Exploring the school nurse’s awareness, attitudes and barrier analysis of hospice care in Taichung City

• Main Authors: LAN,SUE-CHING, 藍素卿
• Other Authors: HUANG,TSAI-WEI
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/26891224667992821677

碩士 === 弘光科技大學 === 護理研究所 === 104 === Having a good death is our expectation of death. However, people usually choose to live with chaos during the end of life. This shows that people in Taiwan are still not familiar with the concept of hospice care. If we can promote the concept of hospice care in school, people will not be helpless and afraid when facing death. To reach this goal, teachers and school nursing professionals play important roles in school education. Therefore, our study is to understand the awareness, attitude, and barrier of school nursing professionals regarding the hospice care. The purpose of our study is using three major concepts of the “Theory of Planned Behavior” (TPB), attitude, subjective norm, and perceived behavioral control, for systematic measure and quantitative analysis in order to investigate the current status of the awareness, attitude, and barrier of school nursing professionals regarding the hospice care. With the cross-sectional study, all school nursing professionals in Taichung were subjects in our study. We sent out 144 questionnaires and recruited 141 effective questionnaires. The response rate was 97.91%. Using “Questionnaires of Awareness ,Attitudes and barrier of School Nursing Professionals Towards hospice Care” as the tool, the validity of awareness, attitude, and barrier were CVI=0.88, CVI=0.98, and CVI=0.84, respectively. After the questionnaires were received, data were coded, saved as files, and analyzed with the Chinese Version Statistic Software – SPSS/Window20.0 for statistics, descriptive and inferential statistics. We used the independent-samples t-test, Pearson’s correlation, regression, and one-way ANOVA for analysis and inference. Our results are as follow, (1) the overall awareness of school nursing professionals regarding hospice care is 75.83% (2) the attitude of school nursing professionals regarding hospice care is in a positive trend (3) less understanding or experience regarding barrier of hospice e care. For awareness regarding hospice care, the differences show in age, education, seniority, “having taken courses related to hospice care,” “having taken courses related to life and death,” “considering understanding the Hospice Care Act,” having experience of taking care of dying family members, having experience of taking care of dying patients, and hospice care courses or participants. For attitude towards hospice care, the differences show in education, having worked in clinical internal medicine, “having taken courses related to hospice care,” “having taken courses related to life and death,” and “considering understanding the Hospice Care Act.” For barrier of hospice care, the difference shows in the experience of staying in the clinical surgery. There is a significant positive correlation between awareness and attitude of school nursing professionals regarding hospice care. The correlation cannot be observed between awareness and barrier of school nursing professionals towards hospice care. However, a significant positive correlation is observed between attitude and barrier of school nursing professionals regarding hospice care. According to the results, we offer suggestions as follow: (1) For policy, we suggest to make related regulations and encourage the association or foundation to hold hospice care seminars. (2) For research, we suggest the research plan should investigate the intention of school nursing professionals regarding hospice care in order to establish more comprehensive structure of theory. (3) For practical work, we have some suggestions in the following aspects: (a) Teachers: hospice care courses should be included in the education of a teacher to assist teachers to develop correct awareness and positive attitude towards hospice care in order to react to the demands in students. (b) Parents: Concepts of palliative care can be established through the parent-teacher conference. (c) Students: Hospice care courses should be included in the life education to learn how to respect the life. (d) School nurse: The in-service education of hospice should be enhanced, in order to arouse the school nurses to pay attention to the hospice program, as well as, it can be helpful for teachers to promote the hospice education in campus as their back-up. Keyword: School Nursing, hospice Care, Awareness, Attitudes ,Barrier