Research progress on death anxiety among emergency department nurses

Abstract

Abstract: The emergency department nurses often face frequent death events and highly urgent situations in their work,which leads to serious psychological pressure and even fear of life-threatening situations,causing death anxiety. The death anxiety can lead to the accumulation of negative emotions in the work of emergency department nurses,which has a serious impact on their physical and mental health,and thus affects the quality of nursing. To further investigate the death anxiety of emergency department nurses,this article reviews the connotation,evaluation tools,domestic and foreign research status,influencing factors,and intervention measures of death anxiety among emergency department nurses,aiming to provide guidance for improving the death anxiety of emergency department nurses.

Key words: Emergency nurses, Death anxiety, Intervention strategies, Review

CLC Number:

R192.6

JIANG Qian, HE Yueyue, WANG Rui, LI Hong, ZHANG Junli, FENG Ling. Research progress on death anxiety among emergency department nurses. [J]OCCUPATION AND HEALTH, 2025, 41(5): 716-720.

References

[1] 王洪智,杨丽华,史金玉,等.急诊科护士心理健康状况的调查[J].解放军护理杂志,2015,32(9):25-27.
[2] MARTINEZ R V,SERRANO S C,CEPERO R G.Knowledge and controversy of the duel of the emergency nurses in a third level hospital of Barcelona[J].Rev Rol Enferm,2020,43(10):65-71.
[3] BRADY M.Death anxiety among emergency care workers[J].Emerg Nurse, 2015,23(4):32-37.
[4] ASADI N,ESMAEILPOUR H,SALMANI F,et al.The relationship between death anxiety and alexithymia in emergency medical technicians[J].Omega-J Death Dying,2022,85(3):772-786.
[5] CARPENITO L J.Handbook of Nursing Diagnosis[M].8版.北京:科学技术文献出版社,2001:10-18.
[6] KOSTKA A M,BORODZICZ A,KRZENNINSKA S A.Feelings and emotions of nurses related to dying and death of patients-a pilot study[J].Psychol Res Behav Manag,2021,6(4):705-717.
[7] 刘慧,刘智利,吴晓英,等.晚期癌症病人死亡焦虑的研究进展[J].护理研究,2023,37(9):1606-1611.
[8] ZUCCALA M,MENZIES R E,HUNT C J,et al.A systematic review of the psychometric properties of death anxiety self-report measures[J].Death Stud,2022,46(2):257-279.
[9] TEMPLER D I.The construction and validation of a death anxiety scale[J].J Gen Psychol,1970,82(2):165-177.
[10] 杨红,韩丽沙.死亡焦虑及其量表的研究与发展[J].医学与哲学,2012,33(1):44-46.
[11] 杨红. 死亡焦虑量表的跨文化调适及其应用的研究[D].北京:北京中医药大学,2011.
[12] 马明丹,陈珊珊,刘晓,等.死亡教育对急诊科护士的死亡态度和死亡焦虑的影响研究[J].中华护理教育,2020,17(1):76-79.
[13] COLLETT L J,LESTER D.The fear of death and the fear of dying[J].J Psychol,1969,72(2):179-181.
[14] MEDINA-FERNANDEZ J,TORRES-SOTO N Y,CASCO-GALLARDO K,et al.Fear and coping with death in intensive care nurses:A structural model predictor of compassion fatigue[J].Invest Educ Enferm,2023,41(1):e12.
[15] DADFAR M.The reliability,validity,and factorial structure of the Collett-Lester fear of death scale in a sample of Iranian nurses[J].Int J Med Res Health,2016,5(7):306-317.
[16] ABDEL-KHALEK A M.The arabic scale of death anxiety(ASDA):Its development,validation,and results in three Arab countries[J].Death Stud,2004,28(5):435-457.
[17] 仇琦,张盛宇,林翔,等.阿拉伯死亡焦虑量表中文版的心理测量学特性(英文)[J].上海精神医学,2016,28(3):139-146.
[18] 郭辉,马岩,程洋,等.老年人死亡态度及其评估工具的研究进展[J].护理研究,2020,34(7):1218-1222.
[19] 宋子皿,刘薇薇.多维死亡焦虑量表的汉化及信效度评价[J].中国全科医学,2019,22(2):206-209.
[20] TOMÁS-SÁBADO J,GÓMEZ-BENITO J.Construction and validation of the death anxiety inventory(DAI)[J].Eur J Psychol Assess,2005, 21(2):108-114.
[21] 庞林薇,李晓莉,韩朋辉.急诊科护士对临终病人死亡事件真实体验的质性研究[J].全科护理,2019,17(13):1623-1626.
[22] PETERS L,CANT R,PAYNE S,et al.Emergency and palliative care nurses' levels of anxiety about death and coping with death:A questionnaire survey[J].Aust Emerg Nurs J,2013,16(4):152-159.
[23] VÁZQUEZ-GARCÍA D,DE-LA-RICA-ESCUÍN M,GERMÁN-BES C,et al.Anxiety and fear of death in health professionals in hospital emergency services in Aragón[J].Enferm Clin(Engl Ed),2023,33(4):269-277.
[24] PHILIPPON A,BOKOBZA J,BLOOM B,et al.Effect of simulated patient death on emergency worker's anxiety:A cluster randomized trial[J].Ann Intensive Care,2016,6(1):1-6.
[25] 赵浩梅,汪张毅,闫伟,等.肿瘤科护士死亡焦虑现状及影响因素分析[J].护理学杂志,2023,38(4):79-82.
[26] 薛娜娜. 河北省三级医院ICU护士死亡焦虑现状调查及干预研究[D].石家庄:河北医科大学,2017.
[27] 杨红梅,赵丹,钟海燕,等.湖南省急诊科护士死亡态度与死亡教育需求现状及其相关性分析[J].重庆医学,2023,52(8):1219-1224.
[28] 徐旭东,金奕,李淑兰,等.天津市8家三级甲等医院急诊科护士死亡态度现状及影响因素研究[J].中国护理管理,2016,16(3):340-344.
[29] KARKHAH S,JAFARI A,PARYAD E,et al.Death anxiety and related factors among Iranian critical care nurses:A multicenter cross-sectional study[J].Omega-J Death Dying,2024,88(3):1153-1167.
[30] DURAN S,POLAT S.Nurses'attitudes towards death and its relationship with anxiety levels[J].Omega-J Death Dying,2024,88(4):1530-1544.
[31] 周立娜,吴金道,郭韵.肝胆外科护士死亡焦虑现状调查及影响因素分析[J].中国医药导报,2021,18(35):58-62.
[32] 杨士来,吕艳丽,辛惠明,等.不同等级医院低年资护士的死亡焦虑现状及其影响因素分析[J].广西医学,2022,44(11):1265-1269.
[33] RAHMAN S,ELBI H,CAKMAKCI CETINKAYA A,et al.Factors that predict the perception of spirituality and spiritual care of nurses working in high-risk units and the effect of death anxiety[J].Perspect Psychiatr C,2021,57(2):473-480.
[34] KIM K,YONG J.Spirituality,death anxiety and burnout levels among nurses working in a cancer hospital[J].Korean J Hosp Palliat Care,2013, 16(4):264-273.
[35] CHEONG C Y,HA N H L,TAN L L C,et al.Attitudes towards the dying and death anxiety in acute care nurses-can a workshop make any difference? A mixed-methods evaluation[J].Palliat Support Care,2020,18(2):164-169.
[36] ALRAFATI S A,ZEILANI R,OTHMAN E H.Factors associated with death anxiety and nurses'preparedness to care for the dying patients with COVID-19[J].Curr Psychol,2024,43(7):6464-6474.
[37] 吕爱华. 患者死亡对急诊科护士心理影响的合众化研究[D].杭州:浙江中医药大学,2018.
[38] ZHENG R,BLOOMER M J,GUO Q,et al.New graduate nurses' coping with death and the relationship with death self-efficacy and death anxiety:A multicentre cross-sectional study[J].J Adv Nurs,2021,77(2):795-804.
[39] KAGAN M.Social support moderates the relationship between death anxiety and psychological distress among Israeli nurses[J].Psychol Rep, 2021,124(4):1502-1514.
[40] CHOI J,GU M,OH S,et al.Relationship between end-of-life care stress,death anxiety,and self-efficacy of clinical nurses in South Korea[J].Int J Environ Res Public Health,2022,19(3):1082.
[41] 刘英,张小红,王莎,等.基于“千聊live”的死亡教育培训对急诊科护士临终关怀态度和死亡态度的影响[J].护理研究,2023,37(5):922-925.
[42] 张治萍,李苏静,居娴静,等.死亡教育对急诊科护士突发死亡事件态度及负性情绪的影响[J].临床护理杂志,2022,21(1):2-5.
[43] NIA H S,LEHTO R H,EBADI A,et al.Death anxiety among nurses and health care professionals:A Review Article[J].Int J Community Based Nurs Midwifery,2016,4(1):2-10.
[44] 李艳萍,黄丹丹.心理资本在ICU护士道德勇气与死亡应对能力间的中介效应分析[J].护士进修杂志,2023,38(3):204-208.
[45] RABABA M,AL-RAWASHDEH S,EL JARRAH I,et al.Nurses'perception of using cognitive behavior therapy for death anxiety and ageism[J].Omega-J Death Dying,2023,88(2):449-464.
[46] MENZIES R E,ZUCCALA M,SHARPE L,et al.The effects of psychosocial interventions on death anxiety:A meta-analysis and systematic review of randomised controlled trials[J].J Anxiety Disord,2018, 59:64-73.
[47] SHEYKHI M,NADERIFAR M,FIROUZKOHI M,et al.Effect of group logotherapy on death anxiety and occupational burnout of special wards nurses[J].Med Sci,2019,23(98):532-539.
[48] JI X Z,ZHANG J Y.Mindfulness exercises reduce death anxiety and burnout in intensive care nurses[J].Death Stud,2023,47(5):600-605.
[49] 李迎鑫,程明明.存在主义视角下医护人员的死亡焦虑及其应对策略[J].医学与哲学,2020,41(19):54-56.
[50] TANG M L,GOH H S,ZHANG H,et al.An exploratory study on death anxiety and its impact on community palliative nurses in Singapore[J].J Hosp Palliat Nurs,2021,23(5):469-477.