Mehmet Ali KURÇER, Zeynep ERDOĞAN, Gülsüm KARAOĞLU

Death anxiety of doctors and nurses with levels ofdepression related to death and the factors affecting them

Aim: This study was carried out to determine the factors affecting the anxiety levels of death and death related depression of doctors and nurses working at a Hospital. Materials and Methods: The population of the this study, which was planned as cross-sectional, consists of all the doctors and nurses working at a State Hospital (n=288), while the sample consisted of 280 medical personnel. Data was collected using a 17 item Patient Identification Form including socio demographic and , including individual characteristics which were thought to be related to death anxiety of doctors and nurses, and Death Anxiety Scale (DAS), and Death Depression Scale(DDS). Results: The mean score of Death Depression Scale for women is higher than men and the mean score of death depression scale for nurses is significantly higher than doctors (p=0.0001). There is no significant difference between the scores of DDS in terms of the marital status of medical personnel, having children or not, loving the work or not, the department they work, being exposed to serious danger of death, the situation of desensitization and feelings and thoughts about the death exposed to (p>0.05). The mean scores of women’s Death Anxiety Scale are significantly lower than men (p=0.009), scores of single people (p=0.009) are lower than married ones, scores of people who don’t have any children are lower than the people who have children (p=0.012). Conclusion: In this study, the most important determinant of death anxiety and depression related to death was determined as female, nurse, and not having any children and work in surgical unit.

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1. Ertufan H. The effect of frequency of death on death anxiety in medical practices. Ege University, Social Sciences Institute, Psychology Department, PhD Thesis, 2008, Izmir, Turkey
2. Acehan G, Eker F. Levels of death anxiety, death related depression of health personnel providing emergency medical services and their coping methods. J Psychiatr Nurs 2013;4:27-35.
3. Soleimani MA, Lehto RH, Negarandeh R, et al. Death anxiety and quality of life in Iranian caregivers of patients with cancer. Cancer Nursing 2017:40:1-10.
4. Templer D.I. The construction and validation of death anxiety scale. J General Psychology 1970;82;165-74.
5. Abdel-Khalek AM. Death anxiety in clincal and nonclinical groups. Death Studies 2005;29:251-9.
6. Cakar FS. The levels predicting the death anxıety of loneliness and meanıng in life in youth. European J Education Studies 2020;6:97-121.
7. Wıggıns ME. Embracing the darkness: a hermeneutic approach to reimagining our relationship with death. Pacifica Graduate Institute, ProQuest Dissertations Publishing 2019;13811163.
8. Hoelterhoff M, Chung MC. Self-efficacy as an agentic protective factor against death anxiety in ptsd and psychiatric co-morbidity. Psychiatr Q 2020;91:165- 81.
9. Templer DI, Lavoie M, Chalgujian H et al. The measurement of death depression. J Clin Psychol 1990;46:834-9.
10. Kübler Ross E, Kessler D. On grief & grieving: Finding the meaning of grief through the five stages of loss. New York, 2014.NY: Scribner.
11. Burnier D. A battle of words: "dignity" and "peace" in the writings of Elisabeth Kübler, Ross. J Palliat Care 2017;32:49-54.
12. Tomás-Sábado J, Gómez Benito J. Death anxiety and death depression in Spanish nurses. Psychol Rep 2005;97:21-4.
13. Oker K, Schmelowszky Á, Reınhardt M. Comparison of the relationship between death anxiety and depressive and anxiety symptoms among norwegian and turkish female psychology students. OMEGA-Journal of Death and Dying, First Published August 8, 2019.
14. Degner L. The Relationship between some beliefs held by physicians and their life-prolonging decisions. Omega: Journal of Death and Dying 1974;5:223-32.
15. De Araujo MMT, Da Silva MJP. Nursing the dying: Essential elements in the care of terminally ill patients. INR 2004;51:149-58.
16. Ongider N, Eyuboglu SO. Investigation of death anxiety among depressive patients J Clin Psy 2013;16:34-46
17. Wells GA, Shea B, O’Connell D, et al. The Newcastle– Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses.[web page]. (2020). Available at: Ottawa Hospital Research Institute. Research Programs.
18. Álvarez-del-Río A, Marván ML, Santillán-Doherty P, et al. Facing death in clinical practice: a view from physicians in Mexico. Arch Med Res 2013;44:394- 400.
19. Barr P. Relationship of neonatologists' end-of-life decisions to their personal fear of death. Arch Dis Child Fetal Neonatal Ed 2007;92:F104-7
20. Cochrane JB, Levy MR, Fryer JE et al. Death anxiety, disclosure behaviors, and attitudes of oncologists toward terminal care. Omega-J Death Dying 1991;22:1-12
21. Phillips A C, Mackintosh SF, Gibbs C et al. A comparison of electronic and paper-based clinical skills assessment: Systematic review. Med Teach 2019;41:1151-9.
22. Senol C. Anxiety and fears of death in elderly people living in ınstitutions in ankara province. Unpublished master's thesis, Ankara University Institute of Social Sciences, 1989, Ankara.
23. Yaparel R, Yıldız M. A study on the reliability and validity of the Turkish version of death depression scale in the normal population. Turk Psikiyatri Derg 1998;9:198-204.
24. Dickinson GE, Lancaster CJ, Winfield IC et al. Detached concern and death anxiety of first-year medical students: before and after the gross anatomy course. Clin Anat 1997;10:201-7.
25. Erdogdu MY, Ozkan M. Relationship between death anxiety and psychological symptoms and sociodemographic variables of individuals with different religious beliefs. J Inonu University Medical Faculty 2007;14:171-9.
26. Turgay Mine. The relationship between fear of death and personality structure. Unpublished doctoral thesis, İstanbul University Institute of Health Sciences, Department of Nursing, 2003, İstanbul
27. Benli S, Yildirim S. The relationship between life satisfaction and attitude towards death in nurses. Gumushane University J Health Sciences 2017;6:167- 79.
28. Ozdemir K. Death anxiety and affecting factors in intensive care nurses. Atatürk University Institute of Health Sciences Master Thesis, 2014; Erzurum.
29. Hancerlioglu O. Encyclopedia of Philosophy. Remzi Bookstore 1978;23:74-9.
30. Gholamreza R, Nobandeganı ZN. Death obsession, death anxiety, and depression as predictors of death depression in nurses. Jentashapir J Health Res 2017;8;62-83.
31. Sahin M, Demirkıran F, Adana F. Nursing students’ death anxiety, ınfluencing factors and request of caring for dying people. J Psychiatr Nurs 2016;7:135- 41.
32. Tajiri T, Matoba S, Kuwabara M, et al. Death education for future physicians. Geriatr Gerontol Int 2020;20:5- 6.