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Studies have shown that a considerable number of nurses experience difficulties in communicating with the families of dying patients and lack end-of-life communication skills, which is one of the manifestations of the lack of CDC. It can be said that nurses’ CDC is of great value to clinical care, and to individual nurses as well as patients and their families.

Big kap dead professional#

CDC is one of the important professional competencies of nurses and the key to the quality of hospice care it is closely related to burnout, compassion fatigue, job satisfaction, and personal quality of life. Therefore, it is essential for nursing managers and educators to investigate the risk factors and influencing mechanisms associated with nurses’ CDC, which may provide a basis for developing effective and targeted strategies.Īs clinical staff who contacts most frequently with end-stage patients and their families, and who is most exposed to death, nurses play an important role in hospice care. Against the backdrop of the current aging population and COVID-19 epidemic, a high level of CDC among nurses is particularly required. Poor CDC has been showed to increase nurses’ burnout, compassion fatigue, negative emotional distress and job dissatisfaction, which ultimately affects the quality of care for patients. Findings in China also showed that nurses were less well prepared in coping with death. A study found that 33.33% of the nurses did not cope well when they faced the death of the patient. Nurses’ coping with death competence (CDC) includes their competence to deal with death-related events, such as communicating with bereaved families, effectively dealing with negative emotions caused by death events, and providing hospice care for patients. The importance of nurses in death education and hospice as implementers of hospice care, promoters of death education, and one of the populations most exposed to death cannot be overstated. Death education is one of the basic and important parts of hospice care, yet it is still not widely available in China. A 2015 Economist Intelligence Unit (EIU) report showed that mainland China ranked only 71 out of 80 countries and territories in terms of quality of death. China has promoted the development of hospice care through economic and policy approaches, but it has not yet formed a good development trend and still cannot fill the huge demand gap. Hospice care has made rapid progress in some East Asian countries, such as Japan and Korea, although it started late. The hospice care in European and American countries started early and has become an important part of the social medical and health care system. Hospice care originated in the UK, which has always been in the leading position in the world, with a high level of national awareness and participation, and a well-developed system. With the development of aging population, the change of disease spectrum and the prominence of excessive medical problems, hospice care has gradually attracted attention and become one of the major global health issues. In addition, perception of death could improve natural acceptance and then enhance the sense of meaning in life to positively predict nurses’ competence to cope with death. Perception of death could indirectly and positively predict nurses’ competence to cope with death by enhancing natural acceptance or sense of meaning in life. The nurses’ competence to cope with death was moderate. There were three mediating pathways: the separate mediating effect of natural acceptance and meaning of life, and the chain mediating effect of natural acceptance and meaning of life.

There was a positive correlation among perception of death, competence to cope with death, the meaning of life, and attitude toward death. The nurses’ scored 125.39 ± 23.88 on the competence to cope with death. MethodsĪ total of 786 nurses from Hunan Province, China, selected by random sampling method and asked to complete an online electronic questionnaire between October and November 2021 were included in the study. To explore whether the perception of death has an indirect effect on competence to cope with death through the mediation of attitude toward death and meaning of life. It is important to understand how the perception of death affects the competence to cope with death.