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2.
Vet Rec ; 191(5): 187, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36083094
3.
PLoS One ; 17(8): e0273338, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35984818

RESUMO

According to Terror Management Theory (TMT), there are three common buffers that minimize the anxiety of mortality salience: affirmation of a) one's cultural worldview, b) the self and one's personal values, and c) one's significance in the context of close personal relationships. The current study aimed at examining the contents of memes, which were distributed on social media during the COVID-19 outbreak, to explore the means by which humor buffers against death anxiety. A deductive and inductive thematic analysis captured three means by which humor buffers against death anxiety, a) humor as a means for connecting to cultural worldviews; b) humor as a means for inclusion in group; c) humor as a means to gain a sense of control. These findings are discussed through the theoretical lens of TMT.


Assuntos
Atitude Frente a Morte , COVID-19 , Ansiedade , COVID-19/epidemiologia , Surtos de Doenças , Humanos
4.
J Palliat Med ; 25(8): 1313, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35913484
6.
Nurse Educ Today ; 116: 105448, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35779526

RESUMO

BACKGROUND: Nurse-led hospice teams are an emerging trend in contemporary health care practice in China. However, Chinese nursing students are often ill-prepared to work in hospice care. Study findings on the attitude of nursing students toward the care of people who are dying and death varied among different countries and regions. OBJECTIVES: To propose and empirically test a mediating model that examines how death attitude and meaning in life interact to affect Chinese undergraduate nursing students and their attitude toward the care of people who are dying. DESIGN: A cross-sectional study. PARTICIPANTS: A convenience sample of 1410 Chinese undergraduate nursing students. METHODS: Data were collected from July to December 2020 using Chinese versions of the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B-C), Death Attitude Profile-Revised (DAP-R-C), and Purpose in Life Test (CPLT-C). SPSS version 22.0 and AMOS version 24.0 were used for statistical analysis. RESULTS: The average FATCOD-B-C score was 98.28 ± 8.02. Death attitude and meaning in life were positively correlated with attitude toward care of the dying (p < 0.001), but death attitude was negatively correlated with meaning in life (p < 0.001). Pathway analysis showed that fear of death was significantly and positively correlated with attitude toward care of people who are dying. A mediating role was found among neutral acceptance, escape acceptance, and meaning in life to some extent. Meaning in life suppressed effects among the model. CONCLUSION: This study revealed that Chinese undergraduate nursing students' attitude toward care of the dying was a positive nurturing process. Future nurse education should first identity the fear of death, neutral acceptance, or escape acceptance of nursing students' death attitude, and then develop a hospice curriculum based on fear management.


Assuntos
Bacharelado em Enfermagem , Cuidados Paliativos na Terminalidade da Vida , Estudantes de Enfermagem , Assistência Terminal , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Estudos Transversais , Humanos , Transtornos Fóbicos , Inquéritos e Questionários
7.
Health Aff (Millwood) ; 41(6): 921-924, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35666976

RESUMO

A narrow view of patients' and families' preferences has led to the unjust application of policies meant to accommodate dying patients.


Assuntos
Assistência Terminal , Atitude Frente a Morte , Hospitais , Humanos
10.
Int J Palliat Nurs ; 28(5): 214-221, 2022 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-35648682

RESUMO

BACKGROUND: The number of older adult patients in Japan is increasing and symptom management is needed not only for cancer patients, but also non-cancer patients. AIMS: This study investigated nurses' symptom management and their views on death and caring for heart failure (HF) and chronic obstructive pulmonary disease (COPD). METHODS: A cross-sectional survey using a questionnaire was conducted. Survey items were implementation of assessment and non-pharmacological interventions for 14 symptoms at the end-of-life stage, participation in palliative care training courses and attitude toward death and caring, as assessed by the Frommelt attitude toward care of the dying (FATCOD) Scale. RESULTS: A total of 266 (78.5%) nurses responded. More than 90% implemented symptom assessment of dyspnea and cough for both HF and COPD. The mean FATCOD score was 114.7, participation in on-the-job palliative care training courses (p<0.01), and difficulty with near-death issues (p<0.01) were significantly associated with the FATCOD. CONCLUSION: These results suggest that nurses assessed the major symptoms of HF and COPD. Training courses are important to promote palliative care for non-cancer patients.


Assuntos
Insuficiência Cardíaca , Enfermeiras e Enfermeiros , Doença Pulmonar Obstrutiva Crônica , Assistência Terminal , Idoso , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Estudos Transversais , Humanos , Cuidados Paliativos
11.
Rev. esp. geriatr. gerontol. (Ed. impr.) ; 57(3): 168-173, mayo - jun. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-205510

RESUMO

Antecedentes y objetivo: Existen múltiples variables que influyen en el miedo a la muerte, así como en las actitudes ante ella, incluyendo la edad, la religiosidad, los aspectos emocionales o los culturales. Debido a la cercanía con la muerte, el estudio de las actitudes y de los niveles de ansiedad y de las variables que influyen en ellas en población mayor tiene una gran relevancia. El objetivo del presente trabajo fue comparar los niveles de ansiedad ante la muerte, así como el miedo, las actitudes ante la muerte y aspectos emocionales asociados (ansiedad y depresión) en adultos mayores procedentes de 2culturas diferentes, la occidental y la árabe.Materiales y método: Tomaron parte un total de 91 personas mayores de 60 años que se dividieron en 2grupos, uno de personas nacidas en España (n=46) y otro de personas nacidas en Egipto (n=45). En una evaluación individualizada los participantes completaron los cuestionarios DAS, PRAM y las subescalas de ansiedad y depresión del SCL-90-R.Resultados: Se observaron diferencias estadísticamente significativas entre los grupos en el miedo a la muerte, la aceptación y los aspectos emocionales. Las variables predictoras de la ansiedad y del miedo a la muerte fueron diferentes en cada uno de los grupos.Conclusión: Los resultados evidencian la importancia de tener en cuenta los aspectos culturales, religiosos y emocionales en la evaluación del miedo y las actitudes ante la muerte en población mayor. (AU)


Background and objective: There are multiple variables that influence fear of death, as well as attitudes towards it, including age, religiosity, emotional and cultural aspects. Due to the proximity to death, the study of attitudes and death-related anxiety and the variables that influence it in the elderly population is of great relevance. The aim of the present study was to compare the levels of death anxiety, fear of death, attitudes towards death and associated emotional aspects (anxiety and depression) in older adults from 2different cultures, Western and Arab.Materials and method: A total of 91 people over 60 years old took part and were divided into 2groups, one of people born in Spain (n=46) and the other of people born in Egypt (n=45). In an individualised assessment, participants completed the DAS, PRAM and the anxiety and depression subscales of the SCL-90-R questionnaires.Results: Statistically significant differences between groups were observed in fear of death, acceptance and emotional aspects. Predictors of anxiety and fear of death were different for each group.Conclusion: The results show the importance of taking into account cultural, religious and emotional aspects in the evaluation of fear and attitudes towards death in the elderly population. (AU)


Assuntos
Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Ansiedade , Atitude Frente a Morte , Depressão , Espanha , Egito , Inquéritos e Questionários
14.
BMC Public Health ; 22(1): 906, 2022 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-35524295

RESUMO

OBJECTIVES: Advance care planning is a key preparatory step in ensuring high-quality palliative and end of life care, and should be considered as a process, beginning with community-level conversations among lay persons. There is, however, indication that death talk among community-dwelling adults is not occurring, and there is a dearth of research examining why this is the case. This study aims to provide the first examination of barriers and facilitators to talking about death and dying among the general population in a UK region (Northern Ireland), and to provide a novel application of health behaviour change theory towards developing a theoretical understanding of the sources of this behaviour. METHODS: The study involved qualitative analysis of responses (n = 381 participants) to two open-ended questions within a cross-sectional online survey, with recruitment via social media of adults currently living in Northern Ireland. Reflexive thematic analysis was conducted on open text responses per question, with the barriers and facilitators mapped on to health behaviour change models (the Behaviour Change Wheel COM-B and the Theoretical Domains Framework). RESULTS: The findings evidence a myriad of barriers and facilitators to engaging in death talk, with themes aligning to areas such as lack of acceptance of death in social contexts and fear of upsetting self or others, and a need to improve interpersonal communication skills for facilitating conversations and improve knowledge of the existing services around death and dying. A theoretical understanding of the drivers of death talk is presented with findings mapped across most components of the COM-B Behaviour Change Model and the Theoretical Domains Framework. CONCLUSIONS: This study contributes to a small but emergent research area examining barriers and facilitators to talking about death and dying. Findings from this study can be used to inform new public health programmes towards empowering adults to have these conversations with others in their community towards upstreaming advance care planning.


Assuntos
Planejamento Antecipado de Cuidados , Atitude Frente a Morte , Adulto , Estudos Transversais , Comportamentos Relacionados com a Saúde , Humanos , Irlanda do Norte , Pesquisa Qualitativa
15.
Rev Esp Geriatr Gerontol ; 57(3): 168-173, 2022.
Artigo em Espanhol | MEDLINE | ID: mdl-35570065

RESUMO

BACKGROUND AND OBJECTIVE: There are multiple variables that influence fear of death, as well as attitudes towards it, including age, religiosity, emotional and cultural aspects. Due to the proximity to death, the study of attitudes and death-related anxiety and the variables that influence it in the elderly population is of great relevance. The aim of the present study was to compare the levels of death anxiety, fear of death, attitudes towards death and associated emotional aspects (anxiety and depression) in older adults from 2different cultures, Western and Arab. MATERIALS AND METHOD: A total of 91 people over 60 years old took part and were divided into 2groups, one of people born in Spain (n=46) and the other of people born in Egypt (n=45). In an individualised assessment, participants completed the DAS, PRAM and the anxiety and depression subscales of the SCL-90-R questionnaires. RESULTS: Statistically significant differences between groups were observed in fear of death, acceptance and emotional aspects. Predictors of anxiety and fear of death were different for each group. CONCLUSION: The results show the importance of taking into account cultural, religious and emotional aspects in the evaluation of fear and attitudes towards death in the elderly population.


Assuntos
Ansiedade , Atitude Frente a Morte , Idoso , Ansiedade/epidemiologia , Ansiedade/psicologia , Egito , Humanos , Transtornos Fóbicos , Espanha
16.
17.
Rev. Enferm. Atual In Derme ; 96(38): 1-14, Abr-Jun. 2022.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1379139

RESUMO

Objetivo: Conhecer os sentimentos, dificuldades e as estratégias de enfrentamento dos profissionais de enfermagem frente à situação de morte dospacientes. Métodos:Revisão integrativa da literatura realizada com busca na Biblioteca Virtual emSaúde, emdezembrode 2021. Utilizaram-se as palavras-chave: "atitude frente à morte" e "enfermagem". Resultados:Foram encontrados 60artigos, destes,13 foramselecionados. Dentreas dificuldadesenfrentadas pelos profissionais de enfermagem frente a morte,está olidar com a finitude;compreender e aceitar o sofrimento causado pela morte;os sentimentos vivenciados diante do processo de morrer e morte e as estratégias de enfrentamento da morte pelos profissionais de enfermagem.Considerações finais:Fomentar espaços de discussão sobre o processo de morte e morrer, nas suas múltiplas visões culturais e científicas pode minimizar o sofrimento. Além disso, discutir a morte na formação não isenta o profissional do sofrimento, possibilita refletir acerca do suporte frente ao processo de morte.


Objective: To knowthe feelings, difficulties and coping strategies of nursing professionals facing the situation of death of patients. Methods:Integrative literature review carried out with a search in the Virtual Health Library, in december2021.The keywords "attitude toward death" and "nursing" were used. Results:60 articles were found and selected 13. Difficulties are identified: the dealingwith finitude; difficulty in understanding and accepting the suffering caused by death; the feelings experienced in the process of death and dyingand the coping strategies of death by nursing professionals. Final Considerations:Fostering discussion spacesabout the process of death and dying, in its multiple cultural and scientific visions can minimize suffering. In addition, discussing deathfrom the training process may not exempt the professional from suffering, but can prepare it to better supportthe process.


Objetivo: Conocer los sentimientos, dificultades y estrategias de afrontamiento de los profesionales de enfermería ante la situación de muerte de los pacientes.Métodos: Revisión integrativa de la literatura realizada mediante la búsqueda en la Biblioteca Virtual en Salud, em diciembrede 2021. Se utilizaron lãs palabras clave: "actitud frente a lamuerte", y "enfermería". Resultados:Se han encontrado 60 artículos y seleccionados 13. Se identifican como dificultades: el manejo de lafinitud; dificultad para comprender y aceptar El sufrimiento causado por La muerte; los sentimientos vivenciados ante El proceso de morir y muerte y lãs estrategias de enfrentamiento de La muerte por los profesionales de enfermería. Consideraciones finales:Fomentar espacios de discusión sobre El proceso de muerte y morir, en sus múltiples visiones culturales y científicas puede minimizar El sufrimiento. Además, discutir La muerte desde El proceso de formación puedeno eximir al profesional del sufrimiento, sin embargo, puede prepararlo para soportar mejor El proceso.


Assuntos
Humanos , Masculino , Feminino , Atitude Frente a Morte , Enfermagem , Morte , Emoções
18.
BMC Palliat Care ; 21(1): 58, 2022 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-35484588

RESUMO

BACKGROUND: The perception of being closer to death can be experienced due to old age or life-limiting diseases, and can pose profound existential challenges. Actively confronting death-related issues and existential questions may increase psychosocial comfort and stimulate personal growth, whereas dysfunctional coping may lead to existential distress. To date, research on individual and (semi-)professional approaches to confronting the own end of life and the effects on one's well-being remain scarce. Therefore, the aim of this study was to explore individual strategies and wishes in order to derive ideas for appropriate support concepts. METHODS: Twenty semi-structured interviews were conducted with people over the age of 80 (n = 11) and with a life-limiting disease (n = 10). The interviews were transcribed verbatim and independently coded by two researchers according to Braun and Clarke's thematic analysis approach. RESULTS: While the use of (semi-)professional approaches (e.g., therapeutic support) to confronting existential questions in the shape of one's impending death was rare, individual coping strategies did have a positive impact on psychosocial comfort. There were hardly any significant differences between the participants aged 80 and over and those with a life-limiting disease in terms of individual coping strategies or how they approached the ends of their lives. Both groups reported that theoretical education, preparing for the ends of their lives (e.g., funerals), talking about death-related topics, reflecting on death-related topics, and contemplating death in a spiritual sense had positive effects on their assurance, self-determination and relief. The necessity of confrontation and a desire for low-threshold, accessible and flexible services to meet their existential and spiritual needs were highlighted. CONCLUSIONS: There is both a desire and a need for the addressing of existential questions. Outside of private contexts, however, the participants possessed little awareness of support services that focused on confronting end-of-life issues, and rarely used such services. Efforts to raise awareness for psychosocial and spiritual needs should be implemented within the care system, together with low-threshold support concepts, in order to increase psychosocial well-being. More research evaluating individual approaches to confronting the own end of life are needed to better understand this determinant of well-being and its mechanisms of action. TRIAL REGISTRATION: www.germanctr.de , DRKS-ID: DRKS00020577 .


Assuntos
Atitude Frente a Morte , Existencialismo , Adaptação Psicológica , Idoso de 80 Anos ou mais , Morte , Existencialismo/psicologia , Humanos , Pesquisa Qualitativa
19.
BMC Palliat Care ; 21(1): 56, 2022 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-35473551

RESUMO

BACKGROUND: Most nurses in China have not been trained to take care of end-of-life patients appropriately due to lack of educational resources and insufficient training. A palliative care program was launched by the Jiangsu Nursing Association (JNA training program) and to identify gaps in palliative care training. The main aim of this study was to evaluate the training effects of the JNA training program on nurses' knowledge and attitudes to palliative care. METHODS: A cross-sectional study was conducted with 10 048 registered nurses in all regions of Jiangsu. All participants completed an online questionnaire using the Chinese version of The Palliative Care Quiz for Nursing (PCQN-C) and the Frommelt Attitude Toward Care of the Dying scale (FATCOD-B-C). A propensity score matched analysis was performed between the nurses who had attended the JNA training program and whose who hadn't. RESULTS: The average score of PCQN-C among all nurses was 8.79, while the mean score of the FATCOD-B-C was 103.62. Those participants who attended the JNA training program had significantly better scores than those who did not. Propensity score matching analysis showed that the palliative care training program failed to improve nurses' knowledge in psychosocial and spiritual care or their attitudes towards the necessity of family support although there was positive impact on other aspects of palliative care. CONCLUSIONS: Knowledge of palliative care among Chinese nurses remains low. Training programs may improve general knowledge and attitudes to palliative care. However, important aspects of knowledge such as communication skills, family support, and psychosocial aspects of care, are missing. These gaps should be filled in future palliative care training programs targeting nurses with oriental culture background.


Assuntos
Enfermeiras e Enfermeiros , Cuidados Paliativos , Atitude Frente a Morte , Competência Clínica , Estudos Transversais , Educação Continuada , Humanos , Cuidados Paliativos/psicologia
20.
Crit Care Med ; 50(5): 878-880, 2022 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-35485587
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