COMPETENCIAS EN FIN DE VIDA ENTRE UN GRUPO DE ENFERMEROS ESPAÑOLES Y CHILENOS

María Oses Zubiri, Juan Manuel Casas Fernández de Tejerina, Fredy Seguel Palma

Resumen


Evaluar las aptitudes de enfermería en la atención al final de la vida, nos permite percibir el nivel de cuidados proporcionado y mejorar su calidad.

Estudio observacional transversal, que utiliza la escala FATCOD-S en una muestra de enfermeros de Navarra (España) y Los Ríos (Chile).

Las enfermeras chilenas obtuvieron una mejor puntuación en la escala, respecto a las españolas. Se encontraron diferencias significativas según la edad, el contexto cultural y religioso, la formación y las experiencias previas de muerte. En este sentido, es necesario influir en aspectos relacionados con la comunicación, la toma de decisiones y el manejo de las emociones, para favorecer la satisfacción del cuidado terminal.

 

Abstract

Assessing nursing skills in end-of-life care allows us to perceive the level of care provided and improve quality of care.

Cross-sectional observational study, which uses the FATCOD-S scale in a sample of nurses from Navarre (Spain) and Los Ríos (Chile).

Chilean nurses obtained a better score on the scale, compared to Spanish. Differences were found according to age, cultural and religious backgrounds, training and previous experiences of death. In this context, it is necessary to influence aspects related with communication, decision-making and emotion management, to favour the satisfaction of terminal care.

 

 


Palabras clave


actitudes al final de la vida; atención terminal; competencia clínica; competencia cultural;atención de enfermería. Keywords: attitudes at the end of life; terminal care; clinical competence; cultural competence; nursing care.

Citas


Bibliografía

SECPAL. Sociedad Española de cuidados paliativos. [Online].; 2014 [cited 2016 Nov 3. Disponible en: https://www.secpal.com/guia-cuidados-paliativos-1

OMS. Cuidados paliativos. Notas descriptivas. [Online].; 2019 [cited 2019 Octubre 9. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/palliative-care

Osés Zubiri M, Casas Fernández J. Factors influencing the conceptualization in palliative care. 2017. Poster: P01-265; 15th World Congress of the European Association for palliative care. Madrid.

Granda-Cameron C, Houldin A. Concept analysis of good death in terminally ill patients. Am J Hosp Palliat Care. 2012; 29(8): p. 632-9.

Urmeneta A. Derecho a morir dignamente en España. [Online].; 2015 [cited 2015 May 25. Disponible en: http://www.eutanasia.ws/hemeroteca/t169.pdf.

Giles T, Hammad K, Breaden K, Drummond C, Bradley S, Gerace A, et al. Nurses' perceptions and experiences of caring for patients who die in the emergency department setting. Int Emerg Nurs. 2019 Sep; 5.

Correa-Casado M, Granero-Molina J, Hernández-Padilla J, Fernández-Sola C. Transferring palliative-care patients from hospital to community care: A qualitative study. Aten primaria. 2017 Jun-Jul; 49(6): p. 326-334.

Ministerio de Sanidad Política social e Igualdad. Estrategia en Cuidados Paliativos del Sistema Nacional de Salud. Actualización 2010-2014. Madrid: Gobierno de España; 2011.

Contreras Contreras S, Sanhueza Alvarado O. Patients of the Pain relief and palliative care programme: reasons and meaning for nurses. Cienc. enferm. 2016 abr; 22(1).

Ferrell B, Malloy P, Mazanec P, Virani R. CARES: AACN's New competencies and recommendations for educating undergraduate nursing students to improve palliative care. J Prof Nurs. 2016 Sep-Oct; 32(5): p. 327-33.

Marilaf Caro M, San-Martín M, Delgado-Bolton R, Vivanco L. Empathy, loneliness, burnout, and life satisfaction in Chilean nurses of palliative care and homecare services. Enferm Clin. 2017 Nov-Dec; 27(6): p. 379-386.

Real Academia Española. Diccionario de la lengua española. [Online].; 2014 [cited 2017 Marzo 8. Disponible en: http://dle.rae.es/?id=3KcD1v9.

Huang C, Chen J, Chiang H. The transformation process in nurses caring for dying patients. J Nurs Res. 2016 Jun; 24(2): p. 109-17.

Brant J, Fink R, Thompson C, Li Y, Rassouli M, Majima T, et al. Global survey of the roles, satisfaction, and barriers of home health care nurses on the provision of palliative care. J Palliat Med. 2019 Aug; 22(8): p. 945-960.

Frommelt K. Attitudes toward care of the terminally ill: an educational intervention. American Journal of Hospice & Palliative Care. 2003; 20(1): p. 13-22.

Edo-Gual M, Tomás-Sábado, Gómez-Benito J, C MR, Aradilla-Herrero A. Spanish adaptation of the Frommelt Attitudes toward caring of the dying scale (FATCOD-S) in nursing undergraduates. OMEGA—Journal of death and dying. 2017; 0(0): p. 1-23.

Frommelt K. The effects of death education on nurse’s attitudes toward caring for terminal ill persons and their families. Am J Hosp Palliat Care. 1991 Sep-Oct; 8(5): p. 37-43.

Nakai Y, Miyashita M, Sasahara T, Koyama Y, Shimizu Y, Kawa M. Factor structure and reliability of the Japanese version of the Frommelt attitude toward care of dying scale. Japanese Journal of Cancer Nursing. 2006;(11): p. 723-29.

Miyashita M, Nakai Y, Sasahara T, Koyama Y, Shimizu Y, Tsukamoto N, et al. Nursing autonomy plays an important role in nurses' attitudes toward caring for dying patients. Am J Hosp Palliat Care. 2007 Jun-Jul; 24(3): p. 202-10.

Henoch I, Browall M, Melin-Johansson C, Danielson E, Udo C, Johansson Sundler A, et al. The Swedish version of the Frommelt Attitude Toward Care of the Dying scale: aspects of validity and factors influencing nurses' and nursing students' attitudes. Cancer Nurs. 2014 Jan-Feb; 37(1): p. E1-11.

Leombruni P, Miniotti M, Bovero A, Zizzi F, Castelli L, Torta R. Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale. Journal of Nursing Education and Practice. 2014; 4(3): p. 188-96.

Mastroianni C, Piredda M, Frommelt K, Mirabella F, Taboga C, Casale G, et al. Italian validation of the Frommelt attitudes toward care of the dying Scale form B (FATCOD Form B-I). Int Nurs Perpect. 2009; 9(1): p. 11-6.

Henoch I, Browall M, Melin-Johansson C, Danielson E, Udo C, Johansson Sundler A, et al. The Swedish version of the Frommelt Attitude Toward Care of the Dying scale: aspects of validity and factors influencing nurses' and nursing students' attitudes. Cancer Nurs. 2014; 37(1): p. E1-11.

Albers G, Francke AL, de Veer A, Bilsen J, Onwuteaka-Philipsen B. Attitudes of nursing staff towards involvement in medical end-of-life decisions: A national survey study. Patient Educ Couns. 2014 Jan; 94(1): p. 4-9.

Dobrowolska B, Mazur E, Pilewska-Kozak A, Dońka K, Kosicka B, Palese A. Predicted difficulties, educational needs, and interest in working in end of life care among nursing and medical students. Nurse Educ Today. 2019 Dic; 83(104194).

Kirkpatrick A, Cantrell M, Smeltzer S. Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study. Nurse Educ Today. 2019 Feb; 73: p. 23-30.

Espinoza Venegas M, Luengo Machuca L, Sanhueza Alvarado O. Attitudes held by Chilean nursing professionals on care of the dying. A multivariate analysis. Aquichan. 2016; 16(4): p. 430-446.

Morita T, Murata H, Hirai K, Tamura K, Kataoka J, Ohnishi H, et al. Meaninglessness in terminally ill cancer patients: a validation study and nurse education intervention trial. J Pain Symptom Manage. 2007; 34(2): p. 160-70.

Watson Alvaro A. Critical care nurse's attitudes towards the care of the dying: an educational intervention. Degree of Master of Science in Nursing. Western Carolina University, Nursing Department; 2009.

Liping W, Jing C, Yanli D, Zhenzhen W, Zhifang L, Zhaoyang D. Factors Influencing Chinese nursing Students’ Attitudes Toward the Care of Dying Patients. Journal of Hospice & Palliative Nursing. 2017 Aug; 19 (4): p. 343–350.

Garrino L, Contratto C, Massariallo P, Dimonte V. Caring for dying patient and their families: the lived experiences of nursing students in Italy. Journal of palliative Care. 2017 Nov; 32(3-4): p. 127-133.

Draper P, Holloway M, Adamson S. A qualitative study of recently bereaved people's beliefs about death: implications for bereavement care. J Clin Nurs. 2014 May; 23(9-10): p. 1300-8.

Hagelin C, Melin-Johansson C, Henoch I, Bergh I, Ek K, Hammarlund K, et al. Factors influencing attitude toward care of dying patients in first-year nursing students. Int J Palliat Nurs. 2016 Jan; 22(1): p. 28-36.

Paque K, Elseviers M, Vander Stichele R, Pardon K, Hjermstad MJ, Kaasa S, Dilles T, De Laat M, Van Belle S, Christiaens T, Deliens L. Changes in medication use in a cohort of patients with advanced cancer: The international multicentre prospective European Palliative Care Cancer Symptom study. Palliat Med. 2018 Apr; 32(4): p. 775-785.

Álvarez Mazariegos, JA; Calvete Waldomar, S; Fernández-Marcote Sánchez-Mayoral, RM; Guardia Serecigni, J. Guía de consenso para el buen uso de analgésicos opioides. Gestión de riesgos y beneficios. Valencia: SECPAL-SEMFyC-FAECAP; 2017.

White D, Meeker M. Guiding the process of dying: the personal impact on nurses. J Hosp Palliat Nurs (Publish Ahead of Print). 2019 Oct; 21(5): p. 390-396.


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