Using a mediating model of death attitude and meaning in life to understand nursing students attitude about hospice care

Yu, Huan; Sun, Chenyu; Xie, Lunfang; Wang, Lu; Song, Junjie; Zhu, Yu; Xiao, R.; Lowe, Scott W.; Bentley, Rachel; Zhou, Danye

doi:10.1016/j.nedt.2022.105448

Cited by 9 publications

(6 citation statements)

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“…As shown in Table 4 , psychological well-being ( 20 ), sense of meaning in life ( 29 , 40 ), suicidal thoughts ( 9 ), powerful emotional reaction to death ( 42 ), professional recognition ( 26 , 32 ), and Internet addiction ( 33 , 41 ) were factors that influenced death attitudes of medical students. Students who possessed a heightened feeling of spiritual well-being and a deep understanding of the meaning of life tended to exhibit a more distinct purpose in life and a greater appreciation for the worth of their own existence ( 20 , 29 , 40 ). Xie et al ( 32 ) discovered a correlation between medical students’ level of professional recognition and their anxiety about death, which was similar to the results of another study ( 26 ).…”

Section: Resultsmentioning

confidence: 99%

Factors influencing death attitudes of medical students: a scoping review

Tong,

Liu,

Liu

et al. 2024

Front. Public Health

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AimTo summarize factors influencing death attitudes of medical students, help identify intervention targets, and design precision interventions for improving death attitudes of medical students.MethodsWeb of Science, PubMed, Embase, OVID, China National Knowledge Infrastructure, and Wanfang databases were searched. Retrieval time was from January 2012 to September 2023. Studies on factors influencing death attitudes of medical students were included.ResultsThirty-five studies were included in the final review. A total of 28 factors influencing death attitudes of medical students were summarized and divided into three categories comprising personal factors, social factors, and psychological factors. More than 15 studies confirmed that gender, religion, and discussing death with families were factors that influenced medical students’ death attitudes.ConclusionResults indicate that there are many types of factors that influence death attitudes of medical students. It is necessary for universities to implement death education based individual characteristics and guide medical students to cultivate generally optimistic death attitudes and appropriate life values.

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Section: Resultsmentioning

confidence: 99%

Factors influencing death attitudes of medical students: a scoping review

Tong,

Liu,

Liu

et al. 2024

Front. Public Health

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“…The results of this study revealed that the score of attitudes toward palliative care of nursing students was (104.72 ± 10.62), accounting for approximately 69% of the total score. This score is slightly higher than the third-year nursing students who already had some practical experience in a hospital (101.34 ± 7.75) [ 36 ] and the two or third-year nursing students without experience in an integrated clinical internship in China (98.08 ± 8.02) [ 9 ]. It could be because most nursing students in our study had a 6 to 8-month internship.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, palliative care education and training should be developed in nursing schools. A good attitude toward palliative care can be improved by taking a palliative care-related curriculum, ensuring students’ theoretical and practical skills, and with hands-on, mandatory training experiences in this specialized care setting [ 9 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to terror management theory, a social and evolutionary psychology theory initially proposed by Jeff Greenberg, Sheldon Solomon, and Tom Pyszczynski, humans require control over detrimental psyches caused by death events based on an instinct for self-preservation, such as meaning in life. In theory, meaning in life may reduce the influence of death dread on attitudes toward palliative care [ 9 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Understanding nursing students' attitudes regarding palliative care should be prioritized before developing a curriculum focused on palliative care. Numerous studies have found that nursing students' attitudes regarding palliative care were associated with various characteristics, including cultural background, experience caring for patients, academic parameters, knowledge and education about palliative care, religious belief, death attitude, and meaning in life [9][10][11][12][13][14][15][16].…”

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Mediating effect of meaning in life on death anxiety and attitude toward palliative care among undergraduate nursing students

Xu,

2024

BMC Palliat Care

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Background This study investigates the mediating effect of meaning in life between death anxiety and attitude toward palliative care among nursing students. Methods We enrolled 363 undergraduate nursing students using a convenience sampling method as the respondents and conducted a survey using general information about nursing students, the Chinese version of the FATCOD-B Scale, the Chinese version of the Death Anxiety Scale, and the Chinese version of the Meaning in Life Questionnaire. The SPSS25.0 statistical software was used to analyze the mediating effect. Results The mean total attitude score toward palliative care was (104.72 ± 10.62). Death anxiety had a significant negative predictive effect on the attitude toward palliative care (β = -0.520, P < 0.01). When the mediating variable of the presence of meaning in life was included, the negative predictive effect of death anxiety on attitude toward palliative care remained significant (β = -0.379, P = 0.036); the mediating effect (-0.141) accounted for 27.12% of the total impact (-0.520). Conclusions The presence of meaning in life mediates the relationship between death anxiety and attitude toward palliative care. This implies that nursing educators, through their role in educating nursing students about the meaning of life, can significantly influence the development of a positive attitude toward palliative care.

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The impact of clinical internship experience on nursing students' attitudes towards death and choices of end‐of‐life care: A self‐control study

Jiang,

Zhou,

Chen

et al. 2024

Nursing Open

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AimThis study aims to explore the impact of emergency department internships on the attitudes towards death among undergraduate nursing students and their preferences for end‐of‐life care settings. Additionally, the study analyzes the reasons behind nursing students' choices of end‐of‐life care settings and provides insights for improving undergraduate education on attitudes towards death and end‐of‐life care, and provide reference for the development of emergency hospice care.DesignThis study adopts an observational design with a self‐controlled before‐and‐after approach.MethodsA questionnaire survey was conducted with 96 nursing interns between July 2021 to June 2022. Demographic information and data on attitudes towards death, and preferences for end‐oflife care location were collected by online questionnaire. Paired test were conducted to compare differences between groups.ResultsThe study included a total of 96 nursing students with an average age of 21.11 years. The scores for the avoidance‐acceptance dimension of death attitudes before and after the internship were 2.40 (1.80, 3.00) and 2.20 (1.60, 3.00), respectively, showing a significant difference (Z = −2.084, p = 0.037). Factors such as gender, experience in caring for critically ill or dying patients, knowledge of death education, and discussions about death at home were found to influence nursing students' attitudes towards death. Nursing students expressed a preference for receiving end‐of‐life care and treatment in their homes or in hospice/palliative care wards, while the intensive care unit, emergency department, and nursing homes were the least preferred settings. There were significant differences in nursing students' preferences for end‐of‐life care settings before and after the internship (p = 0.000). Importantly, the number of nursing students expressing a desire to receive end‐of‐life care in the emergency department increased from 2 to 7 after the internship, while the number of students not wanting end‐of‐life care in the emergency department decreased by 5.

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Using a mediating model of death attitude and meaning in life to understand nursing students attitude about hospice care

Cited by 9 publications

References 43 publications

Factors influencing death attitudes of medical students: a scoping review

Factors influencing death attitudes of medical students: a scoping review

Mediating effect of meaning in life on death anxiety and attitude toward palliative care among undergraduate nursing students

The impact of clinical internship experience on nursing students' attitudes towards death and choices of end‐of‐life care: A self‐control study

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