Exploring patient death experiences among Iranian nursing students.
Death
Experience
Nursing students
Patient
Qualitative study
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
12 09 2024
12 09 2024
Historique:
received:
28
05
2024
accepted:
09
09
2024
medline:
17
9
2024
pubmed:
17
9
2024
entrez:
16
9
2024
Statut:
epublish
Résumé
Patient death can be a stressful experience for nursing students, leading to various undesirable psychological and emotional effects. However, research documenting these experiences remains limited. This study explores the experiences of Iranian nursing students when facing patient death. This qualitative study employed a purposive sample of 14 undergraduate nursing students. Data was collected through semi-structured interviews and analyzed using conventional content analysis. Lincoln and Guba's (2004) criteria guided the data management process. Data analysis revealed three primary categories with six corresponding subcategories. These categories encompassed the significance of death, reactions to death, and the transformation of professional perspectives. Subcategories included positive and negative meanings attributed to death, emotional and behavioral responses, and the positive and negative effects on participants. The findings reveal that experiencing patient death significantly impacts nursing students psychologically and emotionally. Consequently, it is recommended that nursing curricula incorporate essential training modules addressing appropriate responses to death and effective communication with bereaved families. Further research should explore strategies to mitigate negative impacts and optimize positive outcomes related to this phenomenon.
Identifiants
pubmed: 39285223
doi: 10.1038/s41598-024-72631-5
pii: 10.1038/s41598-024-72631-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
21345Subventions
Organisme : Deputy for Research and Technology, Kermanshah University of Medical Sciences
ID : 97150
Informations de copyright
© 2024. The Author(s).
Références
Tang, Q. et al. Bereavement and professional competencies: Exploring the personal experience of death among nursing students—A qualitative study. OMEGA-J. Death Dying. 00302228231167495 (2023).
Haroen, H. et al. A qualitative study of perception and experience toward end-of-life care among nursing students who witnessed dying people in their family. J. Multidisciplinary Healthc. 2261–2270. (2023).
Teo, K. J. H. et al. Assessing professional identity formation (PIF) amongst medical students in oncology and palliative medicine postings: A SEBA guided scoping review. BMC Palliat. Care. 21(1), 200 (2022).
doi: 10.1186/s12904-022-01090-4
pubmed: 36397067
pmcid: 9673314
Zahran, Z. et al. Nursing students’ attitudes towards death and caring for dying patients. Nurs. Open. 9(1), 614–623 (2022).
doi: 10.1002/nop2.1107
pubmed: 34729934
Yoong, S. Q. et al. Nursing students’ experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis. Nurse Educ. Pract. 103625. (2023).
Gillan, P. C., Jeong, S. & van der Riet, P. Embodied good deaths and disembodied bad deaths: Undergraduate nursing students narratives of experience. Nurse Educ. Today. 97, 104674 (2021).
doi: 10.1016/j.nedt.2020.104674
pubmed: 33264738
Szczupakowska, M., Stolarek, P., Roszak, M., Głodowska, K. & Baum, E. Patient’s death from the perspective of nursing students. Front. Public. Health. 9, 636582 (2021).
doi: 10.3389/fpubh.2021.636582
pubmed: 34084764
pmcid: 8167210
Petrongolo, M. & Toothaker, R. Nursing students perceptions of death and dying: A descriptive quantitative study. Nurse Educ. Today. 104, 104993 (2021).
doi: 10.1016/j.nedt.2021.104993
pubmed: 34098421
Sørensen, J., Nielsen, D. S. & Pihl, G. T. It’s a hard process-nursing students’ lived experiences leading to dropping out of their education; a qualitative study. Nurse Educ. Today. 122, 105724 (2023).
doi: 10.1016/j.nedt.2023.105724
Gorchs-Font, N. et al. Nursing students’ first experience of death: Identifying mechanisms for practice learning. A realist review. Nurse Educ. Today. 96, 104637 (2021).
doi: 10.1016/j.nedt.2020.104637
pubmed: 33181484
Tüzer, H., Kırca, K. & Özveren, H. Investigation of nursing students’ attitudes towards death and their perceptions of spirituality and spiritual care. J. Relig. Health. 59, 2177–2190 (2020).
doi: 10.1007/s10943-020-01004-9
pubmed: 32103406
Zhou, S., Wei, L., Hua, W., He, X. & Chen, J. A qualitative study of phenomenology of perspectives of student nurses: Experience of death in clinical practice. BMC Nurs. 21(1), 74 (2022).
doi: 10.1186/s12912-022-00846-w
pubmed: 35351123
pmcid: 8966360
Graneheim, U. H. & Lundman, B. Qualitative content analysis in nursing research: Concepts, procedures, and measures to achieve trustworthiness. Nurse Educ. Today. 24(2), 105–112 (2004).
doi: 10.1016/j.nedt.2003.10.001
pubmed: 14769454
Hsieh, H. F. & Shannon, S. E. Three approaches to qualitative content analysis. Qual. Health Res. 15(9), 1277–1288 (2005).
doi: 10.1177/1049732305276687
pubmed: 16204405
Walsh, S. et al. Adherence to COREQ reporting guidelines for qualitative research: A scientometric study in nursing social science. Int. J. Qualitative Methods. 19, 1609406920982145 (2020).
doi: 10.1177/1609406920982145
Denzin, N.K. & Lincoln, Y.S. in The Sage Handbook of Qualitative Research. (Sage, 2011).
Imanzadeh, A. Lived experiences of cancer patients from death anxiety based on jaspers borderline situations. Iran. J. Psychiatric Nurs. 6(6), 35–47 (2019).
doi: 10.21859/ijpn-06065
Mahmood Ashiri, R. & Khodabakhshi-Koolaee, A. Explaining the concept of death from the perspective of children aged 4 to 8: A descriptive phenomenological study. J. Qualitative Res. Health Sci. 9(1), 10–17 (2020).
Galvin, J., Richards, G. & Smith, A. P. A longitudinal cohort study investigating inadequate preparation and death and dying in nursing students: Implications for the aftermath of the COVID-19 pandemic. Front. Psychol. 11, 564761 (2020).
doi: 10.3389/fpsyg.2020.02206
Ünlü, G. & Uludağ, A. The relationship between cognitively-based clinical empathy and attitudes toward death and dying in medical students. Teach. Learn. Med. 33(1), 49–57 (2020).
doi: 10.1080/10401334.2020.1794881
pubmed: 32779940
Bilgiç, Ş. The meaning of death for nursing students and their attitudes toward dignified death principles. Omega-J. Death Dying. 86(4), 1388–1401 (2023).
doi: 10.1177/00302228211009754
Shorey, S., André, B. & Lopez, V. The experiences and needs of healthcare professionals facing perinatal death: A scoping review. Int. J. Nurs. Stud. 68, 25–39 (2017).
doi: 10.1016/j.ijnurstu.2016.12.007
pubmed: 28063339
Timmerman, T. Constraint-free & meaning fearing death, and temporal bias. J. Ethics. 26(3), 377–393 (2022).
doi: 10.1007/s10892-022-09395-5
Gurdogan, E. P., Kınıcı, E. & Aksoy, B. The relationship between death anxiety and attitudes toward the care of dying patient in nursing students. Psychol. Health Med. 24(7), 843–852 (2019).
doi: 10.1080/13548506.2019.1576914
pubmed: 30727771
Trivate, T., Dennis, A. A., Sholl, S. & Wilkinson, T. Learning and coping through reflection: Exploring patient death experiences of medical students. BMC Med. Educ. 19(1), 451 (2019).
doi: 10.1186/s12909-019-1871-9
pubmed: 31801494
pmcid: 6894273
Talwalkar, J. S., Moriarty, J. P. & Ellman, M. S. Students’ experiences with death and dying prior to medical school: A content analysis of students’ written reflections. Am. J. Hospice Palliat. Med.®. 36(11), 999–1007 (2019).
doi: 10.1177/1049909119847965
Jafari, M. et al. Caring for dying patients: attitude of nursing students and effects of education. Indian J. Palliat. Care. 21(2), 192 (2015).
doi: 10.4103/0973-1075.156497
pubmed: 26009673
pmcid: 4441181
Kim, J. G., Oh, S. M., Cheon, E. Y. & Yoo, J. H. Factors influencing the attitude toward death in college nursing student. J. Korea Academia-Industrial Cooperation Soc. 17(1), 676–683 (2016).
doi: 10.5762/KAIS.2016.17.1.676
Fajilan, M. B., Maher, M., Pinuela, A. & Saban, R. B. Student nurses’ first patient death experience in the clinical duty: A phenomenological study. J. Health Sci. 1(1), 60–67 (2018).