Araştırma Makalesi
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Does Being a Healthcare Professional Affect Death Literacy?

Yıl 2025, Cilt: 14 Sayı: 2, 383 - 390, 30.08.2025

Öz

Objective: The aim of this study is to assess the level of knowledge and awareness regarding death literacy in Turkish society and to identify differences in knowledge levels between healthcare professionals and non-healthcare individuals. Materials and Methods: This study was conducted using a comparative descriptive design. Since the population size was unknown, a sample size calculation was performed, and a total of 418 participants (200 healthcare professionals and 218 non-healthcare individuals) were recruited through snowball sampling. The data collection tool consisted of a questionnaire including sociodemographic characteristics and items from the Death Literacy Scale. The data were analyzed using SPSS 21.0 software through descriptive statistics, independent samples t-tests, and ANOVA. Results: The overall level of death literacy among participants was found to be moderate (93.11 ± 13.93). Healthcare professionals had significantly higher levels of practical knowledge (p ≤ 0.001), experiential care (p ≤ 0.001), factual knowledge (p ≤ 0.001), community knowledge (p = 0.047), and overall death literacy (p ≤ 0.001) compared to non-healthcare individuals. However, there were no statistically significant differences between the two groups in terms of conversational support (p = 0.828), experiential knowledge (p = 0.224), community support groups (p = 0.199), and access to help (p = 0.066). Conclusion: Comprehensive educational programs that incorporate both theoretical knowledge and practical support systems are needed to improve death literacy. Efforts to enhance death literacy should be emphasized not only among healthcare professionals but also throughout the general population.

Kaynakça

  • Akyol, A. (2010). Yetişkinde ölüm süreci ve hemşirelik bakımı. Journal of Ege University Nursing Faculty, 26 (3), 59-72.
  • Aslan, Y. (2020). Overview of the palliative care models in Turkey and the World. Anatolian Current Medical Journal, 2(1), 19-27. https://doi.org/10.38053/agtd.632674.
  • Bal, T. (2018). Attitudes of health professionals and caregivers to death perceptions and respectable death. (Master's Thesis). https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp.
  • Brown, S. (2019). Why many doctors still find it difficult to talk about dying with patients. Canadian Medical Association Journal, 191(1), E22-E23. https://doi.org 10.1503/cmaj.109-5691.
  • Ceylan, S., Guner Oytun, M., Okyar Bas, A., Kahyaoglu, Z., Dogu, B. B., Cankurtaran, M., & Halil, M. G. (2022). Place of death of geriatric population in Turkey: A 7-year observational study. Journal of Palliative Care, 37(1), 18-25. https://doi.org/10.1177/08258597211036579.
  • Che, S. L., Li, X., Zhu, M., & Ng, W. I. (2023). The Death Literacy Index: translation, cultural adaptation, and validation of the Chinese version. Front. Public Health, 11, 1140475. https://doi.org/10.3389/fpubh.2023.1140475.
  • George, D., Mallery, M. (2019). SPSS for Window Step by Step: A Simple Guide and Reference. Fifteenth ed. (p.114). Routledge press.
  • Graham-Wisener, L., Toner, P., Leonard, R., Groarke, J. M. (2022). Psychometric validation of the death literacy index and benchmarking of death literacy level in a representative UK population sample. BMC Palliative Care, 21, 145. https://doi.org/10.1186/s12904-022-01032-0.
  • Gül, Ş., Bağcivan, G., & Aksu, M. (2022). Nurses’ opinions on do-not-resuscitate orders. OMEGA-Journal of Death and Dying, 86(1), 271-283. https://doi.org/10.1177/0030222820969317.
  • Harrison, C., Graham-Wisener, L., McEwan, J., Nelson, A., Berry, E., Dempster, M., Shayegh, J., Bryne, A., & Islam, I. (2022). Creating a death literate society: The importance of boosting understanding and awareness of death, dying and bereavement in Northern Ireland. Commissioned Report (pp. 1–19). Queen's University Belfas.
  • Horsfall, D. (2018). Developing compassionate communities in Australia through collective caregiving: A qualitative study exploring network-centred care and the role of the end-of-life sector. Annals of Palliative Medicine., 7(Suppl 2), S42-S51. http://dx.doi.org/10.21037/apm.20.
  • Johansson, T., Tishelman, C., Eriksson, L. E., Cohen, J., Goliath, I. (2023). Factors associated with death literacy among Swedish adults: A cross-sectional exploratory study. Palliative and Supportive Care. 12, 1-11. https://doi.org/10.1017/s1478951523000548.
  • Karakaya, B. G. (2019). The intermediary role of empathy is in the effect of attitudes of the nurses who serve moribund patients on work-life quality. (Master's Thesis). https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=7cOn_lV2sIDkAuXHAF8ySA&no=P9EJTCa89s29Mx0yJ_h5HA.
  • Laranjeira, C., Dixe, M. A., Querido, A., & Stritch, J. M. (2022). Death cafés as a strategy to foster compassionate communities: Contributions for death and grief literacy. Frontiers in Psychology, 13, 986031. https://doi.org/10.3389/fpsyg.2022.986031.
  • Leonard, R., Horsfall, D., Rosenberg, J., Noonan, K. (2020). Carer experience of end-of-life service provision: a social network analysis. BMJ Support Palliative Care, 10, e20. https://doi.org/10.1136/bmjspcare-2017-001344.
  • Leonard, R., Noonan, K., Horsfall, D., Kelly, M., Rosenberg, J. P., Grindrod A, et al. (2021). Developing a death literacy index. Death Studies, 46(9), 2110–2122. https://doi.org/10.1080/07481187.2021.1894268
  • Li, X., Che, S. L., Zhu, M., & Ng, W. I. (2023). What we learnt from parents’ death experience: A cross-sectional study of death literacy and parent’s death quality among adult children in China. Palliative & Supportive Care, 30, 1-9. https://doi.org/10.1017/S1478951523001657.
  • Noonan, K., Horsfall, D., Leonard, R., & Rosenberg, J. (2016). Developing death literacy. Progress in Palliative Care, 24(1), 31–35. https://doi.org/10.1080/09699260.2015.1103498.
  • Parker, C., Scott, S. and Geddes, A. (2019) Snowball Sampling. SAGE Research Methods Foundations. https://doi.org/10.4135/9781412950589.n931.
  • Sallnow, L., Smith, R., Ahmedzai, S. H., Bhadelia, A., Chamberlain, C., Cong, Y., ... & Wyatt, K. (2022). Report of the Lancet Commission on the Value of Death: bringing death back into life. The Lancet, 399(10327), 837-884. https://doi.org/10.1016/S0140-6736(21)02314-X.
  • Semerci, V., Sönmez Sâri, E., & Seven, A. (2024). Validity and Reliability of the Turkish Version of the Death Literacy Index. OMEGA-Journal of Death and Dying, 88(3), 807-822. https://doi.org/10.1177/00302228221144672.
  • Yan, Y., Zhang, H., Gao, W., Liu, D., Endo, M., Deshpande, G. A., et al. (2020). Current awareness of palliative care in China. The Lancet Global Health, 8(3), e333-e335. https://doi.org/10.1016/S2214-109X(20)30006-1.
  • Yorulmaz, D. S., Karadeniz, H. (2020). Nursing care in terminal period and good death. Journal of Intensive Care Nursing, 24(2), 134-138.

Sağlık Profesyoneli Olmak Ölüm Okuryazarlığını Etkiler mi?

Yıl 2025, Cilt: 14 Sayı: 2, 383 - 390, 30.08.2025

Öz

Amaç: Bu çalışmanın amacı, Türk toplumunda ölüm okuryazarlığına ilişkin bilgi ve farkındalık düzeyini değerlendirmek ve sağlık çalışanları ile sağlık çalışanı olmayan bireyler arasındaki bilgi düzeyi farklarını belirlemektir. Gereç ve Yöntem: Araştırma, karşılaştırmalı betimsel desen kullanılarak yürütülmüştür. Bilinmeyen evrende örneklem hesaplaması yapılmış ve kartopu örnekleme yöntemi kullanılarak toplam 418 katılımcıya (200 sağlık çalışanı ve 218 sağlık çalışanı olmayan birey) ulaşılmıştır. Veri toplama aracı, katılımcıların sosyodemografik özelliklerini ve Ölüm Okuryazarlığı Ölçeği’ne ait soruları içeren bir formdan oluşmuştur. Veriler, SPSS 21.0 programı kullanılarak sayı, yüzde, bağımsız gruplarda t-testi ve ANOVA testleri ile analiz edilmiştir. Bulgular: Katılımcıların genel ölüm okuryazarlığı düzeyinin orta seviyede olduğu saptanmıştır (93,11±13,93). Sağlık çalışanlarının, sağlık çalışanı olmayan bireylere kıyasla daha yüksek düzeyde pratik bilgi (p ≤ 0,001), uygulamalı bakım (p ≤ 0,001), olgusal bilgi (p ≤ 0,001), toplum bilgisi (p = 0,047) ve genel ölüm okuryazarlığı (p ≤ 0,001) düzeyine sahip oldukları belirlenmiştir. Buna karşın, konuşma desteği (p = 0,828), deneyimsel bilgi (p = 0,224), toplum destek grupları (p = 0,199) ve yardıma erişim (p = 0,066) alt boyutlarında iki grup arasında anlamlı bir fark bulunmamıştır. Sonuç: Ölüm okuryazarlığını geliştirmeye yönelik eğitim programlarının hem teorik bilgileri hem de pratik destek sistemlerini içerecek şekilde bütüncül olarak tasarlanması gerekmektedir. Özellikle sağlık çalışanlarına yönelik olmak üzere, toplum genelinde ölüm okuryazarlığını artırmaya yönelik çalışmaların önemi vurgulanmalıdır.

Kaynakça

  • Akyol, A. (2010). Yetişkinde ölüm süreci ve hemşirelik bakımı. Journal of Ege University Nursing Faculty, 26 (3), 59-72.
  • Aslan, Y. (2020). Overview of the palliative care models in Turkey and the World. Anatolian Current Medical Journal, 2(1), 19-27. https://doi.org/10.38053/agtd.632674.
  • Bal, T. (2018). Attitudes of health professionals and caregivers to death perceptions and respectable death. (Master's Thesis). https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp.
  • Brown, S. (2019). Why many doctors still find it difficult to talk about dying with patients. Canadian Medical Association Journal, 191(1), E22-E23. https://doi.org 10.1503/cmaj.109-5691.
  • Ceylan, S., Guner Oytun, M., Okyar Bas, A., Kahyaoglu, Z., Dogu, B. B., Cankurtaran, M., & Halil, M. G. (2022). Place of death of geriatric population in Turkey: A 7-year observational study. Journal of Palliative Care, 37(1), 18-25. https://doi.org/10.1177/08258597211036579.
  • Che, S. L., Li, X., Zhu, M., & Ng, W. I. (2023). The Death Literacy Index: translation, cultural adaptation, and validation of the Chinese version. Front. Public Health, 11, 1140475. https://doi.org/10.3389/fpubh.2023.1140475.
  • George, D., Mallery, M. (2019). SPSS for Window Step by Step: A Simple Guide and Reference. Fifteenth ed. (p.114). Routledge press.
  • Graham-Wisener, L., Toner, P., Leonard, R., Groarke, J. M. (2022). Psychometric validation of the death literacy index and benchmarking of death literacy level in a representative UK population sample. BMC Palliative Care, 21, 145. https://doi.org/10.1186/s12904-022-01032-0.
  • Gül, Ş., Bağcivan, G., & Aksu, M. (2022). Nurses’ opinions on do-not-resuscitate orders. OMEGA-Journal of Death and Dying, 86(1), 271-283. https://doi.org/10.1177/0030222820969317.
  • Harrison, C., Graham-Wisener, L., McEwan, J., Nelson, A., Berry, E., Dempster, M., Shayegh, J., Bryne, A., & Islam, I. (2022). Creating a death literate society: The importance of boosting understanding and awareness of death, dying and bereavement in Northern Ireland. Commissioned Report (pp. 1–19). Queen's University Belfas.
  • Horsfall, D. (2018). Developing compassionate communities in Australia through collective caregiving: A qualitative study exploring network-centred care and the role of the end-of-life sector. Annals of Palliative Medicine., 7(Suppl 2), S42-S51. http://dx.doi.org/10.21037/apm.20.
  • Johansson, T., Tishelman, C., Eriksson, L. E., Cohen, J., Goliath, I. (2023). Factors associated with death literacy among Swedish adults: A cross-sectional exploratory study. Palliative and Supportive Care. 12, 1-11. https://doi.org/10.1017/s1478951523000548.
  • Karakaya, B. G. (2019). The intermediary role of empathy is in the effect of attitudes of the nurses who serve moribund patients on work-life quality. (Master's Thesis). https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=7cOn_lV2sIDkAuXHAF8ySA&no=P9EJTCa89s29Mx0yJ_h5HA.
  • Laranjeira, C., Dixe, M. A., Querido, A., & Stritch, J. M. (2022). Death cafés as a strategy to foster compassionate communities: Contributions for death and grief literacy. Frontiers in Psychology, 13, 986031. https://doi.org/10.3389/fpsyg.2022.986031.
  • Leonard, R., Horsfall, D., Rosenberg, J., Noonan, K. (2020). Carer experience of end-of-life service provision: a social network analysis. BMJ Support Palliative Care, 10, e20. https://doi.org/10.1136/bmjspcare-2017-001344.
  • Leonard, R., Noonan, K., Horsfall, D., Kelly, M., Rosenberg, J. P., Grindrod A, et al. (2021). Developing a death literacy index. Death Studies, 46(9), 2110–2122. https://doi.org/10.1080/07481187.2021.1894268
  • Li, X., Che, S. L., Zhu, M., & Ng, W. I. (2023). What we learnt from parents’ death experience: A cross-sectional study of death literacy and parent’s death quality among adult children in China. Palliative & Supportive Care, 30, 1-9. https://doi.org/10.1017/S1478951523001657.
  • Noonan, K., Horsfall, D., Leonard, R., & Rosenberg, J. (2016). Developing death literacy. Progress in Palliative Care, 24(1), 31–35. https://doi.org/10.1080/09699260.2015.1103498.
  • Parker, C., Scott, S. and Geddes, A. (2019) Snowball Sampling. SAGE Research Methods Foundations. https://doi.org/10.4135/9781412950589.n931.
  • Sallnow, L., Smith, R., Ahmedzai, S. H., Bhadelia, A., Chamberlain, C., Cong, Y., ... & Wyatt, K. (2022). Report of the Lancet Commission on the Value of Death: bringing death back into life. The Lancet, 399(10327), 837-884. https://doi.org/10.1016/S0140-6736(21)02314-X.
  • Semerci, V., Sönmez Sâri, E., & Seven, A. (2024). Validity and Reliability of the Turkish Version of the Death Literacy Index. OMEGA-Journal of Death and Dying, 88(3), 807-822. https://doi.org/10.1177/00302228221144672.
  • Yan, Y., Zhang, H., Gao, W., Liu, D., Endo, M., Deshpande, G. A., et al. (2020). Current awareness of palliative care in China. The Lancet Global Health, 8(3), e333-e335. https://doi.org/10.1016/S2214-109X(20)30006-1.
  • Yorulmaz, D. S., Karadeniz, H. (2020). Nursing care in terminal period and good death. Journal of Intensive Care Nursing, 24(2), 134-138.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Hemşireliği
Bölüm Makaleler
Yazarlar

Sabahat Coşkun 0000-0002-9063-2778

Gülcan Bağçivan 0000-0002-9585-6332

Yayımlanma Tarihi 30 Ağustos 2025
Gönderilme Tarihi 7 Mart 2025
Kabul Tarihi 29 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 2

Kaynak Göster

APA Coşkun, S., & Bağçivan, G. (2025). Does Being a Healthcare Professional Affect Death Literacy? Balıkesir Sağlık Bilimleri Dergisi, 14(2), 383-390. https://doi.org/10.53424/balikesirsbd.1653258

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