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Preparing students for their patients' deaths

S Burney-Banfield

    The Australian Journal of Advanced Nursing : a Quarterly Publication of the Royal Australian Nursing Federation
    |June 1, 1994
    PubMed
    Summary
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    Australian nursing programs show significant variation in death education hours, with limited time dedicated to student coping strategies. Further focus on preparing nurses for patient death is needed.

    Area of Science:

    • Nursing Education
    • Thanatology
    • Medical Sociology

    Background:

    • Effective patient death preparation is crucial for undergraduate nursing students.
    • Existing curricula may not adequately address the emotional and practical aspects of end-of-life care.
    • Variability in death education can lead to inconsistent preparedness among nursing graduates.

    Purpose of the Study:

    • To assess the extent of death education provided in Australian undergraduate nursing programs.
    • To identify the pedagogical methods employed in teaching about patient death.
    • To examine the focus on nursing students' emotional responses and coping mechanisms related to patient death.

    Main Methods:

    • A survey methodology was used to collect data from Australian university nursing degree programs.

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  • Curricula data were analyzed to quantify time allocated to death education.
  • Pedagogical approaches and content related to student reactions and coping were investigated.
  • Main Results:

    • Significant variation in death education hours (5-192 hours) was observed across 28 programs.
    • A mean of 44 hours was reported for death education, with only 4.5 hours on nurses' reactions and debriefing.
    • Problem-solving in clinical experience was the preferred teaching method.

    Conclusions:

    • Australian undergraduate nursing programs exhibit wide disparities in death education.
    • Current curricula may be insufficient in preparing students for the emotional impact of patient death.
    • Further development of comprehensive death education, including coping strategies, is recommended for nursing practice.