Factors affecting nurses' attitude toward withdrawal of life-sustaining treatment for children

초록

Purpose: The purpose of study was to investigate factors affecting nurses' attitudes toward withdrawal of lifesustaining treatment in children. Design and methods: This descriptive survey study included 167 nurses working at children's hospitals or children's wards. Data were collected through a structured self-administered survey in November 2022. Data were analyzed using descriptive analysis, t -test, ANOVA, the Dunnett's T3 test, Pearson's correlation coefficient, and multiple linear regression. Results: Attitude toward withdrawal of life -sustaining treatment in children showed a significant positive correlation with knowledge of life -sustaining treatment decision -making ( r = 0.38, p < .001) and meaning as a subcategory of moral sensitivity ( r = 0.21, p 0.008). The factors affecting attitude toward withdrawal of lifesustaining treatment in children were knowledge of life -sustaining treatment decision -making (beta =0.31, p < .001) and meaning (beta = 0.18, p = .015). This model showed a 21.0% explanation of attitude toward withdrawal of life -sustaining treatment in children. Conclusions: Developing an effective educational program designed to improve nurses' knowledge and attitude toward life -sustaining treatment decision -making is necessary. Practice implications: It may have a positive in fluence on attitudes toward withdrawal of life -sustaining treatment in children by improving child nurses' knowledge about life -sustaining treatment decision -making and moral sensitivity. (c) 2024 Elsevier Inc. All rights reserved.

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