TY - JOUR
T1 - New graduate nurses' coping with death and the relationship with death self-efficacy and death anxiety
T2 - A multicentre cross-sectional study
AU - Zheng, Ruishuang
AU - Bloomer, Melissa Jane
AU - Guo, Qiaohong
AU - Lee, Susan Fiona
PY - 2021/2
Y1 - 2021/2
N2 - Aims: To examine new graduate nurses' perceptions of competency on coping with dying and death and the relationship with death self-efficacy and death anxiety. Design: A multicentre, cross-sectional study. Methods: Three hundred and forty new graduate nurses from five metropolitan hospitals were recruited between August–November 2018. Participants completed the Coping with Death Scale, Death Self-efficacy Scale, and Death Anxiety Scale. Results: Two hundred and ninety-eight new graduate nurses responded to the survey. The mean score of coping with death and death self-efficacy was 120.11 (SD 24.59), 259.11 (SD 57.70) respectively. 88.9% feared a painful death, 81.5% were particularly afraid of getting cancer, and 80.2% were afraid of death. There was a positive relationship between coping with death and death self-efficacy, a negative relationship between coping with death and death anxiety and a negative correlation between death self-efficacy and death anxiety. Five variables, including death self-efficacy, three dimensions of death anxiety including emotion, cognition with life and death and stress and distress and religion in total accounted for 46.9% of the variance of coping with death. Conclusion: New graduate nurses are at a disadvantage in terms of death self-efficacy, less well prepared in coping with death and are more anxious about death. Impact: It is imperative for educational institutions to support new graduate nurses with pre-licensure learning related to patient death issues and care. Organizations are also strongly advised to support new graduate nurses to cope with patient death through development of culturally sensitive interventions and guidelines, which may in turn assist with decreasing new graduate nurses' risk of burnout and increasing their longevity in the profession.
AB - Aims: To examine new graduate nurses' perceptions of competency on coping with dying and death and the relationship with death self-efficacy and death anxiety. Design: A multicentre, cross-sectional study. Methods: Three hundred and forty new graduate nurses from five metropolitan hospitals were recruited between August–November 2018. Participants completed the Coping with Death Scale, Death Self-efficacy Scale, and Death Anxiety Scale. Results: Two hundred and ninety-eight new graduate nurses responded to the survey. The mean score of coping with death and death self-efficacy was 120.11 (SD 24.59), 259.11 (SD 57.70) respectively. 88.9% feared a painful death, 81.5% were particularly afraid of getting cancer, and 80.2% were afraid of death. There was a positive relationship between coping with death and death self-efficacy, a negative relationship between coping with death and death anxiety and a negative correlation between death self-efficacy and death anxiety. Five variables, including death self-efficacy, three dimensions of death anxiety including emotion, cognition with life and death and stress and distress and religion in total accounted for 46.9% of the variance of coping with death. Conclusion: New graduate nurses are at a disadvantage in terms of death self-efficacy, less well prepared in coping with death and are more anxious about death. Impact: It is imperative for educational institutions to support new graduate nurses with pre-licensure learning related to patient death issues and care. Organizations are also strongly advised to support new graduate nurses to cope with patient death through development of culturally sensitive interventions and guidelines, which may in turn assist with decreasing new graduate nurses' risk of burnout and increasing their longevity in the profession.
KW - coping with death
KW - cross-sectional study
KW - death anxiety
KW - death self-efficacy
KW - new graduate nurse
KW - nursing
UR - http://www.scopus.com/inward/record.url?scp=85096662760&partnerID=8YFLogxK
U2 - 10.1111/jan.14621
DO - 10.1111/jan.14621
M3 - Article
C2 - 33145826
AN - SCOPUS:85096662760
SN - 0309-2402
VL - 77
SP - 795
EP - 804
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 2
ER -