Factors Influencing Coping with Death Competence Among Chinese Oncology Nurses: A National Cross-Sectional Study

Overview

Journal J Multidiscip Healthc

Publisher Dove Medical Press

Specialty Health Services

Date 2024 Oct 22

PMID 39434826

Authors

Youwen Gong

Yongyi Chen

Yang Liu

Affiliations

Soon will be listed here.

Abstract

Purpose: To identify the factors affecting Chinese oncology nurses' competency in coping with death, and their relationship with death attitudes and educational needs.

Methods: A national cross-sectional descriptive study was conducted using an online survey of Chinese oncology nurses. Data were collected using the Coping with Death, Death Attitude Profile-Revised, and Death Education Needs Scales. A Pearson's correlation analysis was used to examine the relationships among the research variables. A multiple linear regression analysis was used to analyze the factors influencing coping with death.

Results: The total score of coping with death was 133.57±26.78, showing a moderate coping level among Chinese oncology nurses. The Pearson's correlation analysis showed that death attitude was significantly and positively correlated with coping with death competence, and there was a statistically significant positive relationship between coping with death competence and death education needs. Years of oncology care experience, bereavement experience, death attitude, and death education needs were identified as statistically significant factors influencing competency in coping with death. These factors explained 30.6% of the differences in coping with death.

Conclusion: This study found that oncology nurses in China exhibited moderate levels of death coping competence, which needs to be improved to provide higher-quality end-of-life care. Further, death attitude and education needs were important factors affecting participants' coping with death competence. Tailored death education programs and continuing education on death should be provided for oncology nurses, to encourage them to actively participate in death competence-related training and promote an attitude of natural acceptance of death and positive care for terminally ill patients. In the future, virtual reality technology could complete course implementation designs with immersive, conceptual, and interactive characteristics, to enhance the death-coping education program. Nurses with less experience in oncology care and bereavement should improve their competency in coping with death.

References

Galiana L, Oliver A, De Simone G, Linzitto J, Benito E, Sanso N . A Brief Measure for the Assessment of Competence in Coping With Death: The Coping With Death Scale Short Version. J Pain Symptom Manage. 2018; 57(2):209-215. DOI: 10.1016/j.jpainsymman.2018.11.003. View

Esnaashari F, Kargar F . The Relation Between Death Attitude and Distress: Tolerance, Aggression, and Anger. Omega (Westport). 2018; 77(2):154-172. DOI: 10.1177/0030222815593871. View

Zheng R, Guo Q, Dong F, Gao L . Death Self-efficacy, Attitudes Toward Death and Burnout Among Oncology Nurses: A Multicenter Cross-sectional Study. Cancer Nurs. 2020; 45(2):E388-E396. DOI: 10.1097/NCC.0000000000000839. View

Pehlivan S, Lafci D, Vatansever N, Yildiz E . Relationship Between Death Anxiety of Turkish Nurses and Their Attitudes Toward the Dying Patients. Omega (Westport). 2019; 82(1):128-140. DOI: 10.1177/0030222819895122. View

Francalancia J, Mavrogiorgou P, Juckel G, Mitrovic T, Kuhle J, Naegelin Y . Death Anxiety and Attitudes towards Death in Patients with Multiple Sclerosis: An Exploratory Study. Brain Sci. 2021; 11(8). PMC: 8391402. DOI: 10.3390/brainsci11080964. View

Peterson J, Johnson M, Halvorsen B, Apmann L, Chang P, Kershek S . Where do nurses go for help? A qualitative study of coping with death and dying. Int J Palliat Nurs. 2010; 16(9):432, 434-8. DOI: 10.12968/ijpn.2010.16.9.78636. View

Povedano-Jimenez M, Ropero-Padilla C, Rodriguez-Arrastia M, Garcia-Caro M . Personal and Emotional Factors of Nursing Professionals Related to Coping with End-of-Life Care: A Cross-Sectional Study. Int J Environ Res Public Health. 2021; 18(18). PMC: 8465186. DOI: 10.3390/ijerph18189515. View

Sanso N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E . Palliative Care Professionals' Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death. J Pain Symptom Manage. 2015; 50(2):200-7. DOI: 10.1016/j.jpainsymman.2015.02.013. View

Granek L, Ariad S, Shapira S, Bar-Sela G, Ben-David M . Barriers and facilitators in coping with patient death in clinical oncology. Support Care Cancer. 2016; 24(10):4219-27. DOI: 10.1007/s00520-016-3249-4. View

10.

Povedano-Jimenez M, Granados-Gamez G, Garcia-Caro M . Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey. Rev Lat Am Enfermagem. 2020; 28:e3234. PMC: 7164927. DOI: 10.1590/1518-8345.3279.3234. View

11.

Yu H, Jiang A, Shen J . Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: A cross-sectional survey. Int J Nurs Stud. 2016; 57:28-38. DOI: 10.1016/j.ijnurstu.2016.01.012. View

12.

Cui J, Shen F, Ma X, Zhao J . What do nurses want to learn from death education? A survey of their needs. Oncol Nurs Forum. 2011; 38(6):E402-8. DOI: 10.1188/11.ONF.E402-E408. View

13.

Lv T, Li L, Wang H, Zhao H, Chen F, He X . Relationship between Death Coping and Death Cognition and Meaning in Life among Nurses: A Cross-Sectional Study. Omega (Westport). 2023; :302228231158911. DOI: 10.1177/00302228231158911. View

14.

Murphy J, Chin E, Westlake C, Asselin M, Brisbois M . Pediatric Hematology/Oncology Nurse Spirituality, Stress, Coping, Spiritual Well-being, and Intent to Leave: A Mixed-method Study. J Pediatr Oncol Nurs. 2021; 38(6):349-363. DOI: 10.1177/10434542211011061. View

15.

Raccichini M, Biancalani G, Franchini L, Varani S, Ronconi L, Testoni I . Death education and photovoice at school: A workshop with Italian high school students. Death Stud. 2022; 47(3):279-286. DOI: 10.1080/07481187.2022.2052206. View

16.

Granek L, Ben-David M, Nakash O, Cohen M, Barbera L, Ariad S . Oncologists' negative attitudes towards expressing emotion over patient death and burnout. Support Care Cancer. 2017; 25(5):1607-1614. DOI: 10.1007/s00520-016-3562-y. View

17.

Gardiner C, Bolton L . Role and support needs of nurses in delivering palliative and end of life care. Nurs Stand. 2021; 36(11):61-65. DOI: 10.7748/ns.2021.e11789. View

18.

Kim S, Hwang W . Palliative care for those with heart failure: nurses' knowledge, attitude, and preparedness to practice. Eur J Cardiovasc Nurs. 2014; 13(2):124-33. DOI: 10.1177/1474515113519521. View

19.

Han H, Ye Y, Xie Y, Liu F, Wu L, Tang Y . The impact of death attitudes on death education needs among medical and nursing students. Nurse Educ Today. 2023; 122:105738. DOI: 10.1016/j.nedt.2023.105738. View

20.

Hainsworth D . The effect of death education on attitudes of hospital nurses toward care of the dying. Oncol Nurs Forum. 1996; 23(6):963-7. View