Pub Date : 2024-12-01Epub Date: 2022-06-13DOI: 10.1177/00302228221107976
Sümeyra Mihrap İlter, Özlem Ovayolu, Sibel Serçe, Nimet Ovayolu
Objective: The study aimed to examine the relationship between compassion fatigue and moral sensitivity of intensive care nurses. Method: Permission was obtained from the ethics committee, institution, and nurses prior to the study. The population of the study consisted of all nurses working in a university hospital, and the sample consisted of 144 intensive care nurses who agreed to participate in the study. The data were collected through the Questionnaire, the Compassion Fatigue Scale, and the Moral Sensitivity Scale. The total score of the compassion fatigue scale ranges between 24 and 120, and a high score indicates a "high level of compassion". The total score of the moral sensitivity scale, on the other hand, varies between 30-210, and as the score increases, moral sensitivity decreases. The obtained data were evaluated with Student t, One-Way Anova, Kruskal Wallis, Mann Whitney U, and correlation analysis. Results: It was found that 55.6% of the nurses had a bachelor's degree, 44.4% had been working in the intensive care unit for 4-6 years, 39.6% had professional ethical dilemmas, and 44.6% of those who had ethical dilemmas could not solve this problem. Compassion fatigue and moral sensitivity scale mean scores were found to be 83.3 ± 6.7 and 125.4 ± 7.2, respectively, and there was a positive correlation between compassion fatigue and moral sensitivity mean scores (p < 0.05). Conclusion: The mean score of the compassion fatigue and moral sensitivity scale of intensive care nurses was at a "moderate" level, and there was a positive correlation between the nurses' moral sensitivity scale and compassion fatigue scale scores. In line with these results, it can be suggested that the compassion fatigue and moral sensitivities of nurses especially those working in intensive care be evaluated in terms of resolving the ethical dilemmas they may experience in patient care, and these nurses be supported on these matters.
{"title":"An Investigation of the Relationship Between Compassion Fatigue and Moral Sensitivity of Intensive Care Nurses.","authors":"Sümeyra Mihrap İlter, Özlem Ovayolu, Sibel Serçe, Nimet Ovayolu","doi":"10.1177/00302228221107976","DOIUrl":"10.1177/00302228221107976","url":null,"abstract":"<p><p><b>Objective:</b> The study aimed to examine the relationship between compassion fatigue and moral sensitivity of intensive care nurses. <b>Method:</b> Permission was obtained from the ethics committee, institution, and nurses prior to the study. The population of the study consisted of all nurses working in a university hospital, and the sample consisted of 144 intensive care nurses who agreed to participate in the study. The data were collected through the Questionnaire, the Compassion Fatigue Scale, and the Moral Sensitivity Scale. The total score of the compassion fatigue scale ranges between 24 and 120, and a high score indicates a \"high level of compassion\". The total score of the moral sensitivity scale, on the other hand, varies between 30-210, and as the score increases, moral sensitivity decreases. The obtained data were evaluated with Student t, One-Way Anova, Kruskal Wallis, Mann Whitney U, and correlation analysis. <b>Results:</b> It was found that 55.6% of the nurses had a bachelor's degree, 44.4% had been working in the intensive care unit for 4-6 years, 39.6% had professional ethical dilemmas, and 44.6% of those who had ethical dilemmas could not solve this problem. Compassion fatigue and moral sensitivity scale mean scores were found to be 83.3 ± 6.7 and 125.4 ± 7.2, respectively, and there was a positive correlation between compassion fatigue and moral sensitivity mean scores (<i>p</i> < 0.05). <b>Conclusion:</b> The mean score of the compassion fatigue and moral sensitivity scale of intensive care nurses was at a \"moderate\" level, and there was a positive correlation between the nurses' moral sensitivity scale and compassion fatigue scale scores. In line with these results, it can be suggested that the compassion fatigue and moral sensitivities of nurses especially those working in intensive care be evaluated in terms of resolving the ethical dilemmas they may experience in patient care, and these nurses be supported on these matters.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"521-535"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42218561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2022-06-10DOI: 10.1177/00302228221108544
Feven Seifu, Rakesh Maurya, Amanda C DeDiego
Death awareness and near-death experiences initiate shifts in awareness, priorities, and relationships. This narrative inquiry explored the stories of four individuals who had near-death experiences. Participants shared their experiences before and after the experiences. Findings include considerations of how mortality awareness connects with life experiences. Resonant threads across narratives included Interactions with Death, Life after Death, and Meaning in Life after Death. Specifically, findings explore near-death experiences, how life was changed following interactions with death, and the meaning-making process through death awareness. Findings and discussion explore the impact of death awareness as well as considerations for those in death and trauma-related fields.
{"title":"Life After Death: A Narrative Exploration of Near-Death Experiences.","authors":"Feven Seifu, Rakesh Maurya, Amanda C DeDiego","doi":"10.1177/00302228221108544","DOIUrl":"10.1177/00302228221108544","url":null,"abstract":"<p><p>Death awareness and near-death experiences initiate shifts in awareness, priorities, and relationships. This narrative inquiry explored the stories of four individuals who had near-death experiences. Participants shared their experiences before and after the experiences. Findings include considerations of how mortality awareness connects with life experiences. Resonant threads across narratives included Interactions with Death, Life after Death, and Meaning in Life after Death. Specifically, findings explore near-death experiences, how life was changed following interactions with death, and the meaning-making process through death awareness. Findings and discussion explore the impact of death awareness as well as considerations for those in death and trauma-related fields.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"641-655"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41992931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2022-06-12DOI: 10.1177/00302228221108293
Hamdieh Aryafard, Fazel Dehvan, Ahmed N Albatineh, Sahar Dalvand, Reza G Gheshlagh
This systematic review and meta-analysis aimed to evaluate the spiritual health status of Iranian patients with cardiovascular diseases. A literature search was conducted in national (MagIran and Scientific Information Database) and international (Scopus, PubMed, and Web of Science/ISI) databases from inception to December 2021. A random-effects model was used to estimate the pooled score of spiritual health. Based on the eligibility criteria, 22 articles were selected for the final analysis. The pooled score of spiritual health in Iranian patients with cardiovascular diseases was 61% (95% confidence interval: 54%-68%). In subgroup analysis, the pooled score in patients with heart failure was higher than other patients (67% vs. 58%). Publication bias was not significant (p = 0.554). Results indicated that the spiritual health of Iranian patients with cardiovascular diseases was moderate. Therefore, it is recommended that proper training be provided to these patients to enhance their adaptation to the complications of cardiovascular diseases.
本系统综述和荟萃分析旨在评估伊朗心血管疾病患者的精神健康状况。从成立到2021年12月,在国内(MagIran和科学信息数据库)和国际(Scopus, PubMed和Web of Science/ISI)数据库中进行了文献检索。采用随机效应模型估计精神健康综合得分。根据入选标准,选取22篇文章进行最终分析。伊朗心血管疾病患者的精神健康综合得分为61%(95%置信区间:54%-68%)。在亚组分析中,心力衰竭患者的综合评分高于其他患者(67%对58%)。发表偏倚无统计学意义(p = 0.554)。结果表明伊朗心血管病患者精神健康状况一般。因此,建议对这些患者进行适当的培训,以提高他们对心血管疾病并发症的适应能力。
{"title":"Spiritual Health in Iranian Patients With Cardiovascular Diseases: A Systematic Review and Meta-analysis.","authors":"Hamdieh Aryafard, Fazel Dehvan, Ahmed N Albatineh, Sahar Dalvand, Reza G Gheshlagh","doi":"10.1177/00302228221108293","DOIUrl":"10.1177/00302228221108293","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to evaluate the spiritual health status of Iranian patients with cardiovascular diseases. A literature search was conducted in national (MagIran and Scientific Information Database) and international (Scopus, PubMed, and Web of Science/ISI) databases from inception to December 2021. A random-effects model was used to estimate the pooled score of spiritual health. Based on the eligibility criteria, 22 articles were selected for the final analysis. The pooled score of spiritual health in Iranian patients with cardiovascular diseases was 61% (95% confidence interval: 54%-68%). In subgroup analysis, the pooled score in patients with heart failure was higher than other patients (67% vs. 58%). Publication bias was not significant (<i>p</i> = 0.554). Results indicated that the spiritual health of Iranian patients with cardiovascular diseases was moderate. Therefore, it is recommended that proper training be provided to these patients to enhance their adaptation to the complications of cardiovascular diseases.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"554-574"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48263773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2022-04-09DOI: 10.1177/00302228221087504
Yossi Levi-Belz, Dani Peleg, Kfir Ifrah
Lesbians, gays, bisexuals, and transgender individuals (LGBT) are at high risk for suicide. This study aimed to examine an integrative psychological model of risk factors among LGBT individuals and explore the psychological pathways connecting social stigma, mental pain, and interpersonal characteristics to suicidal ideation and behavior (SIB) in this population. LGBT adults (N = 473) responded to an online questionnaire about stigma, mental pain, interpersonal characteristics, as well as suicidal ideation and behaviors. We found group differences between LGBT respondents in the study variables: Transgender people reported the highest levels of SIB and depression, closely followed by bisexuals. The association between stigma-related variables and SIB was mediated by depression, entrapment, and perceived burdensomeness. These results highlight the role of entrapment and burdensomeness in facilitating suicide risk among LGBT adults, as they may increase the damaging effect of negative societal stigma against LGBTs and thus, elevate the suicide risk in this population.
{"title":"An Integrative Psychological Model of Risk Factors for Suicidal Ideation and Behavior Among Israeli LGBT Individuals.","authors":"Yossi Levi-Belz, Dani Peleg, Kfir Ifrah","doi":"10.1177/00302228221087504","DOIUrl":"10.1177/00302228221087504","url":null,"abstract":"<p><p>Lesbians, gays, bisexuals, and transgender individuals (LGBT) are at high risk for suicide. This study aimed to examine an integrative psychological model of risk factors among LGBT individuals and explore the psychological pathways connecting social stigma, mental pain, and interpersonal characteristics to suicidal ideation and behavior (SIB) in this population. LGBT adults (<i>N</i> = 473) responded to an online questionnaire about stigma, mental pain, interpersonal characteristics, as well as suicidal ideation and behaviors. We found group differences between LGBT respondents in the study variables: Transgender people reported the highest levels of SIB and depression, closely followed by bisexuals. The association between stigma-related variables and SIB was mediated by depression, entrapment, and perceived burdensomeness. These results highlight the role of entrapment and burdensomeness in facilitating suicide risk among LGBT adults, as they may increase the damaging effect of negative societal stigma against LGBTs and thus, elevate the suicide risk in this population.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"475-502"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48021963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01Epub Date: 2022-06-11DOI: 10.1177/00302228221108296
Kazumi Tomoi
There are few opportunities for ordinary people not familiar with death to think about it, whereas basic research on death attitudes is insufficient. This study thus examined the attitudes toward death among ordinary people through a qualitative analysis using Erikson's theory of generativity. Semi-structured interviews were conducted with 13 middle-aged and older Japanese individuals. The results showed that death attitudes were individualized and consisted of seven components, mainly those related to agency and communion. The change in death attitudes manifested as a change in weight from agency to communion, a change in meaning and perspective, and an orientation toward well-being. In conclusion, the change in death attitudes is to become more generative by balancing agency and communion through the function of narration. This change might be termed "the maturity of death attitudes" because it is oriented toward eudaimonic well-being.
{"title":"Death Attitudes Among Middle-Aged and Older Adults in Japan: A Qualitative Study Based on Erikson's Theory of Generativity.","authors":"Kazumi Tomoi","doi":"10.1177/00302228221108296","DOIUrl":"10.1177/00302228221108296","url":null,"abstract":"<p><p>There are few opportunities for ordinary people not familiar with death to think about it, whereas basic research on death attitudes is insufficient. This study thus examined the attitudes toward death among ordinary people through a qualitative analysis using Erikson's theory of generativity. Semi-structured interviews were conducted with 13 middle-aged and older Japanese individuals. The results showed that death attitudes were individualized and consisted of seven components, mainly those related to agency and communion. The change in death attitudes manifested as a change in weight from agency to communion, a change in meaning and perspective, and an orientation toward well-being. In conclusion, the change in death attitudes is to become more generative by balancing agency and communion through the function of narration. This change might be termed \"the maturity of death attitudes\" because it is oriented toward eudaimonic well-being.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"536-553"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42779132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Occupations are everyday activities people do that bring meaning and purpose to life and is culturally shaped. This research aimed to explore the occupations of Chinese older adults living with a terminal illness and their caregivers in Singapore. Using a qualitative exploratory approach, 16 care recipient-family caregiver dyads were recruited from a local hospice provider. Semi-structured interviews were carried out and reflexive thematic analysis was employed. Three themes and seven subthemes described the challenges and changes to daily life faced by care recipients and caregivers as they adjusted to living with the terminal condition. Findings suggest that in a family-centric society, the occupations of care recipients are greatly impacted by their families. It is imperative to engage with family members in goal setting and intervention plans to facilitate therapy gains and carry-over into real life. These results may be applicable to other family-centric societies, but further research is required.
{"title":"Occupations of Terminally Ill Chinese Older Adults and Their Caregivers in Singapore: A Qualitative Exploratory Study.","authors":"Geck Hoon Lim, Celine Yong, Lauren J Breen, Sharon Keesing, Angus Buchanan","doi":"10.1177/00302228221108288","DOIUrl":"10.1177/00302228221108288","url":null,"abstract":"<p><p>Occupations are everyday activities people do that bring meaning and purpose to life and is culturally shaped. This research aimed to explore the occupations of Chinese older adults living with a terminal illness and their caregivers in Singapore. Using a qualitative exploratory approach, 16 care recipient-family caregiver dyads were recruited from a local hospice provider. Semi-structured interviews were carried out and reflexive thematic analysis was employed. Three themes and seven subthemes described the challenges and changes to daily life faced by care recipients and caregivers as they adjusted to living with the terminal condition. Findings suggest that in a family-centric society, the occupations of care recipients are greatly impacted by their families. It is imperative to engage with family members in goal setting and intervention plans to facilitate therapy gains and carry-over into real life. These results may be applicable to other family-centric societies, but further research is required.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"575-593"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42116022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2022-05-12DOI: 10.1177/00302228221098893
John A Bernau
Kübler-Ross's five-stage model of death and dying-denial, anger, bargaining, depression, and acceptance-is one of the most popular theoretical models to come out of the 20th century. How did an obscure theory of the dying process come to dominate our understanding of emotional processes altogether? Building on previous work in the sociology of knowledge, I analyze the diffusion and institutionalization of Kübler-Ross's five-stage model in scientific and journalistic fields. Specifically, I analyze all 3216 citations of Kübler-Ross in the New York Times and the Web of Science database using qualitative and quantitative text analysis. I demonstrate how early scientific interest and commercial promotion led to adoption in popular culture, and document how the five-stage model expanded to cover everything from rent prices to COVID-19. I also argue that renewed interest in Kübler-Ross's work may signal contemporary attempts to mine the tradition for meaningful understandings of death and dying.
k伯勒-罗斯关于死亡和临终的五阶段模型——否认、愤怒、讨价还价、抑郁和接受——是20世纪最流行的理论模型之一。一个关于死亡过程的模糊理论是如何完全支配我们对情感过程的理解的?在知识社会学先前工作的基础上,我分析了k勒-罗斯的五阶段模型在科学和新闻领域的传播和制度化。具体来说,我使用定性和定量文本分析分析了纽约时报和Web of Science数据库中k bler- ross的所有3216次引用。我展示了早期的科学兴趣和商业推广如何导致流行文化的采用,并记录了五阶段模型如何扩展到从租金价格到COVID-19的所有内容。我还认为,对伯勒-罗斯作品重新燃起的兴趣,可能标志着当代试图从传统中挖掘对死亡和临终的有意义理解。
{"title":"The Institutionalization of Kübler-Ross's Five-Stage Model of Death and Dying.","authors":"John A Bernau","doi":"10.1177/00302228221098893","DOIUrl":"10.1177/00302228221098893","url":null,"abstract":"<p><p>Kübler-Ross's five-stage model of death and dying-denial, anger, bargaining, depression, and acceptance-is one of the most popular theoretical models to come out of the 20th century. How did an obscure theory of the dying process come to dominate our understanding of emotional processes altogether? Building on previous work in the sociology of knowledge, I analyze the diffusion and institutionalization of Kübler-Ross's five-stage model in scientific and journalistic fields. Specifically, I analyze all 3216 citations of Kübler-Ross in the <i>New York Times</i> and the <i>Web of Science</i> database using qualitative and quantitative text analysis. I demonstrate how early scientific interest and commercial promotion led to adoption in popular culture, and document how the five-stage model expanded to cover everything from rent prices to COVID-19. I also argue that renewed interest in Kübler-Ross's work may signal contemporary attempts to mine the tradition for meaningful understandings of death and dying.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"120-142"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48058647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2022-05-12DOI: 10.1177/00302228221097297
Ronit Shalev, Roni Zamir, Orit Barak
The educational staff that meets the children at school struggles to cope with the death of a child, and often avoids talking with them about the death and their sense of loss. This way of coping is complicated in the case of grief among children with special needs, called "disenfranchised grief ". The aim of this qualitative study was to examine the experience and the perceptions of the educational staff in schools for special education and to assess their way of coping, support and care they employ following the death of a student. 15 staff members from different schools in Israel, interviewed. The findings reveal that schools are a significant source of support for students, staff and parents, alike, in the processing of the loss. The special education frameworks generally maintained a special and close connection with students and families. procedures and guidelines are required following death of a student.
{"title":"Disenfranchised Grief: The Death of a Student With Special Needs and the Coping of the School Staff - A Qualitative Study.","authors":"Ronit Shalev, Roni Zamir, Orit Barak","doi":"10.1177/00302228221097297","DOIUrl":"10.1177/00302228221097297","url":null,"abstract":"<p><p>The educational staff that meets the children at school struggles to cope with the death of a child, and often avoids talking with them about the death and their sense of loss. This way of coping is complicated in the case of grief among children with special needs, called \"disenfranchised grief \". The aim of this qualitative study was to examine the experience and the perceptions of the educational staff in schools for special education and to assess their way of coping, support and care they employ following the death of a student. 15 staff members from different schools in Israel, interviewed. The findings reveal that schools are a significant source of support for students, staff and parents, alike, in the processing of the loss. The special education frameworks generally maintained a special and close connection with students and families. procedures and guidelines are required following death of a student.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"37-58"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45355492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2022-06-14DOI: 10.1177/00302228221107195
Ufuk Ercan Elcelik, Hanife Ozcelik, Gamze Muz
This research was conducted as a descriptive study in order to examine the effects of the moral problems experienced by nurses working in intensive care clinics on their end of life care behaviors. The data were collected using the Moral Distress Scale and Caring Behaviors Inventory. It was found that 74.5% of the nurses were women and their mean age was 32.60 ± 6.6 years. The frequency of moral distress in the nurses was 44.27 ± 16.25 and total score was 111.02 ± 63.85. There were significant differences in the scores of the concept the use of futile treatment by nurses, the decision not to begin life-support treatment being made only by physicians, and moral distress and discomfort felt by pediatric intensive care nurses (p < .05). A statistically significant relationship was found between total scores of discomfort on moral distress and assurance, knowledge and skills, connectedness, and being respectful on the end of life care behaviors (p < .05).
{"title":"The Effect on the Care Behaviors of Nurses Working in Intensive Care Clinics of Moral Distress Experienced During End of Life Patient Care.","authors":"Ufuk Ercan Elcelik, Hanife Ozcelik, Gamze Muz","doi":"10.1177/00302228221107195","DOIUrl":"10.1177/00302228221107195","url":null,"abstract":"<p><p>This research was conducted as a descriptive study in order to examine the effects of the moral problems experienced by nurses working in intensive care clinics on their end of life care behaviors. The data were collected using the Moral Distress Scale and Caring Behaviors Inventory. It was found that 74.5% of the nurses were women and their mean age was 32.60 ± 6.6 years. The frequency of moral distress in the nurses was 44.27 ± 16.25 and total score was 111.02 ± 63.85. There were significant differences in the scores of the concept the use of futile treatment by nurses, the decision not to begin life-support treatment being made only by physicians, and moral distress and discomfort felt by pediatric intensive care nurses (<i>p</i> < .05). A statistically significant relationship was found between total scores of discomfort on moral distress and assurance, knowledge and skills, connectedness, and being respectful on the end of life care behaviors (<i>p</i> < .05).</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"388-403"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43258948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2022-05-01DOI: 10.1177/00302228221098890
Hoi-Ting Leung, Peter K H Chew, Nerina J Caltabiano
Critical incidents (CI) trigger acute stress reactions and psychological trauma because of direct or vicarious exposure. These events include natural disasters, wars, terrorist attacks and pandemics, and usually result in deaths and serious physical injuries. Their life-threatening nature makes them reasonable candidates to induce mortality salience (MS). The current review aims to consolidate Terror Management Theory (TMT) research using CIs as MS. A systematic literature review was conducted. Overall, 74 articles with 113 studies were included. Through this review, strong support for MS effects of CI has been found. Consistent with TMT, CIs tend to trigger worldview defence, self-esteem enhancement and relationship seeking. CIs have also been found to impact negatively on individual well-being and organisational health. Recommendations specific to crisis interventions and well-being will be discussed. The review concludes with potential future research directions to strengthen and expand empirical knowledge in CI salience.
{"title":"Mortality Salience Effects of Critical Incidents - A Systematic Literature Review and Research Agenda.","authors":"Hoi-Ting Leung, Peter K H Chew, Nerina J Caltabiano","doi":"10.1177/00302228221098890","DOIUrl":"10.1177/00302228221098890","url":null,"abstract":"<p><p>Critical incidents (CI) trigger acute stress reactions and psychological trauma because of direct or vicarious exposure. These events include natural disasters, wars, terrorist attacks and pandemics, and usually result in deaths and serious physical injuries. Their life-threatening nature makes them reasonable candidates to induce mortality salience (MS). The current review aims to consolidate Terror Management Theory (TMT) research using CIs as MS. A systematic literature review was conducted. Overall, 74 articles with 113 studies were included. Through this review, strong support for MS effects of CI has been found. Consistent with TMT, CIs tend to trigger worldview defence, self-esteem enhancement and relationship seeking. CIs have also been found to impact negatively on individual well-being and organisational health. Recommendations specific to crisis interventions and well-being will be discussed. The review concludes with potential future research directions to strengthen and expand empirical knowledge in CI salience.</p>","PeriodicalId":47794,"journal":{"name":"Omega-Journal of Death and Dying","volume":"1 1","pages":"73-119"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48338988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}