本研究主要目的在於發展安寧護理人員「死亡因應自我效能量表」,及瞭解台灣地區安寧病房護士之死亡因應能力。「死亡因應自我效能量表」包含「臨終關懷」、「哀傷因應」、「死亡準備」三個分量表。研究結果顯示本量表具有良好的效度及信度,是一個評估死亡因應能力的有效工具,建議可以作為安寧病房護士、安寧志工或是護理學生死亡教育訓練成效之用。安寧病房護士之死亡因應能力以「死亡準備」每題之平均得分最高(4.33),「哀傷因應」得分最低(3.51)。「哀傷因應」的得分相對較低,則顯示受訪之安寧護理人員對於自我的「哀傷調適」與對於服務對象的「悲傷輔導」有進一步進修的需求存在,相關議題則有待未來的研究中加以進一步地釐清。在「臨終關懷」方面的自我效能得分,平均能達到4.06,顯示他們對於自己未來去給予病人臨終關懷與照顧具有一定的信心,而且在面對困難時會願意持續地付出的努力,研究也發現「臨終關懷」的題項大多與「靈性照顧」有關,亦可做為未來發展靈性照顧能力測量工具之參考。
The objectives of this study include (1) the development and validation of a Coping toward Death Self-Efficacy Scale (CDSS); (2) the assessment of coping competency toward death of hospice nurses. It was found that the CDSS included three sub-scales, namely (1) the terminal caring, (2) coping with grief, and (3) death-preparation. These three scales were used as the main dependent variables for further analyses. and education were the significant predictors of one's CDSS, The present study provides validation of a Coping toward Death Self-Efficacy Scale(CDSS), and implicates that the results are very important reference to hospice- nursing education and spiritual care. There should be a need for more education of 'loss and grief counseling”. Theoretical and practical implications are discussed.