New graduate nurses’ coping with death and the relationship with death self-efficacy and death anxiety: A multicentre cross-sectional study

Source avec lien : Journal of Advanced Nursing, 77(2), . https://doi.org/10.1111/jan.14621

Examiner la perception des compétences des infirmières nouvellement diplômées en matière de gestion des décès et de la mort et la relation avec l’auto-efficacité et l’anxiété face à la mort.

Aims To examine new graduate nurses’ perceptions of competency on coping with dying and death and the relationship with death self-efficacy and death anxiety. Design A multicentre, cross-sectional study. Methods Three hundred and forty new graduate nurses from five metropolitan hospitals were recruited between August–November 2018. Participants completed the Coping with Death Scale, Death Self-efficacy Scale, and Death Anxiety Scale. Results Two hundred and ninety-eight new graduate nurses responded to the survey. The mean score of coping with death and death self-efficacy was 120.11 (SD 24.59), 259.11 (SD 57.70) respectively. 88.9% feared a painful death, 81.5% were particularly afraid of getting cancer, and 80.2% were afraid of death. There was a positive relationship between coping with death and death self-efficacy, a negative relationship between coping with death and death anxiety and a negative correlation between death self-efficacy and death anxiety. Five variables, including death self-efficacy, three dimensions of death anxiety including emotion, cognition with life and death and stress and distress and religion in total accounted for 46.9% of the variance of coping with death. Conclusion New graduate nurses are at a disadvantage in terms of death self-efficacy, less well prepared in coping with death and are more anxious about death. Impact It is imperative for educational institutions to support new graduate nurses with pre-licensure learning related to patient death issues and care. Organizations are also strongly advised to support new graduate nurses to cope with patient death through development of culturally sensitive interventions and guidelines, which may in turn assist with decreasing new graduate nurses’ risk of burnout and increasing their longevity in the profession.

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