Volume 23, Issue 2 (7-2025)
Nursing and Midwifery Journal 2025, 23(2): 3-8 |
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Research code: 162930026
Ethics code: IR.IAU.URMIA.REC.1403.069
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fekri M, rezaee moradali M, shahrifar M. The Effect of Home Care Programs on the Perceived Competence of End-of-Life Care in Nursing Students: A Quasi-Experimental Study. Nursing and Midwifery Journal 2025; 23 (2) :3-8
URL: http://unmf.umsu.ac.ir/article-1-5379-en.html
URL: http://unmf.umsu.ac.ir/article-1-5379-en.html
1- Department of Nursing, Palliative Care Research Center, Ur.C., Islamic Azad University, Urmia, Iran
2- Department of Midwifery, Palliative Care Research Center, Ur.C., Islamic Azad University, Urmia, Iran ,monir.rezaee@yahoo.co.uk
2- Department of Midwifery, Palliative Care Research Center, Ur.C., Islamic Azad University, Urmia, Iran ,
Abstract: (159 Views)
Background Caring for terminally ill patients and supporting their families, along with understanding the skills required for this type of care, are among the significant emotional challenges faced by nurses. This study was conducted to determine the effect of home care programs on the perceived competence of end-of-life care in nursing students at Urmia Azad University.
Methods This was a single-group quasi-experimental study with a pre-test and post-test design, conducted on final-year nursing students at Urmia Azad University in 2024. The sampling involved 40 individuals. The students first completed demographic information and perceived competence questionnaires for end-of-life care. Then, the students received home care training in groups, delivered over five 60-minute sessions held twice a week (every other day). After the intervention, the questionnaires were completed again. Paired t-tests in SPSS-23 were used for statistical analysis of the data.
Results The majority of students were in the 21- to 25-year age group, and 36 (90%) were single. The mean score of perceived competence before the intervention was (116.55±10.86) and after the intervention was (134.32±9.75), which indicates a significant increase in perceived competence after the educational intervention (t=-8.556 and P<0.05).
Conclusion Home care programs significantly enhance the perceived competence of nursing students, improving clinical skills, increasing self-confidence, developing communication skills, and reducing stress and burnout. Healthcare administrators can enhance nurses’ understanding and competence in end-of-life care at home by developing targeted educational programs and practical workshops. Integrating theoretical and clinical training with a supportive-psychological approach and family participation can pave the way for comprehensive and dignity-based care in this sensitive area. It is recommended that healthcare authorities develop targeted educational programs and practical workshops to enhance nursing students’ understanding and competence in providing end-of-life care at home. Additionally, integrating theoretical and clinical training with a supportive psychological approach and involving families can pave the way for comprehensive, dignified, and humanistic care in this sensitive field.
Methods This was a single-group quasi-experimental study with a pre-test and post-test design, conducted on final-year nursing students at Urmia Azad University in 2024. The sampling involved 40 individuals. The students first completed demographic information and perceived competence questionnaires for end-of-life care. Then, the students received home care training in groups, delivered over five 60-minute sessions held twice a week (every other day). After the intervention, the questionnaires were completed again. Paired t-tests in SPSS-23 were used for statistical analysis of the data.
Results The majority of students were in the 21- to 25-year age group, and 36 (90%) were single. The mean score of perceived competence before the intervention was (116.55±10.86) and after the intervention was (134.32±9.75), which indicates a significant increase in perceived competence after the educational intervention (t=-8.556 and P<0.05).
Conclusion Home care programs significantly enhance the perceived competence of nursing students, improving clinical skills, increasing self-confidence, developing communication skills, and reducing stress and burnout. Healthcare administrators can enhance nurses’ understanding and competence in end-of-life care at home by developing targeted educational programs and practical workshops. Integrating theoretical and clinical training with a supportive-psychological approach and family participation can pave the way for comprehensive and dignity-based care in this sensitive area. It is recommended that healthcare authorities develop targeted educational programs and practical workshops to enhance nursing students’ understanding and competence in providing end-of-life care at home. Additionally, integrating theoretical and clinical training with a supportive psychological approach and involving families can pave the way for comprehensive, dignified, and humanistic care in this sensitive field.
Keywords: Terminal care, Home-care services, Students, Nursing, Competency, Non-randomized controlled trials as topics
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