955-7. https://doi.org/10.1188/08.ONF.955-959

  19. Hof R. Dying with dignity [Documentary]. The Netherlands: Hof Filmprodukties, 2002.

  20. McInnes S, Peters K, Bonney A, Halcomb E. An integrative review of facilitators and barriers influencing collaboration and teamwork between general practitioners and nurses working in general practice. J Adv Nurs. 2015;71(9):1973-85. https://doi.org/10.1111/jan.12647

  21. Gausvik C, Lautar A, Miller L, Pallerla H, Schlaudecker J. Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. J Multidiscip Healthc. 2015;8:33-37. https://doi. org/10.2147/JMDH.S72623




2020     |     www.medigraphic.com