Intensive Care Unit Nurses’ Perceptions of a Good Death and Influencing Factors

Öz

This study aimed to determine the levels of good death perception of in ICU nurses and the influencing factors. The descriptive and correlational study was conducted with 384 nurses working in ICU. Data collection was done using the online survey method and snowball sampling using “Questionnaire” and “Good Death Scale”. The mean Good Death Scale scores of the nurses were found to be 55.59±7.78. Among the examined characteristics of the nurses, it was observed that only the satisfaction of working in intensive care affected their good death perceptions. It was found that there was a low-level and significant correlation between good death perceptions and the fears of the nurses. The perception of death of ICU nurses was positive. As good death perception was related to job satisfaction and fears, it is recommended to provide psychosocial support to nurses on these issues.

Anahtar Kelimeler

• good death
• death
• fear
• intensive care unit
• nurse

Yoğun Bakım Ünitesi Hemşirelerinin İyi Ölüm Algıları ve Etkileyen Faktörler

Öz

Bu çalışmada yoğun bakım hemşirelerinde iyi ölüm algısı düzeyleri ve etkileyen faktörlerin belirlenmesi amaçlanmıştır. Tanımlayıcı ve ilişki arayıcı tipte olan araştırma, yoğun bakımda çalışan 384 hemşire ile yürütülmüştür. Veri toplama aracı olarak çevrimiçi anket yöntemi ve kartopu örneklem yöntemi olarak “Anket” ve “İyi Ölüm Ölçeği” kullanılmıştır. Hemşirelerin İyi Ölüm Ölçeği puanlarının ortalaması 55,59±7,78 olarak bulunmuştur. Hemşirelerin incelenen özellikleri arasında yalnızca yoğun bakımda çalışmaktan duyulan memnuniyetin iyi ölüm algılarını etkilediği görülmüştür. İyi ölüm algıları ile hemşirelerin korkuları arasında düşük düzeyde ve anlamlı bir ilişki olduğu bulunmuştur. Yoğun bakım hemşirelerinin ölüm algısı pozitiftir. İyi ölüm algısı iş doyumu ve korkularla ilişkili olduğundan hemşirelere bu konularda psikososyal destek sağlanması önerilmektedir.

Anahtar Kelimeler

• iyi ölüm
• ölüm
• korku
• yoğun bakım ünitesi
• hemşire

Kaynakça

1. Aksoy, B. & Kasıkcı, E. (2023). The concept of a good death from the perspectives of nurses caring for patients diagnosed with COVID-19 in intensive care unit. OMEGA-Journal of Death and Dying, 91 (3), 1422–1436. https://doi.org/10.1177/00302228231156945
2. Altintas, T., Ispir, K., & Sahin, S. (2020). Investigation of the role of social justice in the relationship between identity, power, and collective action. Cyprus Turkish Journal of Psychiatry & Psychology, 2(1), 20–27. https://doi.org/10.35365/ctjpp.20.2.3
3. Arndt, J., Cook, A., &Routledge, C. (2004). The Blueprint of Terror Management: Understanding the Cognitive Architecture of Psychological Defense against the Awareness of Death. In J. Greenberg, S.L. Koole & T.A. Pyszczynski (Eds.), Handbook of Experimental Existential Psychology (pp.35–53). New York; London: The Guilford Press. ISBN: 1-59385-040-9.
4. Benli, S.S. & Yildirim, A. (2017). Relationship between nurses’ life satisfaction and attitudes towards death, Gümüşhane University Journal of Health Sciences, 6(4),167–179. (Date of Access: 23.09.2024)
5. Bratcher, J.R. (2010). How Do Critical Care Nurses Define a “Good Death” in the Intensive Care Unit? Critical Care Nursing Quarterly, 33(1), 87–99. https://doi.org/10.1097/CNQ.0b013e3181c8e2d7
6. Cain, C.L. & McCleskey, S. (2019). Expanded definitions of the ‘good death’? Race, ethnicity, and medical aid in dying, Sociology of Health and Illness, 41(6), 1175–1191. https://doi.org/10.1111/1467-9566.12903
7. Ceyhan, O., Ozen, B., Zincir, H., Simsek, N. & Basaran, M. (2018). How intensive care nurses perceive good death, Death Studies, 42(10), 667–672. https://doi.org/10.1080/07481187.2018.1430084
8. Colak, G.V., & Hocaoglu, C. (2021). Bereavement and grief: A review. Cyprus Turkish Journal of Psychiatry & Psychology, 3(1), 56–62. https://doi.org/:10.35365/ctjpp.21.1.07

9. Copp, G. (2001). A review of current theories of death and dying, Journal of Advanced Nursing, 28(2),383–390. https://doi.org/:10.1046/j.1365-2648.1998.00794.x
10. Cottrell, L. & Duggleby, W. (2016). The “good death”: An integrative literature review, Palliative and Supportive Care, 14(6), 686–712. https://doi.org/:10.1017/S1478951515001285
11. Fadıloglu, C. & Aksu, T. (2013). Validity and reliability of Good Death Scale, Journal of Ege University Nursing Faculty, 29,1–15. https://dergipark.org.tr/tr/pub/egehemsire/issue/49346/630301 Date of Access: 23.09.2024 Feifel, H. E. (1959). The meaning of death. McGraw-Hill. ISBN:07-020347-4. Greenberg, J., Koole, S. L., & Pyszczynski, T. A. (Eds.). (2004). Handbook of experimental existential psychology. Guilford Press. ISBN: 9781593850401 Hafifah, I., Wisesrith, W., Ua-Kit, N., & Ho, B. M. H. (2025). Defining a Good Death in the Intensive Care Unit: A Systematic Review. Indian Journal of Palliative Care, 31(3), 199–208. https://doi.org/10.25259/IJPC_21_2025 Honey, M. & Dark-Freudeman, A. (2024). From theory to reality: Unraveling the development of mature death concept, Death Studies, 1–19. https://doi.org/10.1080/07481187.2024.2385388
12. Kang, J.H., Lee, Y.M. & Lee, H.J. (2019). Effect of the awareness of a good death and perceptions of life-sustaining treatment decisions on attitudes of intensive care nurses toward terminal care, Journal of Korean Critical Care Nursing, 12(2), 39–49. https://doi.org/10.34250/jkccn.2019.12.2.39
13. Kastenbaum, R. (2000). The Psychology of Death (3rd ed.). Newyork: Springer Publishing Company. ISBN: 0-8261-1300-1.
14. Katırcıoğlu, E., & Karaaziz, M. (2024). Schema therapy in individuals with depression on its use. European Archives of Social Sciences, 1(1), 46–52. https://doi.org/10.35365/eass.24.1.06
15. Kim, S., No, M.J., Moon, K.E, Cho, H.J., Park, Y., Lee, N.J., Lee, S.H., & Shim, M.Y. (2018). Intensive care unit nurses’ death perception, end of life stress, and end of life nursing attitudes, Journal of Korean Clinical Nursing Research, 24(2), 255–262. https://doi.org/10.22650/JKCNR.2018.24.2.255
16. Klimczuk, A. & Fabiś, A. (2017). Theories of Death and Dying. In B. Turner, P., Kivisto, W., Outhwaite, C., Kyung-Sup, C., Epstein, J.M., Ryan. (Eds.), The Wiley-Blackwell Encyclopedia of Social Theory (pp.1–7). London: Wiley-Blackwell. https://doi.org/10.1002/9781118430873.est0084
17. Kubler-Ross, E. (1969). On Death and Dying. Collier Books Macmillan Publishing. https://doi.org/10.4324/9780203010495
18. Menekli, T., Dolu, S., Coskun, Ö. & Torun, M. (2021). Opinions of palliative care patients, relatives, and nurses on good death, Journal of Anatolia Nursing and Health Sciences, 24(1), 84–94. https://doi.org/10.17049/ataunihem.775855
19. Ozcan, D.O. & Cevik, B.(2023). Opinions of cancer patients, their relatives, and nurses on good death, OMEGA-Journal of Death and Dying, 86(4),1473–1492. https://doi.org/10.1177/00302228211053473
20. Polat, H.T. (2022). Nurses’ perceptions on good death and their attitudes towards the care of dying individuals, OMEGA-Journal of Death and Dying, 1–13. https://doi.org/10.1177/00302228221100638
21. Sahin, D.S., Onal, O. & Inanç, B.B. (2017). Attitudes of nurses working emergency and intensive care units toward good death and death anxiety, Journal of Clinical and Analytical Medicine, 8(Suppl 2),75–79. https://doi.org/10.4328/JCAM.4949
22. Schober, P. & Schwarte, L.A. (2018). Correlation coefficients: Appropriate use and interpretation, Anesthesia and Analgesia, 126(5), 1763–1768. https://doi.org/10.1213/ANE.0000000000002864
23. Schwartz, C.E., Mazor, K., Rogers, J., & Reed, G. (2003). Validation of a new measure of the concept of a good death, Journal of Palliative Medicine, 6(4), 575–584. https://doi.org/10.1089/109662103768253687
24. Solomon, S., Greenberg, J., & Pyszczynski, T. (1991). A Terror Management Theory of Social Behavior: The Psychological Functions of Self-esteem and Cultural Worldviews. Advances in Experimental Social Psychology, 24, 93–159. https://doi.org/10.1016/S0065-2601(08)60328-7
25. Sumbuloglu, K., & Sumbuloglu, V. (2021). Biostatistics, 20th ed., Ankara: Hatiboglu Publishing. ISBN:978-975-7527-93-0
26. Templer, D. I. (1970). The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2), 165–177. https://doi.org/10.1080/00221309.1970.9920634
27. Yıldız, M., Çelik, D., Çakır, M. & Savasır, T. (2021). The attitudes of physicians and nurses working in the intensive care unit and palliative care unit towards good death and respectable death principles, Journal of Medicine and Palliative Care, 2(3), 77–85. https://doi.org/10.47582/jompac.954029
28. Yorulmaz, D.S. & Karadeniz, H. (2020). Nursing care in the terminal period and good death, Journal of Intensive Care Nursing, 24(2),134–138. https://dergipark.org.tr/tr/download/article-file/1122372 Date of Access: 23.09. 2024