Table 3 Assessment of nurses’ perceptions of potential obstacles to providing the end of life care based on nurses’ roles
From: Oncology nurses’ perceptions of obstacles and role at the end-of-life care: cross sectional survey
No. | Statement | Strongly agree/ Agree | Undecided | Strongly disagree/ Disagree | χ2 | p | df | |
|---|---|---|---|---|---|---|---|---|
% | % | % | ||||||
1. | The nurse’s opinion on immediate patient care is not welcome, valued or discussed | Supporter | 44.2 | 9.5 | 46.3 | 6.08 | 0.19 | 4 |
Advocate | 45.5 | 9.1 | 45.5 | |||||
Information Broker | 43.4 | 9.8 | 46.8 | |||||
2. | Family has no access to psychological help after being informed about the patient’s diagnosis | Supporter | 49.4 | 12.6 | 38.1 | 4.59 | 0.41 | 4 |
Advocate | 50.0 | 12.7 | 37.3 | |||||
Information Broker | 49.2 | 12.2 | 38.6 | |||||
3. | The lack of nursing knowledge on EOL care and how to treat the patient’s grieving family | Supporter | 54.1 | 15.2 | 30.7 | 2.04 | 0.57 | 4 |
Advocate | 54.6 | 15.0 | 30.5 | |||||
Information Broker | 56.1 | 16.1 | 27.8 | |||||
4. | Physicians are evasive and avoid conversation with the patient and/or family members | Supporter | 58.8 | 10.8 | 30.3 | 0.55 | 0.89 | 4 |
Advocate | 59.5 | 10.5 | 30.0 | |||||
Information Broker | 60.5 | 11.2 | 28.3 | |||||
5. | Physicians are too optimistic about the patient’s survival prospects during conversations with the patient’s family members | Supporter | 56.3 | 23.8 | 19.9 | 4.16 | 0.42 | 4 |
Advocate | 56.4 | 23.6 | 20.0 | |||||
Information Broker | 55.1 | 25.4 | 19.5 | |||||
6. | The patient’s family does not accept information provided by a physician about the patient’s poor prognosis | Supporter | 64.9 | 16.9 | 18.1 | 3.54 | 0.49 | 4 |
Advocate | 63.7 | 17.3 | 19.1 | |||||
Information Broker | 63.4 | 18.5 | 18.1 | |||||
7. | Family members or friends regularly call for a nurse in order to find out about the patient’s condition instead of addressing an informed family member | Supporter | 64.1 | 19.0 | 16.9 | 3.35 | 0.52 | 4 |
Advocate | 65.0 | 18.2 | 16.8 | |||||
Information Broker | 63.9 | 19.0 | 17.1 | |||||
8. | The patient’s family members disagree on what kind of care is the most adequate | Supporter | 62.3 | 22.5 | 15.2 | 4.73 | 0.35 | 4 |
Advocate | 62.3 | 22.3 | 15.5 | |||||
Information Broker | 61.5 | 22.4 | 16.1 | |||||
9. | Usually there is no time for conversations with patients about their wishes concerning the end of life issues/decisions | Supporter | 84.4 | 4.3 | 11.3 | 0.67 | 0.87 | 4 |
Advocate | 85.4 | 4.1 | 10.4 | |||||
Information Broker | 85.4 | 4.4 | 10.3 | |||||
10. | The patient’s relatives having inadequate understanding of the situation interfere with the nurses’ duties | Supporter | 88.3 | 3.0 | 8.7 | 3.83 | 0.48 | 4 |
Advocate | 87.3 | 3.2 | 9.5 | |||||
Information Broker | 87.3 | 3.4 | 9.3 | |||||
11. | Nurses have to deal with angry patient’s family members | Supporter | 88.8 | 3.0 | 8.2 | 2.92 | 0.57 | 4 |
Advocate | 89.1 | 2.7 | 8.2 | |||||
Information Broker | 88.3 | 2.9 | 8.8 |