School of Nursing, Anhui Medical University, Hefei 230032, Anhui, China.
AMITA Health Saint Joseph Hospital Chicago, Chicago 60657, IL, USA.
Nurse Educ Today. 2022 Sep;116:105448. doi: 10.1016/j.nedt.2022.105448. Epub 2022 Jun 24.
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.
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.
A cross-sectional study.
A convenience sample of 1410 Chinese undergraduate nursing students.
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.
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.
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.
护士主导的临终关怀团队是中国当代医疗保健实践中的一个新兴趋势。然而，中国护理学生通常对从事临终关怀工作准备不足。不同国家和地区的研究结果表明，护理学生对临终关怀的态度和对死亡的态度存在差异。
提出并实证检验一个中介模型，该模型考察了死亡态度和生活意义如何相互作用，从而影响中国本科护理学生及其对临终关怀的态度。
一项横断面研究。
1410 名中国本科护理学生的便利样本。
使用中文版弗洛姆临终关怀态度量表（FATCOD-B-C）、死亡态度量表修订版（DAP-R-C）和生活目的测试（CPLT-C），于 2020 年 7 月至 12 月期间收集数据。使用 SPSS 版本 22.0 和 AMOS 版本 24.0 进行统计分析。
FATCOD-B-C 平均得分为 98.28±8.02。死亡态度和生活意义与临终关怀态度呈正相关（p<0.001），但死亡态度与生活意义呈负相关（p<0.001）。路径分析显示，对死亡的恐惧与临终关怀态度呈显著正相关。在一定程度上，发现了中立接受、逃避接受和生活意义的中介作用。生活意义在模型中抑制了效应。
本研究表明，中国本科护理学生的临终关怀态度是一个积极的培养过程。未来的护理教育应首先识别护理学生死亡态度中的恐惧、中立接受或逃避接受，然后根据恐惧管理制定临终关怀课程。
