A Systematic Review and Meta-analysis of Attitudes of Iranian Nurses and Related Factors Towards End-Of-Life Care.

Omega Pub Date : 2025-05-01 Epub Date: 2022-10-18 DOI:10.1177/00302228221133496

Mohammad Javad Ghazanfari, Samad Karkhah, Parinaz Shahroudi, Aghil Mollaei, Maryam Niksolat, Afsaneh Foolady Azarnaminy, Amir Emami Zeydi

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Abstract

This meta-analysis aimed to summarize the evidence regarding attitudes of Iranian nurses and related factors towards end-of-life (EOL) care. PubMed, Web of Science, Scopus, Magiran, Iranmedex, Scientific Information Database, and Google Scholar search engine were searched using Persian and English appropriate keywords from the earliest records up to September 11, 2020. A total of 849 nurses were included in six studies. After a meta-analysis of the mean score of nurses' attitudes, the pooled mean was 80.07 out of 120 (Q₍₅₎=4.32, I-squared=0.00%; 95%CI: 73.53-86.60; p < 0.001). Marital status, ward type, education level, a history of participating in EOL care workshops, personal study of EOL care, experience of caring for a dying family member or close people, natural and approach acceptance, fear of death, and professional autonomy had a significant positive relationship with nurses' attitudes towards EOL care. Therefore, further large-scale studies considering potential confounding variables are needed to confirm our findings.

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伊朗护士对临终关怀的态度及相关因素的系统回顾和元分析。

本荟萃分析旨在总结有关伊朗护士对临终关怀的态度及相关因素的证据。使用波斯语和英语适当的关键词在 PubMed、Web of Science、Scopus、Magiran、Iranmedex、科学信息数据库和 Google Scholar 搜索引擎中搜索了截至 2020 年 9 月 11 日的最早记录。六项研究共纳入了 849 名护士。对护士态度的平均得分进行荟萃分析后，在 120 项研究中，汇总平均得分为 80.07（Q(5)=4.32，I-平方=0.00%；95%CI：73.53-86.60；P <0.001）。婚姻状况、病房类型、教育程度、参加过临终关怀研讨会、个人对临终关怀的研究、照顾临终家人或亲友的经历、自然和方法接受度、对死亡的恐惧以及职业自主性与护士对临终关怀的态度有显著的正相关关系。因此，需要进一步开展考虑潜在混杂变量的大规模研究，以证实我们的研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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