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Dying in the emergency service: nurses’ attitudes before and after the first critical period of COVID-19
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Background: Death is an increasingly frequent event in hospitals, and nurses are the health professionals who live with this reality
the most. The pandemic caused by COVID-19 made this event more present, showing that nurses’ attitudes toward death may
influence the care provided to people at the end of life. The objective of this study was to analyze the attitudes of nurses in the
emergency service toward death, before and after the first critical period of the pandemic by COVID-19 in Portugal.
Methods: A quantitative, comparative, and cross-sectional study was conducted in a hospital in Northern Portugal at 2 different
moments: the first in February 2018 and the second in May 2020, after the first critical period of the pandemic by COVID-19. In both
moments, data were collected using a self-completion questionnaire, which included the Death Attitude Profile Assessment Scale.
Results: The attitudes fear, avoidance, closeness, and escape did not show significant differences. In neutral/neutral acceptance,
differences were found between the first and second moments of data collection (P=.01), with a lower mean after the critical period of
the pandemic.
Conclusions: The results obtained in 2018 and 2020 showed slight changes in attitudes toward death. The need to invest in the
training and preparation of nurses who deal directly with death and the dying process was evident. Nurse managers should promote
spaces for reflection and team training on death, aiming to reduce the professionals’ suffering and anxiety.
Descrição
Palavras-chave
Attitude toward death Coronavirus infections Nursing Pandemic
Contexto Educativo
Citação
Porto Biomed. J. (2022) 7:1(e149)
Editora
University of Porto, Portugal