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Attitude of Nurses towards Terminally Ill Patients and their Recovery


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Attitude of Nurses towards Terminally Ill Patients and their Recovery

ABSTRACT

This research study was carried out to assess the attitude of Nurses towards terminally ill patients and their recovery in St. Luke’s Hospital Anua-Uyo, Akwa Ibom State.

The target population was 150 patients from six units in the hospital. A sampling size of 109 was determined using Yaro Yamane’s formula. A stratified and simple random sampling was used to select the 109 respondents.

The instrument used for data collected was a research constructed questionnaire which consisted of 20 items in two Sections; A and B.

The data collected were analyzed using descriptive statistical methods of simple percentages, frequency tables and multiple bar chart, the result showed that 95.4% of nurses showed caring attitude, 87.1% of respondents accepted that predictors of attitude among nurses affect the care being rendered in St. Luke’s Hospital Anua-Uyo, Akwa Ibom State.

It also showed that there is 90.8% of improvement when nurses shows positive attitude. Recommendations made include that nurses should modify their attitude and behaviour and also have love and empathy when caring for terminally ill patients in order to promote their health and recovery.

Conclusion drawn from the findings was that attitude of nurses towards terminally ill patients in St. Luke’s Hospital Anua-Uyo, Akwa Ibom State hinders patients from recovering in the hospital.


TABLE OF CONTENTS

Cover Page

Title Page –        –           –           –           –           –           –           – i

Certification –        –           –           –           –           –           –           – ii

Abstract –        –           –           –           –           –           –           – iii

Dedication –        –           –           –           –           –           –           – iv

Acknowledgement –        –           –           –           –           –           –           – v

Table of Contents –        –           –           –           –           –           –           – vi

List of Tables –        –           –           –           –           –           –           – 

List of Figures –        –           –           –           –           –           –           –

CHAPTER ONE: INTRODUCTION 

1.1       Background of the Study –           –           –           –           –           – 1

1.2       Statement of Problem –           –           –           –           –           –           – 2

1.3       Research Objectives –           –           –           –           –           –           – 3

1.4       Specific Objectives –           –           –           –           –           –           – 3

1.5       Research Questions     –           –           –           –           –           –           –           3

1.6       Significance of the Study –           –           –           –           –           – 4

1.7       Scope of the Study –           –           –           –           –           –           – 4

1.8       Operational Definition of Terms –           –           –           –           – 4

CHAPTER TWO: LITERATURE REVIEW

2.1       Conceptual Review –           –           –           –           –           –           – 6

2.2       Empirical Review –           –           –           –           –           –           – 10

2.3       Theoretical Review –           –           –           –           –           –           – 12

CHAPTER THREE: METHODOLOGY

3.1       Research Design –           –           –           –           –           –           – 15

3.2       Research Setting –           –           –           –           –           –           – 15

3.3       Target Population –           –           –           –           –           –           – 16

3.4       Sampling Size Determination –           –           –           –           –           – 16

3.5       Sampling Technique –           –           –           –           –           –           – 16

3.6       Instruments for Data Collection –           –           –           –           – 16

3.7       Validity of Instrument –           –           –           –           –           –           – 16

3.8       Reliability of Instrument –           –           –           –           –           – 17

3.9       Method of Data Collection –           –           –           –           –           – 17

3.10     Method of Data Analysis –           –           –           –           –           – 17

3.11     Ethical Consideration –           –           –           –           –           –           –           17

CHAPTER FOUR: ANALYSIS OF DATA

4.1       Presentation of Result Using Tables and Charts        –           –           –           18

4.2       Proper Labeling of Tables, Charts      –           –           –           –           –           21

4.3       Proper Description of Content of Tables and Charts –           –           –           21

4.4       Answering Research Questions          –           –           –           –           –           23

CHAPTER FIVE: DISCUSSION OF FINDINGS

5.1       Identify Key Finding  –           –           –           –           –           –           –           25

5.2       Literature Support       –           –           –           –           –           –           –           26

5.3       Align Findings with Findings of Previous Studies Cited       –           –           26

5.4       Implication to Nursing            –           –           –           –           –           –           26

5.5       Limitations of the Study         –           –           –           –           –           –           27

5.6       Summary         –           –           –           –           –           –           –           –           27

5.7       Conclusion      –           –           –           –           –           –           –           –           28

5.8       Recommendations      –           –           –           –           –           –           –           28

5.9       Recommendation for Further Studies            –           –           –           –           –           28


INTRODUCTION

Terminal illness is an incurable disease that cannot be adequately treated and is reasonably expected to result in the death of the patient within a short period of time regardless the intervention given.

This term is more commonly used for a progressive disease such as cancer or advanced heart disorder than for trauma.

However, some kinds of medical treatments maybe appropriate such as treatment to reduce pain or ease breathing.

Some terminally in patients stop all debilitating treatment to reduce unwanted side effects. A common symptom that many terminal patient experience is dyspnea, or difficulty with breathing.

Some patient view terminal illness management or treatment as being aggressive in the hope of an expected success. Still, others reject conventional medical treatment and pursue unproven treatments such as radical dietary modifications.

Speaking about dying to those who are near death is challenging for even the most talented and experience nurse (Gautheir 2008).

However, the care of terminally ill patient is a challenge for nurse that has raised special interest in recent years. It is believed that nurse’s positive attitude has the potential to affect the patient’s health in an encouraging manner (Bacrach and Lindstorm, 2008.)


REFERENCES

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Backrach and Lindstorm, Margareta, Sara Jenson. (2008) Nurses its Effect, Standford 5 (2): 1-5

Botti, M. Endicott, R. Watts, R. lewis, K and Kemy (2009) Barriers in Providing Psychological Care for Patients with Cancer. Nursing Journal, 29 (4): 309 – 316.

Carpenter, C. J. (2010). “A Metaanalysis of the Effectiveness of Health Belief Model           Variables in Predicting Behaviour.” Journal of Health Communication 25(8): 661-  669. Dio:10.    1080/104/0236.2010.521906. Retrieved from: http://en.m.wikipedia.org/wiki/health-belief-model on 18-05-2018

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Iranmanesh, S. Axelsson, K. Haggstrom, T. Savestedit, S. (2010) Caring for Dying People, Attitude, Among Iranian and Swedish Nursing Students 16 (2): 147-153.

Kroshinsky (2013). Treatment of Pressure Sore in Terminal Patients, Journal of Advanced Nursing, London 39 (3) 228-240.

Lange, M. Thom, 13. Kline, N. E. (2008) Assessing Nurses Attitude Towards Death and Caring for Dying Patients in a Comprehensive Cancer, Centre, Oncology Nurses Forum. 35 (6): 955-959.

Lloyd-Williams. M., and Field, D. (2010). The Problems Experienced by Patient with Cancer and their Needs for Palliative Care, Support Care Cancer, 13 (9) 722-732.

Rockfeller, J. D. (2015). Terminally ill: Symptoms, Causes, Treatment and Prevention.  Retrieved from https://en.m.wikipedia.org/wiki/terminal illness on 01-06-2018.

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World Health Organization (2014). Definition of Palliative Care, Geneva, Switzerland.

CSN Team.

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