Abstract
Nurses are responsible for meeting the care needs of dying patients and their families, including their physical, psychological, emotional and spiritual assessment and care. The aim of this descriptive study was to investigate nursing students’ attitudes towards death and their perceptions of spirituality and spiritual care. The study sample consisted of 237 second-, third- and fourth-grade nursing students. Data were collected using a “Personal Information Form”, the “Spirituality and Spiritual Care Rating Scale (SSCRS)” and “Death Attitude Profile-Revised (DAP-R)”. Number, percentage, mean, standard deviation and Spearman’s correlation analysis were used for analysis. Participants stated that they had witnessed death before (73.8%), that spiritual care of dying patients and their families should be given special importance (93.7%) and that they feel incompetent in providing spiritual care (86.1%). Participants had a mean SSCRS score of 3.45 ± 0.43. They had the highest and lowest scores on the DAP-R subscales of “fear of death” (4.48 ± 0.83) and neutral acceptance (3.71 ± 1.21), respectively, indicating that they have a high fear of death and above average perceptions of spirituality and spiritual care. It is recommended that different teaching methods be integrated into the curriculum to help nursing students develop more positive attitudes towards death and improve their perceptions of spiritual care.
Similar content being viewed by others
References
Abbasi, M., Farahani-Nia, M., Mehrdad, N., Givari, A., & Haghani, H. (2014). Nursing students’ spiritual well-being, spirituality and spiritual care. Iranian Journal of Nursing and Midwifery Research,19(3), 242–247.
Aştı, T. A., & Karadağ, A. (2013). Principles of nursing: Nursing science and art 2 (pp. 1134–1144). İstanbul: Akademi Press and Publishing.
Bilge, A., Embel, N., & Kaya, F. G. (2013). Attitudes of students who will become medical professionals regarding death and the variables that affect these attitudes. Journal of Psychiatric Nursing,4(3), 119–124.
Çelik, A., Özdemir, F., Durmaz, H., & Pasinlioğlu, T. (2014). Determining the perception level of nurses regarding spirituality and spiritual care and the factors that affect their perception level. Journal of Hacettepe University Faculty of Nursing,1, 1–12.
Çetinkaya, B., Altundağ, S., & Azak, A. (2007). Spiritual care and nursing. Journal of Adnan Menderes University Faculty of Medicine,8(1), 47–50.
Çevik, B., & Kav, S. (2013). Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing,36(6), E58–E65.
Ceyhan, Ö., Özen, B., Zincir, H., Şimşek, N., & Başaran, M. (2018). How intensive care nurses perceive good death. Death Studies,42(10), 667–672.
Chandramohan, S., & Bhagwan, R. (2016). Utilization of spirituality and spiritual care in nursing practice in public hospitals in KwaZulu-Natal, South Africa. Religions,7(23), 1–13. https://doi.org/10.3390/rel7030023.
Eğlence, R., & Şimşek, N. (2014). To determine the knowledge level about spiritual care and spirituality of nurses. Journal of Acıbadem University Health Sciences,5(1), 48–53.
Ergül, Ş., & Bayık, A. (2004). Nursıng and spiritual care. Journal of Cumhuriyet University Nursing School,8(1), 37–45.
Ergül, S., & Bayık, A. (2007). Validity and reliability of the spirituality care rating scale Türkish version. Journal of Ege University Nursing Faculty,23(1), 75–87.
Eues, S. K. (2007). End-of-life care: Improving quality of life at the end of life. Professional Case Management,12, 339–344.
Gülnar, E., Özveren, H., & Güneş, N. B. (2017). The effect of palliative care lesson towards the students’ attitudes of death. The Journal of Nursing and Patient Care,2(3), 73.
Ho, T. M., Barbero, E., Hidalgo, C., & Camps, C. (2010). Spanish nephrology nurses’ views and attitudes towards caring for dying patients. Journal of Renal Care,36(1), 2–8.
İnce, S. C., & Akhan, L. A. (2016). Nursing students’ perceptions about spirituality and spiritual care. Journal of Nursing Education and Research,13(3), 202–208.
Iranmanesh, S., Dargahi, H., & Abbaszadeh, A. (2008). Attitudes of Iranian nurses toward caring for dying patients. Palliat Support Care,6, 363–369.
Işık, E., Fadıloğlu, Ç., & Demir, Y. (2009). A Study of the reliability and validity of the Turkish version of death attitude profile-revised (DAP-R) in the nurse population. Hemşirelikte Araştırma Geliştirme Dergisi,2, 28–43.
Işıl, Ö., & Karaca, S. (2009). Ölüm Yaklaşırken Yaşananlar ve Söylenebilecekler: Bir Gözden Geçirme. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi,2(1), 83–87.
Karadağ, E., & İnkaya, B. V. (2018). The attitudes of nursing interns towards providing care for dying people. Sted,27(2), 92–98.
Khairunnisa, A. D. (2014). Spirituality and nursing. Journal of Holistic Nursing, American Holistic Nurses,32(4), 341–346.
Koç, Z., & Sağlam, Z. (2008). Determining the emotions and opinions of nursing students related to end-of-life care and death state. Journal of Cumhuriyet University Nursing School,12(1), 1–10.
Koku, F., & Ateş, M. (2016). Experience and attitude toward death in nurses who give terminal stage patient care. Journal of Health and Nursing Management,3(2), 99–104.
Kostak, M. (2007). The spiritual dimension of nursing care. Journal of Fırat Health Services,6, 105–115.
Kostak, M., Çelikkalp, Ü., & Demir, M. (2010). The opinions of nurses and midwifes about spirituality and spiritual care. Journal of Maltepe University Nursing Science and Art, symposium special ıssue, 218–225.
Kübler-Ross, E. (1997) Ölüm ve ölmek üzerine. In B. Büyükal (Ed.), Ġstanbul: Boyner Holding Yayınları.
Kumar, S. P., Chris, E., Pais, M., Sisodia, V., & Kumar, K. V. (2014). Nursing students’ perceived attitudes towards death: A cross-sectional survey. Indian Journal of Forensic Medicine and Pathology,7(1), 5–15.
Lewinson, L. P., MsSherry, W., & Kevern, P. (2015). Spirituality in pre-registration nurse education and practice: A review of the literature. Nurse Education Today,35, 806–814.
McSherry, W., Draper, P., & Kendrick, D. (2002). The construct validity of a rating scale designed to assess spirituality and spiritual care. International Journal of Nursing Studies,39(7), 723–734. https://doi.org/10.1016/s0020-7489(02)00014-7.
Menekli, T., & Fadıloğlu, Ç. (2014). Examination perception death and affecting factors of nursing. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi,17, 222–229.
Midilli, T. S., Kalkım, A., & Dağhan, S. (2017). Spiritual care-related opinions and practices of nursing students. Journal of Human Sciences,14(1), 666–677.
Puchalski, C. M. (2008). Spirituality and the care of patients at the end-of-life: An essential component of care. OMEGA,56(1), 33–46.
Şahin, M., Demirkıran, F., & Adana, F. (2016). Nursing students’ death anxiety, influencing factors and request of caring for dying people. Journal of Psychiatric Nursing,7(3), 135–141.
Tan, M., Polat, H., & Şahin, Z. (2011). Assessing perception of nurses regarding work environments. Sağlıkta Performans ve Kalite Dergisi,4, 67–78.
Taşdemir, G., & Gök, F. (2012). Determining death anxiety among health school students. International Journal of Human Sciences,9, 303–317.
Ungureaunu, I., & Sandberg, J. G. (2008). Caring for dying children and their families: MFTs working at the gates of the Elysian fields. Contemporary Family Therapy,30(2), 75–91.
Weigel, C., Parker, G., Fanning, L., Reyna, K., & Gasbarra, D. (2007). Apprehension among hospital nurses providing end-of-life care. Journal of Hospice and Palliative Nursing,9(2), 86–91.
Wong, P., Reker, G., & Gesser, G. (1994). Death attitude profile-revised: A multidimensional measure of attitudes toward death. In R. A. Neimeyer (Ed.), Death anxiety handbook: Research, instrumentation, and application (pp. 121–148). Washington DC: Taylor & Francis.
Zaybak, A., & Erzincanlı, S. (2016). attitudes of nurses towards death. Internatıonal Refereed Journal of Nursıng Researches,6, 16–29. https://doi.org/10.17371/UHD.2016616575.
Acknowledgements
We would like to thank all participating nursing students who took the time to complete the questionnaires and made this study possible.
Funding
The author(s) received no financial support for the research, authorship and/or publication of this article.
Author information
Authors and Affiliations
Contributions
HT collected and analysed the data and results, carried out interpretation and drafted the manuscript; HÖ designed the study, collected and analysed the data and results, carried out interpretation and drafted the manuscript; and KK drafted the manuscript, conceived and designed the study, and analysed the data and results.
Corresponding author
Ethics declarations
Conflict of interest
The author(s) have declared that they did not receive any financial support for this study. Moreover, there are no potential conflicts of interest regarding research, authorship and/or in the publication of this article.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
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). https://doi.org/10.1007/s10943-020-01004-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-020-01004-9