Lazarus Eilean Rathinasamy, Muliira Joshua K, Al Zaabi Omar, Al-Khabori Murtadha K, Al Adawi Mudhar Mohammed, Al Mamari Qasim
Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Seeb, Oman.
Department of Hematology, Sultan Qaboos University Hospital, Seeb, Oman.
Palliat Care Soc Pract. 2025 Jun 21;19:26323524251348498. doi: 10.1177/26323524251348498. eCollection 2025.
Death is an unavoidable feature of the human experience, and nurses play a critical role in caring for patients at the end of life. Nurses' attitudes toward death reflect their individual feelings toward death but may affect the quality of care provided at the end of life.
To explore the nurses' attitudes toward death and the factors that may affect the quality of end-of-life care delivery in Oman among patients cared for in tertiary hospitals.
A cross-sectional study design.
The study explored the nurses' attitudes toward death in Oman through a nationwide survey of the major governmental hospitals in Oman. The Death Attitude Profile-Revised scale was adopted to collect data from 1469 nurses working in tertiary hospitals using simple random sampling and population proportionate sampling methods.
The nurses in Oman were Omani (46.8%) or Indian (43.7%) and had a bachelor's degree in nursing education (54.5%), with a mean age and clinical experience being 35 and 11 years, respectively. The mean scores showed that they had slightly more positive (4.78 ± 0.92) than negative (4.30 ± 0.94) attitudes toward death. Multiple linear regression analysis was performed to explore correlates of negative and positive death attitudes. The negative death attitudes were significantly associated with nationality (β = -1.25, = 0.007), clinical experience (β = 0.94, = 0.012), and self-rated spirituality (β = 0.92, = 0.043). The positive death attitudes were significantly associated with nationality (β = 2.40, = 0.009), age (β = 3.71, < 0.001), and clinical experience (β = 2.40, = 0.004).
The current study shows that nurses in Oman have slightly more positive than negative attitudes toward death. The positive death attitudes were significantly associated with increasing age among nurses and their clinical experience. The negative attitudes were significantly associated with increasing age and self-rated spirituality.
死亡是人类经历中不可避免的一部分，护士在临终患者护理中发挥着关键作用。护士对死亡的态度反映了他们个人对死亡的感受，但可能会影响临终护理的质量。
探讨阿曼三级医院中护士对死亡的态度以及可能影响临终护理质量的因素。
横断面研究设计。
该研究通过对阿曼主要政府医院进行全国性调查，探讨阿曼护士对死亡的态度。采用修订版死亡态度量表，通过简单随机抽样和按人口比例抽样方法，从1469名在三级医院工作的护士中收集数据。
阿曼的护士中，阿曼人占46.8%，印度人占43.7%，拥有护理教育本科学位的占54.5%，平均年龄和临床经验分别为35岁和11年。平均得分显示，他们对死亡的态度略偏积极（4.78±0.92）而非消极（4.30±0.94）。进行多元线性回归分析以探讨消极和积极死亡态度的相关因素。消极死亡态度与国籍（β=-1.25，P=0.007）、临床经验（β=0.94，P=0.012）和自我评定的灵性（β=0.92，P=0.043）显著相关。积极死亡态度与国籍（β=2.40，P=0.009）、年龄（β=3.71，P<0.001）和临床经验（β=2.40，P=0.004）显著相关。
当前研究表明，阿曼护士对死亡的态度略偏积极而非消极。积极的死亡态度与护士年龄增长及其临床经验显著相关。消极态度与年龄增长和自我评定的灵性显著相关。
