Nursing students’ experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis

Yoong, Si Qi; Wang, Wenru; Seah, Alvin Chuen Wei; Kumar, Nivetha; Gan, Joanne Oon Nee; Schmidt, Laura Tham; Lin, Yanjuan; Zhang, Hui

doi:10.1016/j.nepr.2023.103625

Cited by 25 publications

(9 citation statements)

References 98 publications

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“…In this study, having personal experience with caring for a dying person was not found to be associated with intention to work in hospice care. This finding is consistent with the results of a systematic review conducted by Yoong et al, 18 which found that having personal experience with death did not always result in more positive attitudes toward palliative care among nursing students. Although feeling and sharing the pain of a loved one's death can have a positive effect on reducing death anxiety and improving attitudes toward palliative care, 26 some students may feel emotionally overwhelmed by their personal experiences.…”

Section: Discussionsupporting

confidence: 92%

“…In this study, nursing students expressed moderately positive attitudes toward caring for dying patients and a moderate level of death anxiety, in consistence with the literature. 18,20,31 In our study, more positive attitudes toward caring for dying patients were associated with higher intention to work in hospice care in the future, although attitudes were not found to predict intention. This finding is not consistent with a previous Israeli study by Shinan-Altman, 5 where nursing students' attitudes regarding end-of-life care were found to strongly predict their intention to provide such care.…”

Section: Discussioncontrasting

confidence: 54%

“…14,16,17 The literature suggests that nursing students' attitudes toward caring for dying patients may be influenced by culture, religiosity, education, and previous experience of death. 18 Another construct that has been explored in relation to nursing students' encounter with death and dying patients is death anxiety. Death anxiety is a conscious or unconscious psychological state that appears because of feeling threatened by death and is a defense mechanism.…”

mentioning

confidence: 99%

“…21 There is evidence that these negative feelings may be improved by positive clinical experiences. 18 However, some students may continue to feel helpless, emotional, and inadequate even after an encounter with death. 24 It can be assumed that attitudes toward caring for dying patients and death anxiety may affect nursing students' interest in hospice nursing as a future career.…”

mentioning

confidence: 99%

“…There is evidence that having personal and/or clinical experience with death and dying may improve or worsen attitudes toward caring for dying patients, depending on whether the experiences were positive or negative. 18,26 Positive experience may help students understand the meaning of hospice care. 20 Moreover, it can reduce death anxiety.…”

mentioning

confidence: 99%

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Nursing Students' Intention to Work in Hospice Care in the Future

Ben Natan,

Makhoul Khuri,

Hammer

et al. 2023

J Hosp Palliat Nurs

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Studies reveal that nursing students rank hospice nursing among their least preferred career choices. The purpose of this study was to explore the association between nursing students' intention to work in hospice care in the future and their attitudes toward caring for dying patients, death anxiety, personal and/or professional experience of caring for dying patients, and type of nursing program studied. In this cross-sectional study, 200 nursing students completed an online survey based on the Frommelt Attitude Toward Care of the Dying Scale and the Turkish Death Anxiety Scale. Only 11% of the respondents were found to express interest in working in hospice care in the future. Studying in the accelerated program for nonnursing Bachelor of Arts graduates predicted a higher intention to work in hospice care in the future, than studying in the generic program (β = 0.27, P < .001). Completion of clinical experience in a medical ward predicted lower intention (β = −0.21, P < .01). These findings suggest that nursing students in the accelerated program for nonnursing Bachelor of Arts graduates should be provided with appropriate experience and support to maintain their interest in hospice nursing. Clinical experience in medical wards does not seem to be a good substitute for clinical experience in hospice care.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 54%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Nursing Students' Intention to Work in Hospice Care in the Future

Ben Natan,

Makhoul Khuri,

Hammer

et al. 2023

J Hosp Palliat Nurs

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A qualitative exploration of Irish nursing students' experiences of caring for the dying patient

Hardie¹,

McCabe

Timmins

et al. 2023

Nursing Open

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Nurses play a key and substantial role in delivering end-of-life care (McCall, 2018). Therefore, student nurses will likely encounter dying patients and in some cases death at an early stage of their nursing education on practice placements in the hospital. However, providing care for dying patients and their families is one of the most challenging aspects of nursing (Hançer Tok & Cerit, 2021), particularly emotionally for nurses in practice (Zheng et al., 2018).Several studies have identified that when nurses do not receive an adequate end-of-life education, feelings such as death anxiety and a negative approach to care have been reported (Wang, 2019).End-of-life care can be complex in nature, focussing on meeting the patient's physical and emotional, social and spiritual needs (NICE, 2019; WHO, 2020). Although nursing students are typically supported by their preceptors, many still find this experience distressing (Garrino et al., 2017). Witnessing pain and suffering and the risk of sudden death or unexpected adverse events are key issues of concern for students during this time (Henoch et al., 2017).Students can also lack confidence in caring for the dying and their families (Wang, 2019). Gillan et al. (2021) recently explored nursing students' experiences of in-hospital death in Australia and found the experiences varied: students supported by nursing staff who were able to learn from them and model their behaviours had good experiences. However, there were also negative experiences related to ritualistic and undignified care, particularly for the physical

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Changes Due to Patient Deaths: Medical Students’ Expectations vs. Health Professionals’ Experiences

CHEN,

2024

Journal of Pain and Symptom Management

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Nursing students’ experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis

Cited by 25 publications

References 98 publications

Nursing Students' Intention to Work in Hospice Care in the Future

Nursing Students' Intention to Work in Hospice Care in the Future

A qualitative exploration of Irish nursing students' experiences of caring for the dying patient

Changes Due to Patient Deaths: Medical Students’ Expectations vs. Health Professionals’ Experiences

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