Greek Renal Nurses’ Attitudes Towards Death

Zyga, Sofia; Malliarou, Maria; Lavdaniti, Maria; Αθανασοπούλου, Μαρία; Sarafis, Pavlos

doi:10.1111/j.1755-6686.2011.00210.x

Cited by 26 publications

(25 citation statements)

References 10 publications

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“…The decrease in apprehensive level was observed with increase in nursing experience in the three groups: 21–25, 26–30, and 31–35 years. This is in accordance with the findings that those with more experience had more positive attitudes toward death 6,7,9. However, in this study the apprehension level increased again in the groups of 36–40 years and ≥41 years.…”

Section: Discussionsupporting

confidence: 92%

Factors associated with the attitudes of oncology nurses toward hospice care in China

Yang¹,

Ye²,

Tang³

et al. 2017

PPA

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ObjectiveTo examine factors that are associated with the apprehension levels of oncology nurses toward hospice care. Factors examined in this study included demographics, nursing experience, education levels, title and post, personal experiences, and attitudes toward end-of-life care.MethodsQuestionnaires were provided to nurses (n=201) from three first-tier hospitals in China. A quantitative scale, Professional End-of-life Care Attitude Scale (PEAS), was used to assess personal and professional apprehension levels toward hospice care. The PEAS was translated to Chinese with terms adapted to the cultural environment in China. Statistical analyses were performed to examine the relationships between the apprehension levels and various factors.ResultsThe total PEAS scores exhibited internal consistency and reliability, with a Cronbach α=0.897 and Pearson’s r=0.9030. Of the 201 nurses, 184 provided a valid response (91.5%). Education level was significantly correlated with personal (P<0.01) and professional apprehension levels (P<0.05). Higher apprehension level was found in nurses with less education.ConclusionThe PEAS quantitative survey is useful for evaluating apprehension levels of nurses toward hospice care. Nurses with more education experienced less anxiety when providing care for terminally ill patients. The findings suggested that education programs on hospice care could be strengthened to help nurses cope with negative attitudes toward end-of-life care.

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Section: Discussionsupporting

confidence: 92%

Factors associated with the attitudes of oncology nurses toward hospice care in China

Yang¹,

Ye²,

Tang³

et al. 2017

PPA

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“…Attitudes of 145 oncology nurses in Israel (all of whom frequently experienced patient deaths) revealed a moderate fear of death using the DAP-R [4]. Zyga et al [25] examined 44 Greek renal nurses’ attitudes using DAP-R. They found nurses with specific palliative care education did not have a fear of death and had less difficulty talking about death and dying.…”

Section: Resultsmentioning

confidence: 99%

“…They found nurses with specific palliative care education did not have a fear of death and had less difficulty talking about death and dying. Those in hospital palliative care or other teams had statistically significant different relationships with fear of death and neutral acceptance scores, with nursing experience and age the highest predictors of nurses' attitudes towards death [25]. Similarly, in a study of 355 inpatient and outpatient oncology nurses in USA, those with more work experience had more positive attitudes towards death [17].…”

Section: Resultsmentioning

confidence: 99%

How Death Anxiety Impacts Nurses’ Caring for Patients at the End of Life: A Review of Literature

Peters¹,

Cant²,

Payne³

et al. 2013

Open Nursing J

273

174

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Nurses are frequently exposed to dying patients and death in the course of their work. This experience makes individuals conscious of their own mortality, often giving rise to anxiety and unease. Nurses who have a strong anxiety about death may be less comfortable providing nursing care for patients at the end of their life. This paper explores the literature on death anxiety and nurses’ attitudes to determine whether fear of death impacts on nurses’ caring for dying patients. Fifteen quantitative studies published between 1990 and 2012 exploring nurses’ own attitudes towards death were critically reviewed. Three key themes identified were: i). nurses’ level of death anxiety; ii). death anxiety and attitudes towards caring for the dying, and iii). death education was necessary for such emotional work. Based on quantitative surveys using valid instruments, results suggested that the level of death anxiety of nurses working in hospitals in general, oncology, renal, hospice care or in community services was not high. Some studies showed an inverse association between nurses’ attitude towards death and their attitude towards caring for dying patients. Younger nurses consistently reported stronger fear of death and more negative attitudes towards end-of-life patient care. Nurses need to be aware of their own beliefs. Studies from several countries showed that a worksite death education program could reduce death anxiety. This offers potential for improving nurses’ caring for patients at the end of their life.

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“…The level of death anxiety of the doctor also correlated with his own personal preferences for being informed of their loved one’s unexpected death and may result in communicating problems with families about death. Health professionals with more training in palliative care and with experience over time will lower fear of death and provide more positive attitudes about caring for the elderly (44). …”

Section: Discussionmentioning

confidence: 99%

Thanatophobia (Death Anxiety) in the Elderly: The Problem of the Child’s Inability to Assess Their Own Parent’s Death Anxiety State

Sinoff

2017

Front. Med.

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Thanatophobia is omnipresent in our lives. Research has shown separate but connected constructs: fear of death or fear of the dying process. The influences on death anxiety are varied including religiosity, gender, psychological state, and age. It is often assumed by the children of the elderly that the fear of death is prevalent in their parents. Daily the medical staff encounters the presence of death anxiety: from family members or the staff itself. In order to understand this phenomenon, a three-tier study was conducted on non-terminal elderly inpatients in an acute geriatric care ward. The study showed that the elderly had low levels of anxiety (scoring 4/15 on Templer’s Death Anxiety Scale) but their children scored higher for themselves (6.9/15) and for their parents (8.9/15). A regression model showed that only the presence of generalized anxiety and religiosity of parent had an effect explaining 33.6% of the variance. Death anxiety of death is usually absent in the elderly but rather they fear the dying process. On the other hand, their children do fear death, which they extrapolate onto their parents. This causes conflicts since the children prevent disclosure of relevant medical information to their parents. This has to be addressed by the staff when dealing with family members, to allow open and honest communication with their patients. The staff need to explain to the family that the elderly are not afraid of death but of the suffering from the dying process.

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Greek Renal Nurses’ Attitudes Towards Death

Abstract: It is recommended to include education on death and care of the dying in the nursing degree course in order for nurses who are giving terminal phase patient care to be better able deal with issues that death evolves.

Cited by 26 publications

References 10 publications

Factors associated with the attitudes of oncology nurses toward hospice care in China

Factors associated with the attitudes of oncology nurses toward hospice care in China

How Death Anxiety Impacts Nurses’ Caring for Patients at the End of Life: A Review of Literature

Thanatophobia (Death Anxiety) in the Elderly: The Problem of the Child’s Inability to Assess Their Own Parent’s Death Anxiety State

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