Paper
Saturday, November 3, 2007

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This presentation is part of : End-of-Life Care Initiatives
Nurses' and Nursing Students' Attitudes toward Death and Dying: A Meta-Analysis of the Impact of Educational Interventions
Amani Babgi, PhD, College of Health and Human Services, George Mason University, Fairfax, VA, USA
Learning Objective #1: explore the differences between nurses and nursing students attitudes toward death and dying as a result of death and dying educational interventions.
Learning Objective #2: identify the empirical evidence regarding the impact of theses educational interventions in changing attitudes toward death and dying over the last twenty five years.

The last 25 years have seen numerous educational interventions, whose aim is to change nurses’ and nursing students’ attitudes toward death and dying.  The results of these interventions are mixed, and often confusing. This study is a meta-analysis on the extant literature in death-and-dying educational interventions. The purposes of this study was to examine the impact of the death and dying educational interventions in changing attitudes toward death and dying.

The researcher developed a comprehensive search strategy to retrieve research studies, which summarized the empirical evidence from this large and varied literature. Based on the analyses conducted, it was noted that death-and-dying educational interventions had a meaningful treatment effect in improving attitudes toward death and dying where the overall mean effect size was -0.297 based on 31 studies.  In assessing the difference between target populations, it was acknowledged that death-and-dying educational interventions had significant impact in improving nursing students’ attitudes toward death and dying (mean effect -0.043 based on 11 studies) in contrast to nurses attitudes (mean effect size = -0.447 based on 20 studies).

In analyzing the differences in reference to the year of publication, it was found that the period 1980-2005 revealed varied treatment effect in changing nurses’ and nursing students’ attitudes toward death and dying as a result of death-and-dying educational interventions.  This means that the 1980s (mean effect -0.394 based on 19 studies) and 2000s (mean effect size = -0.326 based three studies) showed improvement in attitudes toward death and dying as a result of death-and-dying educational interventions compared to the 1990s (mean effect size = -0.185 based on nine studies). The findings from this meta-analysis will help guide and inform future nursing educators to develop educational interventions that improve the care of dying patients.