Impact of death education courses on emergency nurses' perception of effective behavioral responses in dealing with sudden death in China: A quasi-experimental study

Zhang, Huilin; Hu, Muli; Zeng, Liyun; Ma, Mingdan; Li, Lezhi

doi:10.1016/j.nedt.2019.104264

Cited by 15 publications

(14 citation statements)

References 23 publications

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“…Death Issues Workshop offered for registered nurses in Australia during their first year of practice greatly reduces death anxiety and increases coping skills in caring for themselves and their colleagues [ 32 ]. A death education course of 20 credit hours based on dealing with a sudden patient death conducted in China could help emergency nurses’ cope with sudden death with effective behaviors [ 33 ]. However, in China the death education is still at the theoretical level.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice

Zhou

Wei

et al. 2022

BMC Nurs

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Aim To describe the experiences of student nurses in confronting the death of their patients, and to understand how they cope with these events and to what extent there are unmet needs that can be addressed in their trainings. Methods Semi-structured interview method was used to collect data from Chinese nursing students and then Colaizzi’s seven-step analysis method was applied to identify recurrent themes in their responses to patient deaths. We listened the tape repeatedly combined with observations of their non-verbal behaviors, then transcribed them with emotional resonance, and entered them into Nvivo. After that, we extracted repeated and significant statements from the transcriptions, coded, then clustered codes into sub-themes and themes which were identified by the comparation with transcriptions and re-confirmation with our participants. Results After confirmation from the interviewees, five themes emerged: emotional experience, challenge, growth, coping and support.

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Section: Discussionmentioning

confidence: 99%

A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice

Zhou

Wei

et al. 2022

BMC Nurs

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“…Even among the 15 respondents who were clinical nurses, only one was trained in hospice care and none had education on death management. Previous literature has suggested that there is a lack of planning and strategies for supporting clinical nurses in public hospitals after the death of their patients [ 25 ]. To help clinical nurses manage their feelings of sorrow in death or dying-related conversations, in addition to improving emotional resiliency [ 49 , 50 ], knowledge, and skills in talking about sensitive topics, hospitals need to provide a supportive working environment and sufficient emotional support.…”

Section: Discussionmentioning

confidence: 99%

“…Traditional perspectives view death as unfortunate or mysterious. Thus, open conversation about dying and death is rare [ 19 , 25 , 26 ]. When patients and their families face imminent death, they may become especially emotionally desperate, and avoid discussing death or end-of-life care plans [ 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

The experiences of clinical nurses coping with patient death in the context of rising hospital deaths in China: a qualitative study

Zhang

Cao

et al. 2022

BMC Palliat Care

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Background Chinese clinical nurses are increasingly confronting patient death, as the proportion of hospital deaths is growing. Witnessing patient suffering and death is stressful, and failure to cope with this challenge may result in decreased well-being of nurses and impediment of the provision of “good death” care for patients and their families. To our knowledge, few studies have specifically explored clinical nurses’ experiences coping with patient death in mainland China. Objective We aimed to explore nurses’ experiences coping with patient death in China in order to support frontline clinical nurses effectively and guide the government in improving hospice care policy. Methods Clinical nurses were recruited using purposive and snowball sampling between June 2020 and August 2020. We gathered experiences of clinical nurses who have coped with patient death using face-to-face, semi-structured, in-depth interviews. Audio recordings were transcribed verbatim and analyzed using thematic analysis. Results Three thematic categories were generated from data analysis. The first was “negative emotions from contextual challenges.” This category involved grief over deaths of younger persons, pity for deaths without family, and dread related to coping with patient death on night duty. The second category was “awareness of mortality on its own.” Subthemes included the ideas that death means that everything stops being and good living is important because we all die and disappear. The third category was “coping style.” This category included focusing on treating dying patients, recording the signs and symptoms, and responding to changes in the patient’s condition. It also involved subthemes such as avoiding talk about death due to the grief associated with dying and death, and seeking help from colleagues. Conclusions Clinical nurses’ emotional experiences are shaped by intense Chinese filial love, charity, and cultural attitudes towards death. Reasonable nurse scheduling to ensure patient and staff safety is a major priority. “Good death” decisions based on Chinese ethical and moral beliefs must be embedded throughout hospital care.

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“…This study revealed that PC training was an important predictor. A previous study identified that emergency care nurses who attend a death education programme can respond effectively to sudden death (Zhang et al, 2020). Only a few medical schools offer PC courses in China, which indicates a large gap compared with western countries (Ning, 2018).…”

Section: Discussionmentioning

confidence: 99%

Emergency care nurses' perceived self‐competence in palliative care and its predictors: A cross‐sectional study

Feng

Liu

Hao

et al. 2022

J Nursing Management

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Aim The aim of this study is to describe the prevalence of perceived self‐competence in palliative care among emergency care nurses and explore its predictors. Background Emergency care nurses have a responsibility to develop palliative care competence to enhance the quality of life of dying patients and their families in the emergency department. Methods With a convenience sample, a cross‐sectional study was conducted among 415 emergency care nurses from 22 hospitals in China. Descriptive analysis, Spearman correlation analysis and multivariate linear stepwise regression were performed. Results Variables including marital status (single), emergency department not implementing palliative care, no palliative care training and true cooperation dimension were selected as independent predictors and explained 19.9% of variation in the regression model. Conclusions Interventions to improve healthy work environments, offering palliative care training, advocating for policies in palliative care and offering support to unmarried nurses can advance nurses' palliative care competence. Implications for nursing management This is the first study of emergency care nurses in China aimed at identifying predictors associated with palliative care self‐competence. It is significant in that palliative care training and a cooperative work environment are required to encourage the development of palliative care.

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Impact of death education courses on emergency nurses' perception of effective behavioral responses in dealing with sudden death in China: A quasi-experimental study

Cited by 15 publications

References 23 publications

A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice

A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice

The experiences of clinical nurses coping with patient death in the context of rising hospital deaths in China: a qualitative study

Emergency care nurses' perceived self‐competence in palliative care and its predictors: A cross‐sectional study

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