{"title":"Moral Distress and Intention to Leave Job with the Attitudes Towards Futile Treatments in Nurses: A Cross-Sectional Study","authors":"Dilara Sert Kasım, Fahriye Oflaz","doi":"10.26650/curare.2023.1348106","DOIUrl":"https://doi.org/10.26650/curare.2023.1348106","url":null,"abstract":"Objective: This study aimed to evaluate the relationship between attitudes toward futile treatments, moral distress, and intention to leave the job of nurses. Materials And Methods: This study has a descriptive and correlational design and was carried out with 425 nurses in April-May 2021 in Istanbul. The data were collected using a Personal Information Form, The Nurses’ Attitudes Towards Futile Treatment Scale, the Moral Distress Scale, and the Intention to Leave Scale. Data analysis includes the Kruskal Wallis test, independent samples t-test, ANOVA, and regression analyses. Results: More than half of nurses (51.4%) had never heard of the “futile treatment” concept. The Nurses’ Attitudes Towards Futile Treatment scores had a positive correlation with Moral Distress scores (r=0.295, p<0.001) and a negative correlation with Intention to Leave scores (r=-0.356, p<0.001). Also, Moral Distress Scores negatively correlated with Intention to Leave scores (r=-0.260, p<0.001). Conclusion: The moral distress seemed related to practicing futile treatments. Considering these results, it’s thought that the protocols that hospitals will prepare for futile practices will be an essential step in preventing ethical dilemmas and moral distress experienced by nurses.","PeriodicalId":472418,"journal":{"name":"CURARE Journal of Nursing","volume":"905 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135862951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges and Affecting Factors for Nurses in the Integration of Home Health Service and Palliative Care","authors":"Rahime Atakoğlu Yılmaz, Sevda Türen, Dilek İstengir","doi":"10.26650/curare.2023.1361787","DOIUrl":"https://doi.org/10.26650/curare.2023.1361787","url":null,"abstract":"Objective: This study aimed to determine the difficulties experienced by nurses working in the integration process of home health service and palliative care, and the affecting factors. Material and methods: This is a descriptive study, and data were collected using the “Palliative Care Difficulties Scale (PCDS),” and the “Palliative Care Self-Reported Practices Scale (PCPS).” The study was conducted using an online questionnaire through Google Survey. Results: While 91.8% (n=141) of the participants reported that the integration of home health service and palliative care was necessary, 42.6% of them reported that they had problems with decision-making during the practices in the unit where they worked. The participants’ mean PCDS score was 42.3±10.3, and the mean PCPS score was 73.8±10.2. A statistically significant relationship was found between the educational status of the nurses, receiving education about the unit they work in, having problems with making decisions during practice, experiencing conflicts about home health service/ palliative care areas, and receiving consultancy services related to ethical dilemmas experienced and palliative care difficulties (p<0.05). A weak and significant negative correlation was found between the sub-dimension of PCPS, “care provided at the time of death”, and “communication”, which is both PCDS total and PCDS sub-dimension. Conclusion: Although a weak but significant correlation was detected in some sub-dimensions, no significant correlation between the total PCDS score and the total PCPS score was found.","PeriodicalId":472418,"journal":{"name":"CURARE Journal of Nursing","volume":"44 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determining the Practices and Attitudes of Nurses Working in Intensive Care Units Towards Complementary and Alternative Treatment Methods","authors":"Sena Akcan, Berna Dinçer Hekim","doi":"10.26650/curare.2023.1350535","DOIUrl":"https://doi.org/10.26650/curare.2023.1350535","url":null,"abstract":"Objective: This study was conducted to examine intensive care nurses’ attitudes about complementary and alternative treatment methods and the treatment methods they applied. Materials and Methods: This research was carried out with 252 nurses working in the intensive care unit of a city hospital. Data were collected via questionnaires between February and June 2022, using the “Nurse Introductory Information Form” and “ Integrative Complementary and Alternative Treatment Attitude Scale “ (ITATTS). Results: The mean age of the nurses was 25.48±1.99, and 79.8% of them were women. 77% of the nurses stated that they used Complementary and Alternative Therapy (CAM) methods. They preferred massage with 66.7% as the method they knew the most, massage with 45.2% as the method they used, and massage with 42.9% as the method they wanted to apply. The total mean score of the nurses in ITATTS was 25.53±5.97, 16.71±4.13 for the CAM sub-dimension, 8.82±3.441 for the Holistic Health sub-dimension, and the alpha value of the scale was 0.66. The total mean score from the CAM confidence scale is 6.40±1.76. Conclusion: The study determined that the attitudes and behaviors of intensive care nurses regarding CAM methods and practices were inadequate and that they needed to raise more awareness on the subject. The group with the highest attitude of intensive care nurses toward CAM was those whose graduation year was between 2010-2016, and the group with the lowest was those with chronic diseases.","PeriodicalId":472418,"journal":{"name":"CURARE Journal of Nursing","volume":"20 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}