The Effects of Nursing Students' Previous Death Experiences on Their Death Perceptions and Anxiety When Faced with The Death of Their Patients

Öz

Objective: This study was conducted to determine the relationship between nursing students' death experiences, perceptions of death, and death anxiety. Methods: The study was conducted in the nursing department of the university located in Türkiye. The study was completed with 672 in the population. Student descriptive information form and Death Anxiety Scale were used for the data. Before starting the research, Academic board permission, institutional permission from the study's institution, and Ethics Committee approval were obtained. Results: In the study, the mean score on the death anxiety scale was 64.02±15.01. It was determined that most students (61.6%) had experienced the death process before, as the loss of a close relative (70.5%), and felt the most sadness in this experience. It was determined that the difference between students' perceptions of death and death anxiety total scores was not significant. When the results are considered, it is seen that the independent variables explain 12% of the total score of the Death Anxiety Scale, which is the dependent variable, and is significant. Conclusion: Based on these results, it can be suggested that the concept of death, acceptance of death, and appropriate approaches to possible reactions to death should be added to the nursing curriculum from the first year, and the content of the courses about patient care and the process should be enriched gradually as the year level increases.

Anahtar Kelimeler

• Death anxiety. Death experiences
• Perceptions of death
• Nursing student

Hemşirelik Öğrencilerinin Önceki Ölüm Deneyimlerinin Hastalarının Ölümüyle Karşılaştıklarında Ölüm Algıları ve Kaygıları Üzerindeki Etkileri

Öz

Amaç: Bu çalışma, hemşirelik öğrencilerinin ölüm deneyimleri, ölüm algıları ve ölüm kaygısı arasındaki ilişkiyi belirlemek amacıyla yürütülmüştür. Yöntemler: Çalışma, Türkiye'de bulunan bir üniversitenin hemşirelik bölümünde yürütülmüştür. Çalışma, 672 katılımcı ile tamamlanmıştır. Veriler için öğrenci tanıtıcı bilgi formu ve Ölüm Kaygısı Ölçeği kullanılmıştır. Araştırmaya başlamadan önce akademik kurul izni, çalışmanın yapıldığı kurumdan kurum izni ve etik kurul onayı alınmıştır. Bulgular: Çalışmada ölüm kaygısı ölçeği puan ortalaması 64,02±15,01 olarak bulunmuştur. Öğrencilerin çoğunun (%61,6) daha önce ölüm sürecini, yakın bir yakınını kaybetme (%70,5) olarak deneyimlediği ve bu deneyimde en çok “üzüntü” hissettiği belirlenmiştir. Öğrencilerin ölüm algıları ve ölüm kaygısı toplam puanları arasındaki farkın anlamlı olmadığı belirlenmiştir. Sonuçlar değerlendirildiğinde, bağımsız değişkenlerin bağımlı değişken olan Ölüm Kaygısı Ölçeği toplam puanının %12'sini açıkladığı ve anlamlı olduğu görülmektedir. Sonuç: Bu sonuçlara dayanarak, hemşirelik müfredatına ölüm kavramı, ölümün kabulü ve ölüme olası tepkilere uygun yaklaşımların birinci sınıftan itibaren eklenmesi ve hasta bakımı ve süreci ile ilgili derslerin içeriğinin sınıf seviyesi arttıkça kademeli olarak zenginleştirilmesi önerilebilir.

Anahtar Kelimeler

• Ölüm kaygısı. Ölüm deneyimleri
• Ölüm algıları
• Hemşirelik öğrencisi

Kaynakça

1. Abdel-Khalek, A.M. (2005). Death anxiety in clinical and non-clinical groups. Death Studies, 29, 251–259. https://doi.org/10.1080/074 81180590916371
2. Aydogan Sarıcicek, A., Gulseren, S., Sarikaya, O.Ö., & Özen, Ç. (2015). The validity and reliability of the Turkish version of the Abdel-Khalek death anxiety scale in university students. Archives of Neuropsychiatry, 52, 371-375. https://doi.org/10.5152/npa.2015. 8820.
3. Ayten, A. (2009). Death anxiety in university students: a comparative study on Turkish and Jordanian students. Journal of Theological Studies Academic Research, 9(1), 85-108.
4. Berndtsson, I.E.K., Karlsson, M.G., & Rejnö, Å.C.U. (2019). Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study. Helion, 95(10), e02578. https://doi.org /10.1016/j.heliyon. 2019.e02578.
5. Cerit, B. (2019). Influence of training on first-year nursing department students' attitudes on death and caring for dying patients: a single-group pretest–posttest experimental study. OMEGA-Journal of Death and Dying, 78(4), 335–347. https://doi.org/10 .1177/0030222817748838
6. Cimete, G. (2002). End of Life Care. İstanbul: Nobel Medicine Bookstores.
7. Curtis, K., Dagnall, N., Drinkwater, K., & Denovan, A. (2023). Facing death anxiety: effects of professional exposure to death and dying. Journal of Scientific Exploration, 37(4), 616-632. https://doi.o rg/10.31275/20233225
8. García, C.M., Martín, L.R., Alcántara, M.F., Juárez, R.M., Montoro, C.H., & García-Caro, M.P. (2020). Content analysis of the effects of palliative care learning on the perception by nursing students of dying and dignified death. Nurse Education Today, 88, 104388. https://doi.org/10.1016/j.nedt.2020.104388.

9. Gürkan, A., Babacan, Gümüş, A., Dodak, H. (2011). Student nurses' views on terminal patient problems: an investigation within the scope of nursing interventions, patient rights and ethical issues. Maltepe University Journal of Nursing Science and Art, 4(1), 11.
10. Jafari, M., Rafiei, H., Nassehi, A., Soleimani, F., Arab, M., & Noormo hammadi, M. R. (2015). Caring for dying patients: Attitude of nursing students and effects of education. Indian Journal of Palliative Care, 21(2), 192–197. https://doi.org/10.410 3/0973-1075.156497
11. Karakuş, G., Öztürk, Z., & Ok, L. (2012). Death and death anxiety. Archives Medical Review Journal, 21(1), 42-79.
12. Khader, K.A., Jarrah, S.S., & Alasad, J. (2010). Influence of nurses' characteristics and education on their attitudes towards death and dying: A review of literature. International Journal of Nursing and Midwifery, 2(1), 1–9.
13. Öz, F., İnci, F., Bahadır, & Yılmaz, E. (2012). The relationship between death anxiety and psychological resilience. Neuropsychiatric Investigation, 50(4), 229–236.
14. Özcan, G., Ekşi, H., & Ekşi, F. (2020). The mediating role of death anxiety in the relationship between the meaning of life and self-transcendence in university students. Crisis Journal, 28(2), 71-87.
15. Petrongolo, M., & Toothaker, R. (2021). Nursing students perceptions of death and dying: A descriptive quantitative study. Nurse Eduation Today, 104, 104993. https://doi.org/10.1016/j.nedt.2021.1049 93.
16. Randhawa, G. (2012). Death and organ donation: meeting the needs of multiethnic and multifaith populations. British Journal of Anaesthesia, 108, 88-91. https://doi.org/10.1093/bja/aer385.
17. Sharour, L., Sulemin, D., Yehya, D., Kaladeh, M., Malak, M., Subih, M., & Salameh, A. (2017). Nurses’ students’ attitudes toward death and caring for dying cancer patients during their placement. Euro Mediterranean Biomedical Journal, 12(40), 189-193, https://doi. org/10.3269/1970-5492.2017.12.40.
18. Szczupakowska, M., Stolarek, P., Roszak, M., Głodowska, K., & Baum, E. (2021). Patient's death from the perspective of nursing students. Front Public Health, 14(9), 636582. https://doi.org/10.3389/fp ubh.2021.636582.
19. Şahin, M., Demirkıran, F., & Adana, F. (2016). Death anxiety, desire to care for the dying person and affecting factors in nursing. Journal of Psychiatric Nursing, 7(3), 135–141.
20. Topuz, I. (2013). Evaluation of the Turkish version of the death perception scale (sss): validity and reliability study. Journal of Values Education, 11(26), 279–300.
21. Tüzer, H., Kırca, K., & Özveren, H. (2020). Investigation of nursing students’ attitudes towards death and their perceptions of spirituality and spiritual care. Journal of Religion Health, 59, 2177–2190. https://doi.org/10.1007/s10943-020-01004-9.
22. Von, Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., & Vandenbroucke, J.P. (2008). STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344-9. https://doi.org/10.1016/j. jclinepi.2007. 11.008.
23. Wang, L.P., Li, C.X., Zhang, Q.L., & Li, Y.J. (2018). Clinical nurses' attitudes towards death and caring for dying patients in China. International Journal of Palliative Nursing, 24(1), 33–39. https://doi.org/10.12968/ijpn.2018.24.1.33.
24. Xu, F., Huang, K., Wang, Y., Xu, Y., Ma, L., & Cao, Y.A. (2019). Questionnaire study on the attitude towards death of the nursing ınterns in eight teaching hospitals in Jiangsu, China. BioMed Research International, 16(3), 107692. https://doi.org/10.1155/2019/3107 692.
25. Zheng, R., Lee, S., & Bloomer, M. (2018). How nurses cope with patient death: a systematic review and qualitative meta-synthesis. Journal of Clinical Nursing, 27, e39–e49. https://doi.org/10.1111 /jocn.13975/epdf.