Psychometric Properties of the Serbian Version of the Death Attitudes Profile- Revised (DAP-R) Instrument

Marić, Dragana; Marić, Gorica; Jovanović, Aleksa; Maricic, Jovana; Ivanovic, Katarina; Pekmezović, Tatjana

doi:10.1177/00302228231181256

Cited by 2 publications

(5 citation statements)

References 11 publications

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“…Comparing the results of our research with the results from the Serbian DAP-Rs validation study on medical students, we observed some differences. HCPs working in the field of Palliative Medicine and Oncology, compared to medical students, showed significantly lower mean values for FD ( p = 0.00) and higher for NA domain ( p = 0.00) [ 24 ]. Similar results were obtained in this research when comparing physicians specialized in the field of Palliative Medicine and Oncology and those with other specializations.…”

Section: Discussionmentioning

confidence: 99%

“…Based on highlighted data, the aim of this research was to determine attitudes toward death among HCPs who manage the care of patients with incurable diseases. To the authors’ knowledge, this is the first study conducted in the Western Balkan region, with the exception of Serbia, where the Serbian version of the Death Attitudes Profile-Revised (DAP-RSp) was validated by Maric et al in the population of medical students [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…The early 1990s saw the breakout made by Wong et al proposing a model of death attitudes consisting of five components-fear of death (FD), death avoidance (DA), neutral acceptance (NA), approach acceptance (AA) and escape acceptance (EA)which was widely used in many studies measuring attitudes toward death. Later on, the original model was revised, and the Death Attitude Profile-Revised was made as an instrument with good reliability and validity and became one of the most frequently used questionnaires for assessing attitudes toward death [12,16,[22][23][24]. This scale, to the authors' knowledge, has already been validated (besides the English version) for use in Brazil, Poland, Germany, Turkey, China, Iran, Japan, Jordan, Portugal, Greece, Spain, Romania, Finland and Serbia [16,[24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

“…Later on, the original model was revised, and the Death Attitude Profile-Revised was made as an instrument with good reliability and validity and became one of the most frequently used questionnaires for assessing attitudes toward death [12,16,[22][23][24]. This scale, to the authors' knowledge, has already been validated (besides the English version) for use in Brazil, Poland, Germany, Turkey, China, Iran, Japan, Jordan, Portugal, Greece, Spain, Romania, Finland and Serbia [16,[24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

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Attitudes toward Death among Health Care Professionals in the Balkan Region

Kovacevic,

Zaric,

Djekic Malbasa

et al. 2024

Current Oncology

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Background and Objectives: Death is an unavoidable experience in any person’s life and affects not only the dying person but also their caregivers. The dying process has been displaced from homes to health care facilities in the majority of cases. Facing death and dying has become an everyday life of health care professionals (HCP), especially in palliative care (PC) settings. This study aimed to investigate the death attitudes among HCPs in Serbia. Materials and Methods: The Serbian version of the Death Attitude Profile-Revised (DAP-RSp) was used as a measurement instrument. Results: The average age of the 180 included participants was 42.2 ± 9.9 years; the majority were females (70.0%), with more than 10 years of working experience (73.0%), physicians (70.0%) and those working in a non-oncological (non-ONC) field (57.78%). The mean total score of DAP-RSp was 124.80 ± 22.44. The highest mean score was observed in the neutral acceptance dimension (NA) (5.82 ± 0.90) and lowest in the Escape acceptance (EA) (2.57 ± 1.21). Higher negative death attitudes were reported among nurses compared to physicians (p = 0.002). Statistically significant differences were observed in the fear of death (FD) and death avoidance (DA) domains, favoring PC specialists and oncologists (p = 0.004; p = 0.015). Physicians working in Oncology (ONC) showed lower FD values (p = 0.001) compared to non-ONC departments. Conclusions: Attitudes toward death among HCPs are of great importance for the well-being of both HCPs and patients. Negative attitudes can lead to deficient care. The fear of death is highly represented among Serbian HCPs working in non-ONC fields, including both nurses and physicians. This study emphasizes the need for further research to comprehensively explore and understand HCPs’ attitudes toward death. This research highlights the need for the development of an educational curriculum across all levels of medical education, aimed at overcoming the fear of death and enhancing coping strategies, which will improve the care for patients diagnosed with terminal illnesses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Attitudes toward Death among Health Care Professionals in the Balkan Region

Kovacevic,

Zaric,

Djekic Malbasa

et al. 2024

Current Oncology

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“…At the same time, attitudes to end-of-life care, death and dying in Serbia are unknown both among healthcare professionals and general population. The Serbian version of the Death Attitudes Profile Revised (DAP-RSp) Instrument is now available and should enable the assessment of attitudes towards death in healthcare professionals and in general population (18).…”

Section: Impact On End-of-life Carementioning

confidence: 99%

Attitudes towards death and end-of-life care

Marić

2023

Medicinska istraživanja

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End-of-life care represents a unique segment of palliative care. In the end-of-life period, the task of the involved healthcare professionals is to accompany patients during their last days, weeks or months of life to the moment of their death. The way people die has changed profoundly over the past 70 years. Health care is now the main context in which many people encounter death. The focus is on clinical interventions in the end-of-life period with the aim of defeating death, while a broader context and the significance of dying is neglected. Progressive medicalization of dying has inevitably led to changing attitudes towards death and dying in both general population and healthcare professionals. There is a struggle among healthcare professionals and individuals as well to accept the inevitability of death. There has been a growing interest in examining attitudes towards death and dying, in order to achieve a greater acceptance of death with repercussions on adequate planning and implementation of end-of-life care. A thorough understanding and estimation of attitudes to death and dying, both among general population and among health professionals, is required for the development of an effective strategy to promote end-of-life care. Due to the upcoming examination of attitudes to death and dying in Serbia, as well as exploring their influence on attitudes to end-of-life care, this paper presents the current knowledge in this area.

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Psychometric Properties of the Serbian Version of the Death Attitudes Profile- Revised (DAP-R) Instrument

Cited by 2 publications

References 11 publications

Attitudes toward Death among Health Care Professionals in the Balkan Region

Attitudes toward Death among Health Care Professionals in the Balkan Region

Attitudes towards death and end-of-life care

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