Sikap Perawatan End of Life Berdasarkan Gender pada Perawat di Puskesmas Rawat Inap Wilayah Jember

Abstract

Introduction: End of Life Care (EOLC) is an effort to support terminal patients by reducing physical, psychological, social, and spiritual suffering. Nurses' attitudes play a critical role in the success of this care. Aim: This study aims to identify and compare the attitudes of male and female nurses toward EOLC at inpatient health centers in the Jember region. Methode: This quantitative study utilized a crosssectional design. The sample consisted of 120 nurses (45 males and 75 females) selected using a convenience sampling technique. Data were collected using the Indonesian version of the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B) questionnaire. Data were analyzed using the Mann-Whitney test to compare attitudes based on gender. Result: The results showed no significant difference in overall attitudes between male and female nurses toward EOLC (p = 0.705). However, certain questionnaire items revealed significant differences, such as difficulties in building relationships with terminal patients (p = 0.036) and the importance of patients expressing their feelings (p = 0.005). Homogeneity in respondent characteristics, such as education level, work experience, and experience dealing with terminal patients, influenced these results. Conclusion: In conclusion, nurses' attitudes toward EOLC are not influenced by gender. This study emphasizes the importance of formal training and continuous education to improve nurses' competence in providing EOLC. The findings provide recommendations for healthcare institutions to focus on developing training programs that enhance nurses' ability to optimally care for terminal patients.