Comparative study among Spanish students of health sciences degrees: Facing death

Cruz, Sagrario Pérez de la; Luengo, Amelia Victoria García

doi:10.1111/nhs.12417

Cited by 9 publications

(13 citation statements)

References 23 publications

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“…En un estudio similar al presente, Pérez de la Cruz et al, al aplicar la Escala de Bugen a 411 estudiantes de medicina, enfermería y fisioterapia demostraron diferencias significativas entre los tres grupos, mostrando los estudiantes de enfermería el mayor involucramiento emocional en comparación con los estudiantes de las otras carreras. Los autores recomiendan incluir en el currículo de profesionales en salud entrenamiento en el manejo de situaciones al final de la vida (18). Sin embargo, Claxton-Oldfield et al no demostraron que un proceso de entrenamiento variara los puntajes obtenidos en las Escalas de Collett-Lester y Bugen (19).…”

Section: Discussionunclassified

Miedo y Confrontación a la muerte: Estudio en Estudiantes de Ciencias de la Salud

Cuadra

Fernández

Jimenez

et al. 2021

RCMUI

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La muerte como un evento natural ineludible pero impredecible es un agente generador de ansiedad y temor tanto en pacientes y sus familiares como en profesionales en ciencias de la salud. Es infrecuente que se discuta sobre el tema ni se asignan tópicos en los programas de formación universitaria en ciencias de la salud para el desarrollo de actitudes y competencia especiales en el manejo de pacientes en proceso de morir. Se realizó estudio transversal mediante la aplicación de instrumentos a estudiantes de cuatro carreras de ciencias de la salud para evaluar el nivel de competencia en el afrontamiento según la escala de Bugen, nivel de miedo a la muerte según la escala de Revista Ciencias de la Salud Collett-Lester y se agrega cuestionario para cuantificar el nivel de aceptación a la donación de órganos. Los instrumentos fueron aplicados a un total de 445 estudiantes. La distribución por género fue 97 hombres (21.8 %) y 348 mujeres (78.2 %). Según facultad, los encuestados quedaron distribuidos en 259 (58.2%) de medicina, 94 de farmacia (21.1%), 70 de psicología (15.7%) y 22 de enfermería ( 5.0 %). El análisis de confiabilidad de las escalas aplicadas de acuerdo con Alfa de Cronbach fue superior a 0.80. Al analizar los resultados, usando pruebas T para muestras independientes se encuentran diferencias en religiosidad, miedo a la propia muerte, miedo al propio proceso de muerte, y miedo a la muerte de otros. En esto, puntúan más alto las mujeres. No se demostraron diferencias por género en afrontamiento a la muerte o en actitud hacia la donación de órganos. En cuanto a los resultados por facultad, hay diferencias significativas en el miedo al proceso de muerte de otros donde los estudiantes de farmacia reportan puntajes mayores que los de medicina. Además, este mismo grupo de estudiantes (farmacia) reportan menores puntajes en afrontamiento a la muestra que las demás facultades. Se concluye que hay diferencias en cuanto al miedo a la propia muerte entre los estudiantes de diferentes carreras, así como por género. Se recomienda considerar estos resultados en los procesos de diseño curricular para abordar la capacitación en cuanto a actitudes sobre la muerte a estudiantes de ciencias de la salud.

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Section: Discussionunclassified

Miedo y Confrontación a la muerte: Estudio en Estudiantes de Ciencias de la Salud

Cuadra

Fernández

Jimenez

et al. 2021

RCMUI

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“…In that sense, the Frommelt’s Attitude Toward Care of the Dying Scale (FATCOD) correlates, as does the SEPC, with palliative care training and experience [61]. Bugen’s Coping with Death Scale has also been used as a measure of self-competence in nursing, physiotherapy, and medicine undergraduate students [62].…”

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

Herrero-Hahn

Montoya‐Juárez

Hueso‐Montoro

et al. 2019

IJERPH

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The aim of the present study is to validate the Self-Efficacy in Palliative Care Scale (SEPC) in Spanish nursing professionals and students, to describe their levels of self-efficacy, and to determine the influencing factors. A validation study and a cross-sectional descriptive study were carried out, with the data analysed using contrast tests and multiple linear regression; 552 nurses and 440 nursing students participated. The Spanish version consists of 23 items and has a high degree of reliability (α = 0.944). Confirmatory factor analysis revealed one additional factor (i.e., management of psychosocial and spiritual aspects) in comparison to the original scale. Contrast tests revealed that the mean SEPC score was higher in professionals than in students (p < 0.001) and that the professionals who had higher levels of self-efficacy were older (p < 0.001), had more previous training (p < 0.001), and had more experience in end-of-life care (p = 0.001). The linear analysis results confirm a significant association between age and previous training in end-of-life care. The Spanish version of the SEPC is a reliable tool for both nursing professionals and students. The level of self-efficacy of both groups is moderate and is influenced by age, experience, and training in end-of-life care.

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“…As a final point, we emphasize that studies with university students that have used the same tool to evaluate attitudes towards death [24] but have not examined culture as a main focus [34][35][36], evidenced the need to include specific end-of-life up-skilling within the curricula of health professionals, with training being the only key to improving coping. Nonetheless, studies carried out within different cultural contexts [28,29,31], such as was the case in the present study, have found this dimension to be a main axis.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of nursing degree students towards end of life processes. A cultural approach (Spain-Senegal)

García-Navarro

Araujo-Hernández

Rigabert³

et al. 2021

PLoS ONE

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Introduction The concept of death is abstract, complex and has a number of meanings. Thus, its understanding and the approach taken to it depend, to a large extent, on aspects such as age, culture, training and religion. Nursing students have regular contact with the process of death and so it is of great interest to understand the attitudes they have towards it. As we live in a plural society it is even more interesting to not only understand the attitudes of Spanish students but, also, those of students coming from other countries. In the present article, we seek to identify and compare the attitudes held by nursing degree students at Hekima-Santé University (Senegal) and the University of Huelva (Spain) about end of life processes. The study identifies elements that condition attitudes and coping with death, whilst considering curricular differences with regards to specific end of life training. Method A descriptive, cross-sectional and multi-center study was conducted. The overall sample (N = 142) was divided into groups: Hekima-Santé University (Dakar, Senegal) and the University of Huelva (Huelva, Spain). The measurement instruments used were an ad-hoc questionnaire and Bugen´s Coping with Death Scale. Results Statistically significant differences (p = 0.005, 95%CI) were found in relation to overall Bugen Scale scores. We can confirm that specialized end of life training (University of Huelva, Spain) did not lead to better coping when compared with a population whose academic curriculum did not provide specific training and who engaged in more religious practices (Hekima-Santé University, Senegal). Conclusions In cultures where religion not only influences the spiritual dimension of the individual, but acts in the ethical and moral system and consequently in the economic, educational and family sphere, the accompaniment at the end of life transcends the formative plane. Considering the plural society in which we live, the training that integrates the Degree in Nursing with regard to the care of the final process, must be multidimensional in which spirituality and faith are integrated, working emotional and attentional skills, as well as cultural competence strategies in this process.

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Comparative study among Spanish students of health sciences degrees: Facing death

Cited by 9 publications

References 23 publications

Miedo y Confrontación a la muerte: Estudio en Estudiantes de Ciencias de la Salud

Miedo y Confrontación a la muerte: Estudio en Estudiantes de Ciencias de la Salud

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

Attitudes of nursing degree students towards end of life processes. A cultural approach (Spain-Senegal)

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