Skip to main content
Erschienen in: Journal of Cancer Education 4/2012

01.12.2012

Second-Year Italian Medical Students' Attitudes toward Care of the Dying Patient: an Exploratory Study

verfasst von: Paolo Leombruni, Marco Miniotti, Andrea Bovero, Lorys Castelli, Riccardo G. V. Torta

Erschienen in: Journal of Cancer Education | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

To our knowledge, no other study has investigated Italian medical students' attitudes toward care of the dying patient. The purpose of this study is to investigate those attitudes among second-year Italian medical students. Two-hundred students completed the Italian version of the Frommelt Attitude Toward Care of the Dying Scale form B (FATCOD Form B). Students obtained a mean total score on FATCOD Form B of 112.8 (the possible total score ranges from 30 to 150). On some items, statistically significant differences (p < 0.05) emerged for gender and personal previous experiences with terminally ill people. This study shows poor attitudes toward care of the dying patient among second-year Italian medical students, as measured by FATCOD Form B. The need to establish tailored methods in End-of-Life Care education to make students aware of their relationship patterns and to improve students' attitudes toward dying patients is discussed.
Literatur
1.
Zurück zum Zitat Lloyd-Williams M, MacLeod RD (2004) A systematic review of teaching and learning in palliative care within the medical undergraduate curriculum. Med Teach 26:683–690PubMedCrossRef Lloyd-Williams M, MacLeod RD (2004) A systematic review of teaching and learning in palliative care within the medical undergraduate curriculum. Med Teach 26:683–690PubMedCrossRef
3.
Zurück zum Zitat Sullivan AM, Warren AG, Lakoma MD, Liaw KR, Hwang D, Block SD (2004) End-of-life care in the curriculum: a national study of medical education deans. Acad Med 79:760–768PubMedCrossRef Sullivan AM, Warren AG, Lakoma MD, Liaw KR, Hwang D, Block SD (2004) End-of-life care in the curriculum: a national study of medical education deans. Acad Med 79:760–768PubMedCrossRef
4.
Zurück zum Zitat Fernandes R, Shore W, Muller JH, Rabow MW (2008) What it's really like: the complex role of medical students in end-of-life care. Teach Learn Med 20:69–72PubMedCrossRef Fernandes R, Shore W, Muller JH, Rabow MW (2008) What it's really like: the complex role of medical students in end-of-life care. Teach Learn Med 20:69–72PubMedCrossRef
5.
Zurück zum Zitat Rabow M, Gargani J, Cooke M (2007) Do as I say: curricular discordance in medical school end-of-life care education. J Palliat Med 10:759–769PubMedCrossRef Rabow M, Gargani J, Cooke M (2007) Do as I say: curricular discordance in medical school end-of-life care education. J Palliat Med 10:759–769PubMedCrossRef
6.
Zurück zum Zitat Wear D (2002) “Face-to-face with it”: medical students' narratives about their end-of-life education. Acad Med 77:271–277PubMedCrossRef Wear D (2002) “Face-to-face with it”: medical students' narratives about their end-of-life education. Acad Med 77:271–277PubMedCrossRef
7.
Zurück zum Zitat Kaye J, Gracely E, Loscalzo G (1994) Changes in students' attitudes following a course on death and dying: a controlled comparison. J Cancer Educ 9:77–81PubMed Kaye J, Gracely E, Loscalzo G (1994) Changes in students' attitudes following a course on death and dying: a controlled comparison. J Cancer Educ 9:77–81PubMed
8.
Zurück zum Zitat Kaye JM, Loscalzo G (1998) Learning to care for dying patients: a controlled longitudinal study of a death education course. J Cancer Educ 13:52–57PubMed Kaye JM, Loscalzo G (1998) Learning to care for dying patients: a controlled longitudinal study of a death education course. J Cancer Educ 13:52–57PubMed
9.
Zurück zum Zitat Eagly AH, Chaiken S (1993) The psychology of attitudes. Harcourt Brace Jovanovich, Forth Worth Eagly AH, Chaiken S (1993) The psychology of attitudes. Harcourt Brace Jovanovich, Forth Worth
10.
Zurück zum Zitat Frommelt KH (1991) The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Care 8:37–43PubMedCrossRef Frommelt KH (1991) The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. Am J Hosp Palliat Care 8:37–43PubMedCrossRef
11.
Zurück zum Zitat Mastroianni C, Piredda M, Frommelt KH, Mirabella F, Taboga C, Casale G, De Marinis OG (2009) Italian validation of the Frommelt Attitudes Toward Care of the Dying Scale form B (FACTOD Form B-I). Int Nurs Perspect 9:11–16 Mastroianni C, Piredda M, Frommelt KH, Mirabella F, Taboga C, Casale G, De Marinis OG (2009) Italian validation of the Frommelt Attitudes Toward Care of the Dying Scale form B (FACTOD Form B-I). Int Nurs Perspect 9:11–16
13.
Zurück zum Zitat Frommelt KH (2003) Attitudes toward care of the terminally ill: an educational intervention. Am J Hosp Palliat Care 20:13–22PubMedCrossRef Frommelt KH (2003) Attitudes toward care of the terminally ill: an educational intervention. Am J Hosp Palliat Care 20:13–22PubMedCrossRef
14.
Zurück zum Zitat Wahlqvist M, Gunnarsson RK, Dahlgren G, Nordgren S (2010) Patient-centred attitudes among medical students: gender and work experience in health care make a difference. Med Teach 32:191–198CrossRef Wahlqvist M, Gunnarsson RK, Dahlgren G, Nordgren S (2010) Patient-centred attitudes among medical students: gender and work experience in health care make a difference. Med Teach 32:191–198CrossRef
15.
Zurück zum Zitat Dickinson GE, Tournier RE (1993) A longitudinal study of sex differences in how physicians relate to dying patients. J Am Med Womens Assoc 48:19–22PubMed Dickinson GE, Tournier RE (1993) A longitudinal study of sex differences in how physicians relate to dying patients. J Am Med Womens Assoc 48:19–22PubMed
16.
Zurück zum Zitat Field D, Lennox A (1996) Gender in medicine: the views of first and fifth year medical students. Med Educ 30:246–252PubMedCrossRef Field D, Lennox A (1996) Gender in medicine: the views of first and fifth year medical students. Med Educ 30:246–252PubMedCrossRef
17.
Zurück zum Zitat Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS (2009) The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 84:1182–1191PubMedCrossRef Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS (2009) The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 84:1182–1191PubMedCrossRef
18.
Zurück zum Zitat Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK (2010) Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research. Acad Med 85:588–593PubMedCrossRef Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK (2010) Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research. Acad Med 85:588–593PubMedCrossRef
19.
Zurück zum Zitat Michalec B (2011) Learning to cure, but learning to care? Adv Health Sci Educ Theory Pract 16:109–130PubMedCrossRef Michalec B (2011) Learning to cure, but learning to care? Adv Health Sci Educ Theory Pract 16:109–130PubMedCrossRef
20.
Zurück zum Zitat Senol Y, Ozdogan M, Bozcuk H (2012) Effects and permanency of the training program “communication with cancer patients” on the opinions of students. J Cancer Educ 27:338–341PubMedCrossRef Senol Y, Ozdogan M, Bozcuk H (2012) Effects and permanency of the training program “communication with cancer patients” on the opinions of students. J Cancer Educ 27:338–341PubMedCrossRef
21.
Zurück zum Zitat MacLeod RD, Parkin C, Pullon S, Robertson G (2003) Early clinical exposure to people who are dying: learning to care at the end of life. Med Educ 37:51–58PubMedCrossRef MacLeod RD, Parkin C, Pullon S, Robertson G (2003) Early clinical exposure to people who are dying: learning to care at the end of life. Med Educ 37:51–58PubMedCrossRef
22.
Zurück zum Zitat Wittenberg-Lyles EM, Shaunfield S, Goldsmith J, Sanchez-Reilly S (2011) How we involved bereaved family caregivers in palliative care education. Med Teach 33:351–353PubMedCrossRef Wittenberg-Lyles EM, Shaunfield S, Goldsmith J, Sanchez-Reilly S (2011) How we involved bereaved family caregivers in palliative care education. Med Teach 33:351–353PubMedCrossRef
23.
Zurück zum Zitat Miles S, Leinster SJ (2007) Medical students' perceptions of their educational environment: expected versus actual perceptions. Med Educ 41:265–272PubMedCrossRef Miles S, Leinster SJ (2007) Medical students' perceptions of their educational environment: expected versus actual perceptions. Med Educ 41:265–272PubMedCrossRef
24.
Zurück zum Zitat Mcllwaine L, Scarlett V, Venters A, Ker JS (2007) The different levels of learning about dying and death: an evaluation of a personal, professional and interprofessional learning journey. Med Teach 29:151–159CrossRef Mcllwaine L, Scarlett V, Venters A, Ker JS (2007) The different levels of learning about dying and death: an evaluation of a personal, professional and interprofessional learning journey. Med Teach 29:151–159CrossRef
25.
Zurück zum Zitat Smith SR, Cookson J, McKendree J, Harden RM (2007) Patient-centred learning—back to the future. Med Teach 29:33–37PubMedCrossRef Smith SR, Cookson J, McKendree J, Harden RM (2007) Patient-centred learning—back to the future. Med Teach 29:33–37PubMedCrossRef
Metadaten
Titel
Second-Year Italian Medical Students' Attitudes toward Care of the Dying Patient: an Exploratory Study
verfasst von
Paolo Leombruni
Marco Miniotti
Andrea Bovero
Lorys Castelli
Riccardo G. V. Torta
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
Journal of Cancer Education / Ausgabe 4/2012
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-012-0382-8

Weitere Artikel der Ausgabe 4/2012

Journal of Cancer Education 4/2012 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.