Psychometric Properties of a Scale to Assess Nursing Attitudes Toward Care at the End of Life in Colombia
The FATCOD-S Scale

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10754

Article Sidebar

PDF (Español (España)) XML (Español (España))

Published: Jun 13, 2023
Issue: Vol. 21 No. 2 (2023): Revista Ciencias de la Salud
Section Clinical or Experimental Research


Keywords: palliative care , attitude of health personnel , hospice and palliative care nursing , neoplasms cuidados paliativos , actitud del personal de salud , enfermería de cuidados paliativos al final de la vida , neoplasias cuidados paliativos , atitude do pessoal de saúde , enfermagem em cuidados paliativos no fim da vida , neoplasias

Main Article Content

Authors

  Valeria Campiño-Zuluaga EPS SURA
  Marjorie Pérez-Villa Universidad Pontificia Bolivariana
  Alicia Krikorian-Daveloza Universidad Pontificia Bolivariana
Abstract

Introduction: Nursing staff must cope with the complexities of caring for people with life-threatening illnesses. This study aimed to examine the psychometric characteristics of the Colombian version of the Frommelt Scale (FATCOD-S) and determine the relationship between FATCOD-S scores and sociodemographic and training-related variables.  Materials and methods: Nursing professionals working oncological services of three healthcare institutions in Medelln (Colombia) and those participating in an academic interest group were invited to participate in this quantitative cross-sectional study. Sociodemographic and training-related variables were collected, and FATCOD-S was administered. A principal component analysis was conducted, and Cronbach’s alpha was obtained. Descriptive and comparative statistics were also obtained. Results: Overall, 83 nurses were enrolled, with a median age of 34 (interquartile range, 7) years. Among them, 96.3% were women, 51.2% worked in hospitals, 31.7% worked <2 years in the service, and 35.4% had 2–5 years of experience in caring for patients with cancer. FATCOD-S showed solid psychometric properties, and its total average score was 87.6 (standard deviation 8.2). Positive attitudes toward family and experiences with dying were related to training and professional experience. Conclusions: The attitudes of the participating nursing professionals toward palliative care for patients at the end of life tend to be very positive and are associated with their type of training and professional experience. Academic nursing programs should encourage training in caring attitudes toward dying, which in time fosters the wellbeing of the staff and their patients.

Author Biographies

Valeria Campiño-Zuluaga, EPS SURA

RN, MSc. EPS SURA. Medellin (Antioquia, Colombia)

Marjorie Pérez-Villa, Universidad Pontificia Bolivariana

RN, MSc. Care research group, Faculty of Nursing, Universidad Pontificia Bolivariana, Medellín (Antioquia, Colombia).

Alicia Krikorian-Daveloza, Universidad Pontificia Bolivariana

Psic, PhD. Research Group on Pain and Palliative Care, Faculty of Medicine, Universidad Pontificia Bolivariana, Medellín (Antioquia, Colombia).

How to Cite
Campiño-Zuluaga, V. ., Pérez-Villa, M., & Krikorian-Daveloza, A. . (2023). Psychometric Properties of a Scale to Assess Nursing Attitudes Toward Care at the End of Life in Colombia: The FATCOD-S Scale. Revista Ciencias De La Salud, 21(2), 1–19. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10754
References

Organización Mundial de la Salud. Cuidados paliativos [citado 2019 oct 23]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/palliative-care

Páez Armenteros J. Enfermería y los cuidados paliativos. Rev Cubana Enfermer. 2007;23(4):1-2.

Contreras Contreras SE, Sanhueza Alvarado OI. Los pacientes del programa alivio del dolor y cuidados paliativos: razones y significados para enfermeras/os. Cienc Enferm. 2016;XXII1):47-63.

Silva Fhon J, Silva L, Rodrigues R, Carhuapoma-Acosta M. Percepción de las enfermeras sobre cuidados paliativos: experiencia con pacientes oncológicos. Rev Iberoam Educ Investi Enferm. 2018;8(3):28-36.

Espinoza-Venegas M, Luengo-Machuca L, Sanhueza-Alvarado O. Actitudes en profesionales de enfermería chilenos hacia el cuidado al final de la vida: análisis multivariado. Aquichan. 2016;16(4):430-46.

Lange M, Thom B, Kline NE. Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum. 2008;35(6):955-9. https://doi.org/10.1188/08.ONF.955-959

Wang L, Li C, Zhang Q, Li Y. Clinical nurses’ attitudes towards death and caring for dying patients in China. Int J Palliat Nurs. 2018;24(1):33-9. https://doi.org/10.12968/ijpn.2018.24.1.33

Gurdogan EP, Kınıcı E, Aksoy B. The relationship between death anxiety and attitudes toward the care of dying patient in nursing students. Psychol Health Med. 2019;24(7):843-52. https://doi.org/10.1080/13548506.2019.1576914

Edo-Gual M, Tomás-Sábado J, Gómez-Benito J, Monforte-Royo C, Aradilla-Herrero A. Spanish Adaptation of the Frommelt Attitude Toward Care of the Dying Scale (FATCOD-S) in Nursing Undergraduates. Omega (Westport). 2018;78(2):120-42. https://doi.org/10.1177/0030222816688294

Wang L-P, Li Y-J, Yan W-Z, Li G-M. Development and psychometric testing Chinese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B in Nurses and Nursing Students. J Canc Educ. 2016;31(1):123-30. https://doi.org/10.1007/s13187-015-0810-7

Leombruni P, Loera B, Miniotti M, Zizzi F, Castelli L, Torta R. Confirmatory factor analysis of the Frommelt Attitude Toward Care of the Dying Scale (FATCOD-B) among Italian medical students. Palliat Support Care. 2015;13(5):1391-8. https://doi.org/10.1017/S1478951515000139

Hagelin CL, 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;22(1):28-36. https://doi.org/10.12968/ijpn.2016.22.1.28

Akbolat M, Ünal Ö, Karakaya BG. Turkish Adaptation of the Frommelt Attitude Toward Care of the Dying Scale. Omega (Westport). 2020;0(0):1-15. https://doi.org/10.1177/0030222820930139

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):E1-11. https://doi.org/10.1097/NCC.0b013e318279106b

Nakai Y, Miyashita M, Sasahara T, Koyama Y, Shimizu Y, Kawa M. Factor structure and reliability of the Japanese version of the Frommelt attitudes toward care of the dying scale (FATCOD-B-J). Jpn J Cancer Nurs. 2006;11:723-9.

Browall M, Pakpour AH, Melin-Johansson C, Lundh Hagelin C, Österlind J, Henoch I. Development and psychometric evaluation of a new short version of the Swedish Frommelt Attitudes Toward Care of the Dying Scale. Cancer Nurs. 2020;44(4):305-313. https://doi.org/10.1097/NCC.0000000000000794

Frommelt KH. The effects of death education on nurses’ attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Care. 1991;8(5):37-43. https://doi.org/10.1177/104990919100800509

Marchán Espinosa S. Afrontamiento del profesional de enfermería ante la muerte de pacientes en unidades de paliativos y oncología. NURE Investig. 2016;13(82):12.

Zunzunegui MV. Los cuidados al final de la vida. Gac Sanit. 2018;32(4):319-20. https://doi.org/10.1016/j.gaceta.2018.04.007

Santos MA dos, Hormanez M. The attitude among nursing professionals and students when facing death: a review of the scientific literature of the last decade. Ciênc Amp Saúde Coletiva. 2013;18(9):2757-68. https://doi.org/10.1590/s1413-81232013000900031

Clarke LH, Korotchenko A, Bundon A. “The calendar is just about up”: older adults with multiple chronic conditions reflect on death and dying. Ageing Soc. 2012;32(8):1399-417. https://doi.org/10.1017/S0144686X11001061

Codorniu N, Bleda M, Alburquerque E, Guanter L, Adell J, García F, et al. Cuidados enfermeros en cuidados paliativos: análisis, consensos y retos. Index Enferm. 2011;20(1-2):71-5. https://doi.org/10.4321/S1132-12962011000100015

Cáceres Rivera DI, Cristancho Zambrano LY, López Romero LA. Actitudes de las enfermeras frente a la muerte de los pacientes en una unidad de cuidados intensivos. Rev Cienc Salud. 2019;17(3):98. https://doi.org/10.12804/revistas.urosario.edu.co/rev salud/a.8368

Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students’ knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey. Nurse Edu Today. 2019;74:7-14. https://doi.org/10.1016/j.nedt.2018.11.025

Lin J, Supiano KP, Madden C, McLeskey N. The impact of the end-of-life nurse education consortium on attitudes of undergraduate nursing students toward care of dying patients. J Hosp Palliat Nurs. 2018;20(4):340-8. https://doi.org/10.1097/NJH.0000000000000445

Fernández JAF, Martínez LG, García-Bueno MLG, Grande AIF, González TL, Prieto AR. Actitudes y afrontamiento ante la muerte en el personal de enfermería. Tiempos Enferm Salud. 2017;(2):27-33.

Query Statistics

Downloads

Download data is not yet available.
Publcation metrics

508 312




 

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Published articles are solely the authors’ responsibility and do not commit the Editorial Committee nor the Scientific Committee. The copyrights belong to the Revista Ciencias de la Salud, therefore, total or partial reproduction of the published material is forbidden, unless there is a previous authorization.

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.