Development of death education training content for adult cancer patients: A mixed methods study

Zhao, Song xian; Qiang, Wanmin; Zheng, Xiao na; Luo, Zhi qin

doi:10.1111/jocn.14595

Cited by 19 publications

(21 citation statements)

References 26 publications

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“…It was similar to a study in Chinese cancer patients using the same instrument (5.13)[ 39 ] but higher than another study using Templer's Death Anxiety Scale in elderly Chinese female people (3.69)[ 40 ]. This may relate to that cancer can make patients feel a strong threat of death and produce anxiety about death[ 3 ]. The Relationship with Someone or Something Greater was the only scale with no association with the Death Anxiety than the other sub-scales of QLQ-SWB32 in the correlation analysis.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study

et al. 2021

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Background In recent years, spiritual well-being has gradually gained the attention of health care providers in China, especially those in oncology departments, who have recognized the importance of improving spiritual well-being in cancer patients. Since most of the current research on spiritual well-being has been carried out in areas with religious beliefs, this study was conducted in the context of no development of formal religion. The purpose of this study was to explore the relationship between death anxiety and spiritual well-being and the related factors of spiritual well-being among gynecological cancer patients. Methods This cross-section study was conducted among 586 gynecological cancer patients. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being32 (EORTC QLQ-SWB32) and Templer's Death Anxiety Scale (T-DAS) were used to measure spiritual well-being and death anxiety. The Multiple Linear Regression Model was used to determine the relationship between spiritual well-being and death anxiety. Results For all participants, the highest QLQ-SWB32 centesimal score was 75.13 on the Relationship with Other scale, and the lowest was 60.33 on the Relationship with Someone or Something Greater Scale. The mean Death Anxiety score was 5.31 (SD 3.18). We found that Relationship with Someone or Something Greater was the only scale not associated with death anxiety. Overall, patients with lower death anxiety have a higher level of spiritual well-being. Besides, a high Relationship with Other score was associated with living with a partner (B = 2.471, P < 0.001) and married (B = -6.475, P = 0.001). Patients with higher Global-SWB were retired (B = 0.387, P = 0.019). Conclusions Our study found that the spiritual well-being of patients with gynecological cancer in China was no worse than in other countries with religious beliefs and patients with lower death anxiety have a higher level of spiritual well-being. Clinical staff should pay attention to the spiritual health of cancer patients, and spiritual care should be regarded as an essential element in cancer care.

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Section: Discussionmentioning

confidence: 99%

“…Although the survival rate of cancer has been improved with advancements in medical sciences, being diagnosed with cancer is still a distressing experience for these patients. As a dangerous stressor, cancer can make patients feel the threat of death and produce negative emotional experiences related to death[ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study

et al. 2021

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“…Some medical colleges and universities perform death education activities, but difficulties between theory and practice remain. [ 24 , 25 ] Nursing students experience difficulties in dealing with death and dying. [ 25 , 26 ] On the one hand, students have limited opportunities to acquire knowledge and skills in clinical practice, which limits their awareness of death.…”

Section: Introductionmentioning

confidence: 99%

Hope, death anxiety and simplified coping style scores of nursing students during the outbreak of COVID-19

et al. 2021

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Nursing students are the main force of future nursing development, and their hope and death anxiety are important aspects of their coping styles and clinical practice. The present study examined the relationships between hope, death anxiety and simplified coping style scores of nursing students during the outbreak of COVID-19. Between February and April 2020, a cross-sectional descriptive study was performed using a Sojump online survey, and 870 nursing students completed the herth hope (HH), death anxiety scale (DAS) and simplified coping style questionnaire. The data were analyzed using t -tests, one-way analysis of variance (ANOVA), and multiple linear regression in SPSS 23.0 (IBM Corp, Armonk, NY). The average HH, DAS and active and passive coping scores of the 870 nursing students were 3.07 ± 0.32, 3.01 ± 0.37, 2.84 ± 0.48, and 2.25 ± 0.50, respectively. Participants with contact experience with individuals with suspected or confirmed COVID-19 were more likely to adopt passive coping styles than students without contact experience ( t = 5.019, P = .025). Being older and having higher inner positive readiness and expectancy, a lower inner sense of temporality and future, and lower time awareness were predictors of passive coping styles ( P < .05). Living in cities (vs towns) and having a higher inner positive readiness and expectancy, a higher inner sense of temporality and future and lower cognition of death were predictors of active coping styles ( P < .05). The findings of this study suggest that hope and death anxiety are important aspects of the coping styles of nursing students. Nursing educators should emphasize the role of hope, further deepen the death education mode, and perform scientific and reasonable death education programmes to reduce the death anxiety level of nursing students to promote their coping styles in crisis.

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“…Related measures abroad are mainly meaning-based interventions, including looking back to the past, establishing the correct concept of life and death, seeking the meaning of life, and realizing personal value. Professionally trained nurses or palliative teams will use face-to-face communication with patients to review the bravest, most meaningful, and happiest events in their lives to help them affirm the value of their lives [19]; then discuss the handling of death in public Process and ethical issues, including euthanasia, corpse disposal, suicide, and disputes in living wills, etc., to help patients cope with loss and grief, reset life goals, reformulate a healthy and effective lifestyle, calmly face lost opportunities, and live actively in uncertainty [20].…”

Section: The Comparisons Between Domestic and Foreign Palliative Care In Death Educationmentioning

confidence: 99%

Application Analysis of Palliative Nursing Intervention in Nursing Care of Elderly Cancer Patients

Li¹

2021

Advances in Social Science, Education and Humanities Research

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With the trend of population aging, palliative care interventions are becoming more and more essential in the treatment of senile cancer diseases. This paper mainly researches palliative care intervention in elderly cancer patients by comparing the psychological、pain and death education of the three aspects of nursing philosophy and measures. It's very clear to find that the foreign palliative care interventions have strong pertinence, scientific and effective theoretical models and professional teams, and the death education and training system is relatively complete, which are the problems existing in China's palliative care and the development direction that should strengthen in the future.

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Development of death education training content for adult cancer patients: A mixed methods study

Abstract: Nurses could become more involved in providing death education to adult cancer patients and their families. Further research is needed to explore the applicability of the training content and to develop the content according to changing times and patients' needs.

Cited by 19 publications

References 26 publications

Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study

Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study

Hope, death anxiety and simplified coping style scores of nursing students during the outbreak of COVID-19

Application Analysis of Palliative Nursing Intervention in Nursing Care of Elderly Cancer Patients

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