Effectiveness of death education program by methods of didactic, experiential, and 8A model on the reduction of death distress among nurses
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 7
Abstract
Death distress includes death anxiety, death depression, and death obsession. There are different approaches to death education program include didactic, experiential, and 8A model. Death distress of nurses can have an impact on their mental, physical, general health aspects, and the quality of care that they provide during the terminal stages of a patient’s life. Aim of this study was comparison of effectiveness of death education program by methods of didactic, experiential, and 8A model on the reduction of death distress among nurses. The study was a quasiexperimental method with four-group pretest/posttest design. The participants were 42 nurses in four groups (12 didactic, 10 experiential, 10 8A model, and 10 controls). The groups were selected randomly from different wards of the Khatom-Al-Anbia General Hospital in Tehran city, and they matched with together for demographic variables. The nurses completed Death Concern Scale (DCS), Collett-Lester Fear of Death Scale (CLFDS), Death Anxiety Scale (DAS), Death Obsession Scale (DOS) and Death Depression Scale (DDS), before and after intervention. Death education programs were held by 36-hours 6 workshops weekly. Data were analyzed through χ²,t-test, OneWay ANCOVA, and One-Way ANOVA using SPSS/WIN 16.0 program. On the DAS, DOS and DDS scores more increased in control group in posttest compared to didactic and experiential approaches and 8A model. But these differences were no significant statistically. The most Eta (Effect size) was on the DOS (14%), and the DDS (11%), respectively. On the Scale of Death Education Program Evaluation (SDEPE), there was a significant difference between didactic approach and 8A model. The nurses evaluated 8A model more useful compared to didactic approach. In the present study self-report scales was used; sample was small; education was not trained by teamwork of death education, it was trained only by one educator and the study had no follow-up phase so there is difficulty in generalizing results. Based on the results, it is apparent that the death education programs have some affirmative impacts on the death distress of nurses. Our study paved the way for the establishment of a similar program in the hospitals and community in the future and the use of the program was expected to improve the quality of the palliative nursing services, end of life care as well as the satisfaction of the patients and their families.
Authors and Affiliations
Mahboubeh Dadfar| PhD, Department of clinical psychology, School of Behavioral Sciences and Mental HealthTehran Institute of Psychiatry, International Campus, Iran University of Medical Sciences, Tehran, Iran, Ali Asghar Asgharnejad Farid| PhD, Department of clinical psychology, School of Behavioral Sciences and Mental HealthTehran Institute of Psychiatry, International Campus, Iran University of Medical Sciences, Tehran, Iran, David Lester| PhD, Professor Emeritus, Psychology Program, Stockton University, New Jersey, USA Corresponding Email: lesterd@stockton.edu, Mohammad Kazem Atef Vahid| PhD, Department of clinical psychology, School of Behavioral Sciences and Mental HealthTehran Institute of Psychiatry, International Campus, Iran University of Medical Sciences, Tehran, Iran, Behrooz Birashk| PhD, Department of clinical psychology, School of Behavioral Sciences and Mental HealthTehran Institute of Psychiatry, International Campus, Iran University of Medical Sciences, Tehran, Iran
Keywords
Related Articles
- EP ID EP11896
- DOI -
- Views 239
- Downloads 10
Updates on the Conflict of Postoperative Radiotherapy Impact on Survival of Young Women with Cancer Breast: A Retrospective Cohort Study
Purpose: The purpose of the present study is to investigate the impact of postoperative radiotherapy on the survival of young women aged 25-29 years diagnosed with different stages of breast cancer. Methods: We conducte...
EMOTIONAL DISTURBANCES AMONG ADULT DIABETIC PATIENTS ATTENDING DIABETIC CLINIC IN A MALAYSIAN GENERAL HOSPITAL
Introduction: Emotional disturbances such as depression, anxiety and stress play an important role in the management of diabetes mellitus since their presence can adversely affect glycemic control, quality of life and...
BILATERAL ELONGATED STYLOID PROCESS: ITS ANATOMICAL EMBRYOLOGICAL AND CLINICAL IMPLICATIONS
The styloid process is a slender, elongated, cylindrical bony projection from temporal bone. It normally varies in length from 2 cm to 3 cm. During a routine demonstration of skull for MBBS students we found the bilate...
Impact of Resisted Exercise on Chronic Obstructive Pulmonary Disease (COPD) in Elderly Patients in Alkharj, Saudi Arabia
Some studies have evaluated the effect of resisted exercise on COPD in adult but there is limited data on the effectiveness of resistance exercise on COPD in elderly patients. The effect of three months resisted exercis...
Role of fine needle aspiration cytology in assessment of cervical lymphadenopathy in variable age groups: A retrospective study
Cervical lymphadenopathy is a common clinical problem that confronts us in daily clinical practice. The causes vary from simple treatable infections to malignancies that require highly specialized institutional manageme...