Can We Talk About Life Without Taking Death Into Account? Early Childhood Educators’ Self-Perceived Ability to Approach the Topic of Death With Children

The current explorative cross-sectional study evaluated the knowledge, attitudes, and practices of early childhood educators towards death education and their self-perceived comfort to approach the topic of death in the classroom. All data were collected from June to July 2020. One hundred eight (108) early childhood educators participated in the study. The study was promoted through early childhood educators’ support groups and social networks. Demographic characteristics, an ad hoc questionnaire, and the Greek version of the Death Attitude Profile-R questionnaire were used to assess the educators’ comfort and attitudes. Results showed that participants’ self-perceived ability to approach the topic of death in the classroom was affected by gender and personal attitudes towards death (specifically death avoidance and fear of death). Overall, this study emphasized early childhood educators’ role in extreme situations which their students may face as death.

Nurses’ Attitudes Towards Death and Its Relationship With Anxiety Levels

This study examined nurses’ attitudes towards death, anxiety levels, and socio-demographic characteristics affecting their attitudes towards death. Three hundred and eighty-four nurses participated in the study. A questionnaire form, the Death Attitude Profile-Revised (DAP-R), and the Penn State Worry Questionnaire were applied to the nurses. Nurses’ attitudes towards death were positive and their level of fear of death was low. Approach acceptance was high in younger ones; the escape acceptance score was higher in single ones. The neutral acceptance score was higher in those who received training on death. A statistically significant positive correlation was found between nurses' anxiety level and escape acceptance score. There was a statistically significant positive correlation between the length of working years of nurses and the escape acceptance and approach acceptance. Nurses should be prepared for and supported on death with in-service training. It will be useful to provide these training programs to nursing students during their education process.

Association between attitude towards death and spiritual care competence of Chinese oncology nurses: a cross-sectional study

Backgrounds An understanding of the oncology nurse spiritual care competence would help nurse managers recognize weakness in spiritual practice and improve the quality of spiritual care. But the relationship between attitude towards death and spiritual care competence is unknown. Methods We recruited 326 nurses from hospitals in Guangzhou, China. The nurses completed the Chinese Spiritual Care Competence Scale and the Chinese Death Attitude Profile-Revised questionnaires. Results The total score of spiritual care competence was 61.62 ± 16.10. And the lowest score of attitude towards death was for escape acceptance, 2.64 ± 0.82. Factors associated with nurse spiritual care competence were work department, whether trained in spiritual care, approaching acceptance, and escaping acceptance of attitude towards death. Conclusion Nurses need to perfect their spiritual care competence and establish positive attitudes towards death.

Societal attitudes toward death and awareness of death confirmation: an internet survey

Background: The progress and development of treatment methods and techniques have made the previous criteria for recognizing human death imprecise and insufficient. Thus, a medical line had to be drawn between life and death. Attitudes towards death and awareness concerning its confirmation, although often marginalized, undergo significant changes over time depending on the social space they concern. Aim of the study: The aim of the study was to examine social attitudes towards death and the level of awareness concerning its confirmation. Material and methods: This research on attitudes and knowledge regarding brain death involved 400 randomly selected respondents who were Internet users. The research was conducted from September 2019 to January 2020 using the CAWI method and a proprietary questionnaire. Results: An older age, a higher level of education, and less frequent religious practice were significantly associated with knowledge of brain death. Of particular note, more complete knowledge of brain death was associated with greater support for organ transplantation, and this relationship was most evident in individuals willing to donate their own organs. Conclusions: There is a clear variation in the level of knowledge about brain death. At least a high level of knowledge was held by 40.3% (161) of the respondents, and the same percentage was seen for those with at most a low level of knowledge (40.3%, 161). Regardless of who would be the organ donor, whether a loved one or a stranger, the respondents overwhelmingly supported organ transplantation after death. Acceptance of organ donation was higher when respondents had more knowledge of what brain death is

Death Anxiety and Attitudes towards Death in Patients with Multiple Sclerosis: An Exploratory Study

Background: Death and the anxiety of it becomes more apparent when confronted with a chronic disease. Even though multiple sclerosis (MS) is a treatable condition today, it is still accompanied by a multitude of impairments, which in turn may intensify of death anxiety. Objective: The aim of this study is to explore the relationship between depression, anxiety and death anxiety in individuals with MS. Methods: Fifty-six MS patients were recruited at the Department of Neurology of the University Clinic in Basel. Death anxiety was assessed using the Bochumer Questionnaire on attitude to death and death anxiety 2.0 (BOFRETTA 2.0). Results: Scores of death anxiety towards it in MS patients were low. Only disability (EDSS) was moderately correlated with death anxiety. Depression in MS was significantly correlated with fatigue and disability, but not with the BOFRETTA 2.0. Conclusion: Scores of death anxiety and the attitude towards death are low in this MS cohort. It was shown that both psychopathological and neurological deficits impact the subject of death with respect to multiple sclerosis.

Before the 2020 Pandemic: an observational study exploring public knowledge, attitudes, plans, and preferences towards death and end of life care in Wales

Background Understanding public attitudes towards death and dying is important to inform public policies around End of Life Care (EoLC). We studied the public attitudes towards death and dying in Wales. Methods An online survey was conducted in 2018. Social media and the HealthWiseWales platform were used to recruit participants. Data were analysed using descriptive statistics and thematic analysis. Results 2,210 people participated. Loss of independence (84%), manner of death, and leaving their beloved behind were the biggest fears around death and dying. In terms of EoLC, participants sought timely access to care (84%) and being surrounded by loved ones (62%). Being at home was less of a priority (24%). Only 50% were familiar with Advance Care Planning (ACP). A lack of standard procedures as well as of support for the execution of plans and the ability to revisit those plans hindered uptake. The taboo around death conversations, the lack of opportunities and skills to initiate discussion, and personal fear and discomfort inhibited talking about death and dying. 72% felt that we do not talk enough about death and dying and advocated normalising talking by demystifying death with a positive approach. Health professionals could initiate and support this conversation, but this depended on communication skills and manageable workload pressure. Participants encouraged a public health approach and endorsed the use of: a) social media and other public platforms, b) formal education, c) formal and legal actions, and d) signposting and access to information. Conclusions People are ready to talk about death and dying and COVID-19 has increased awareness. A combination of top-down and bottom-up initiatives across levels and settings can increase awareness, knowledge, and service-utilisation-drivers to support health professionals and people towards shared decisions which align with people’s end of life wishes and preferences.

Attitudes of Polish-speaking and English-speaking medical students towards death during the COVID-19 pandemic

Introduction and purposeLast year, since the spread of COVID-19 pandemic, medical students have faced new challenges, related to growing numbers of people who are and will be hospitalized as well as deaths among patients in healthcare facilities. The purpose of this study, is analysis and comparison of attitudes of Polish-speaking and English-speaking students towards death, during the COVID-19 pandemic.Material and methodThe study was conducted in an electronic form on a group of Polish and foreign exchange students of medical faculties. In total, 277 people aged 19 to 38, including 141 of Polish nationality and 136 of non-Polish nationality, participated in the study. The study used a sociodemographic questionnaire and the Death Attitude Profile (DAP-R-PL). The questionnaire consists of 5 aspects, that relate to different attitudes towards death: fear of death, death avoidance, neutral acceptance, approach acceptance and escape acceptance.ResultsThe most common attitude represented in both groups was neutral acceptance of death. Polish students obtained higher results in scales fear of death and escape acceptance compared to foreing students. The results showed, that the strongest corelation occurs between escape acceptance and fear of death.ConclusionsIn most cases, adaptative beliefs towards death shown by both groups of respondents indicates, that they will handle working with dying patients. However, higher degree of fear of death and escape acceptance amongst Polish students indicates the need to introduce thanatology education into course of studies.