Graduate Thesis Or Dissertation
 

Attitudes toward death and dying among student nurses as affected by a specialized curriculum

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  • The purpose of this study was to determine if adding a specialized instructional section on death and dying to ongoing curriculum would affect attitudes of student nurses toward death and dying. Subjects were 30 first-year nursing students enrolled in the Associate Degree Nursing Program at Linn-Benton Community College, Albany, Oregon. Two instruments in the form of validated questionnaires were utilized. Hopping's Death Attitude Indicator and Templer's Death Anxiety Scale were used to ascertain the negative to positive attitudes of the students toward death and dying. A pretest was given and the students were randomly divided into an experimental and a control group. The treatment consisting of five hours of course content related to death and dying, was administered to the experimental group followed by a post-test which was administered to both groups. After this, the students were assigned to clinical experience in extended care facilities. At the end of the quarter, Post-test II was administered. Descriptive statistics were used to analyze the sample and inferential statistics were used to interpret the data and to answer the research question posed. The Student's t-test with pooled error was used for comparison of the experimental and control groups on the pretest and two post-tests. The paired t-test was used to compare the mean difference of the control and experimental groups separately. All study hypotheses were retained except one. The rejected hypothesis showed that there was a difference in the mean difference between Post-test I and Post-test II scores in Templer's Death Anxiety Scale in the control group. Clinical experience tended to increase negative attitudes toward death and dying except in the experimental group which had received the specialized instructional section. Thus, a specialized curriculum may be helpful in preventing the development of negative attitudes. It is recommended that this study be replicated using larger samples, and that curricula related to death and dying be incorporated in all areas of nursing education.
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