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Published online: 2024-05-16

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Attitudes towards death among the nursing staff in oncology departments and hospices

Kinga Jaglak1, Ewa Kobos1

Abstract

Background: Attitude towards death is the way people perceive the process of dying, as well as related emotions, moods, and one’s own assessment of death. The attitude towards life transience, particularly among the nursing staff dealing with terminally ill patients in their daily practice, is of key importance for the way of perceiving the purposefulness and validity of their work. This study aimed to analyze attitudes towards death among the nursing staff in hospices and oncology departments.

Participants and methods: Overall, 159 members of the nursing staff in stationary hospices and oncology departments participated in the study. The Death Attitude Profile-Revised (DAP-R) was used to collect research material. A statistical analysis of the findings was conducted using the Student’s t-test, ANOVA, Mann–Whitney U test, and the Kruskal–Wallis test.

Results: The median (Me) results for the particular dimensions were as follows: approach acceptance: Me = 42, fear of death: Me = 27, neutral acceptance: Me = 29, death avoidance: Me = 17, and escape acceptance: Me = 21. Concerning neutral acceptance, the median values for the oncology hospital and hospice staff members were Me = 29 and Me = 26, respectively.

Conclusions: Oncology nurses show a higher tendency towards neutral acceptance compared to the hospice staff. The respondents with a secondary level education demonstrated a higher tendency towards escape acceptance and death avoidance. Nurses with previous experience in oncology, hospice, or palliative care in addition to their current job demonstrate a higher tendency towards fear of death.

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References

  1. Zhang J, Tao H, Mao J, et al. Correlation between nurses' attitudes towards death and their subjective well-being. Ann Palliat Med. 2021; 10(12): 12159–12170.
  2. Li L, Lv J, Zhang L, et al. Association between attitude towards death and spiritual care competence of Chinese oncology nurses: a cross-sectional study. BMC Palliat Care. 2021; 20(1): 150.
  3. Peters L, Cant R, Payne S, et al. Emergency and palliative care nurses' levels of anxiety about death and coping with death: a questionnaire survey. Australas Emerg Nurs J. 2013; 16(4): 152–159.
  4. Duran S, Polat S. Nurses' attitudes towards death and its relationship with anxiety levels. Omega (Westport). 2024; 88(4): 1530–1544.
  5. Wong PTP, Reker GT, Gesser G. Death Attitude Profile – Revised: a multidimensional measure of attitudes toward death (DAP-R). In: Neimeyer RA. ed. Death anxiety handbook: Research, instrumentation, and application. Taylor & Francis, Washington, DC 1994: 121–148.
  6. Zheng R, Lee SF, Bloomer MJ. How nurses cope with patient death: A systematic review and qualitative meta-synthesis. J Clin Nurs. 2018; 27(1-2): e39–e49.
  7. Guo Q, Zheng R. Assessing oncology nurses' attitudes towards death and the prevalence of burnout: A cross-sectional study. Eur J Oncol Nurs. 2019; 42: 69–75.
  8. Parola V, Coelho A, Cardoso D, et al. Prevalence of burnout in health professionals working in palliative care: a systematic review. JBI Database System Rev Implement Rep. 2017; 15(7): 1905–1933.
  9. Ramírez-Pérez JI, Osorio-Guzmán M. Síndrome de quemarse por el trabajo en atención de pacientes oncológicos [Burnout syndrome due to workload in the care for cancer patients]. Rev Med Inst Mex Seguro Soc. 2023; 61(3): 327–334.
  10. Cañadas-De la Fuente GA, Gómez-Urquiza JL, Ortega-Campos EM, et al. Prevalence of burnout syndrome in oncology nursing: a meta-analytic study. Psychooncology. 2018; 27(5): 1426–1433.
  11. Gómez-Urquiza JL, Albendín-García L, Velando-Soriano A, et al. Burnout in palliative care nurses, prevalence and risk factors: a systematic review with meta-analysis. Int J Environ Res Public Health. 2020; 17(20).
  12. Brudek P, Sękowski M, Steuden S. Polish adaptation of the death attitude profile-revised. Omega (Westport). 2020; 81(1): 18–36.
  13. Cardoso MF, Martins MM, Trindade Ld, et al. The COVID-19 pandemic and nurses' attitudes toward death. Rev Lat Am Enfermagem. 2021; 29: e3448.
  14. Cybulska AM, Żołnowska MA, Schneider-Matyka D, et al. Analysis of nurses' attitudes toward patient death. Int J Environ Res Public Health. 2022; 19(20).
  15. Zheng R, Guo Q, Dong F, et al. Death self-efficacy, attitudes toward death and burnout among oncology nurses: a multicenter cross-sectional study. Cancer Nurs. 2022; 45(2): E388–E396.
  16. Chang WP, Lin YK. Influence of basic attributes and attitudes of nurses toward death on nurse turnover: a prospective study. Int Nurs Rev. 2023; 70(4): 476–484.
  17. Cevik B, Kav S. Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nurs. 2013; 36(6): E58–E65.
  18. Gama G, Barbosa F, Vieira M. Factors influencing nurses' attitudes toward death. Int J Palliat Nurs. 2012; 18(6): 267–273.
  19. Xu F, Huang K, Wang Y, et al. A questionnaire study on the attitude towards death of the nursing interns in Eight Teaching Hospitals in Jiangsu, China. Biomed Res Int. 2019; 2019: 3107692.
  20. Xie L, Li Y, Ge W, et al. The relationship between death attitude and professional identity in nursing students from mainland China. Nurse Educ Today. 2021; 107: 105150.
  21. Peters L, Cant R, Payne S, et al. How death anxiety impacts nurses' caring for patients at the end of life: a review of literature. Open Nurs J. 2013; 7: 14–21.