RESUMO
Palliative care is a method of preventing and alleviating suffering for patients who have been diagnosed with terminal diseases by early detection, accurate assessments, and pain and symptom management. Patients and their families can then mitigate related physical, psychological, and spiritual challenges and thus will have a better quality of life. This article reports a study that evaluated undergraduate nursing students' knowledge of and attitude and self-efficacy toward palliative and end-of-life care in Palestine. A descriptive, cross-sectional design was used among a convenience sample of 449 undergraduate nursing students at the end of their second, third, and fourth years. The results of this research revealed that nursing students had low levels of knowledge about palliative care and low self-efficacy toward end-of-life care. The majority of students reported a positive disposition toward the provision of end-of-life care. The most important predictors of knowledge, attitudes, and self-efficacy were age, having attended a seminar/lecture on the issue, experiencing death while providing care, and having experienced a death in the family or close friends. Furthermore, elevated levels of knowledge were significantly associated with higher level of attitude (P < .001) about palliative care.
Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , Assistência Terminal , Humanos , Cuidados Paliativos/psicologia , Bacharelado em Enfermagem/métodos , Estudantes de Enfermagem/psicologia , Estudos Transversais , Qualidade de Vida , Assistência Terminal/psicologia , Atitude do Pessoal de Saúde , Inquéritos e QuestionáriosRESUMO
El contacto precoz piel a piel provee beneficios para la madre y para el bebé, además de tener un papel importante en el establecimiento de la lactancia materna. Objetivo: El objetivo de este estudio fue informar a las madres de bebés pretérmino sobre la importancia del contacto piel con piel para la implantación de la lactancia materna y para un mejor vínculo entre ellos (cuidados centrados en el desarrollo CCD). Material y método: Se realizó un estudio de cohorte, prospectivo, en varios Hospitales de Cisjordania en Palestina, en el período de tiempo comprendido entre 2008 y 2011. El universo lo constituyó una estimación de un promedio de 2.500 partos anuales en cada hospital. Se determinó una población muestral de n = 252. Todos los recién nacidos tenían una edad gestacional inferior a 37 semanas y un peso inferior a 2.500 gramos y, por problemas de salud, fueron ingresados en unidades de encamación neonatal. Resultados: Este estudio ha puesto de manifiesto que en Palestina las mujeres jóvenes practican el contacto piel con piel y la lactancia materna con mayor frecuencia que las mujeres mayores; una vez informada de sus ventajas, muestran mayor interés en aprender los cuidados de sus bebés en las propias unidades de encamación neonatal. Conclusiones: La aplicación del contacto piel a piel (CCD) y la lactancia en bebés pretérmino ha sido posible mediante información e instrucción a las madres. Este estudio ha tenido una gran repercusión y ha sido muy bien aceptado por la población femenina. No existían estudios similares en ningún hospital de Palestina (AU)
In addition to its important role in the initiation of breastfeeding, early skin-to-skin contact benefits both mothers and their babies. Objective: To inform all mothers of premature babies about the importance of skin-to-skin contact and breast-feeding in order to foment a closer bond between mother and child (development-centered care). Materials and method: A prospective cohort study was conducted in various hospitals on the West Bank in Palestine during 2008-2011. The universe was made up of an estimated average of 2,500 childbirths per year in each hospital. All of the subjects in the sample population of n = 252 babies had a gestational age of less than 37 GWs, and had weighed less than 2,500 grams at birth. For health reasons, they were hospitalized in neonatal care units. Results: The results obtained showed that in Palestine, young women tend to breastfeed their babies and have skin-to-skin contact with them more often than older mothers. Once the new mothers were informed of the advantages of these practices, they showed greater interest in learning how to care for their babies in the neonatal care units. Conclusions: Breastfeeding premature babies as well as having skin-to-skin contact with them was made possible by informing and teaching new mothers about the advantages of this type of infant care. This research has had widespread impact and has been very well received by the female population in the country. This is the first study of its kind to be carried out in Palestine (AU)
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Aleitamento Materno/estatística & dados numéricos , Recém-Nascido Prematuro/crescimento & desenvolvimento , Método Canguru , Árabes , Relações Mãe-Filho , Promoção da Saúde , Educação em SaúdeRESUMO
UNLABELLED: In addition to its important role in the initiation of breastfeeding, early skin-to-skin contact benefits both mothers and their babies. OBJECTIVE: To inform all mothers of premature babies about the importance of skin-to-skin contact and breast-feeding in order to foment a closer bond between mother and child (development-centered care). MATERIALS AND METHOD: A prospective cohort study was conducted in various hospitals on the West Bank in Palestine during 2008-2011. The universe was made up of an estimated average of 2,500 childbirths per year in each hospital. All of the subjects in the sample population of n = 252 babies had a gestational age of less than 37 GWs, and had weighed less than 2,500 grams at birth. For health reasons, they were hospitalized in neonatal care units. RESULTS: The results obtained showed that in Palestine, young women tend to breastfeed their babies and have skin-to-skin contact with them more often than older mothers. Once the new mothers were informed of the advantages of these practices, they showed greater interest in learning how to care for their babies in the neonatal care units. CONCLUSIONS: Breastfeeding premature babies as well as having skin-to-skin contact with them was made possible by informing and teaching new mothers about the advantages of this type of infant care. This research has had widespread impact and has been very well received by the female population in the country. This is the first study of its kind to be carried out in Palestine.
