OmegaPub Date : 2025-09-01Epub Date: 2023-03-07DOI: 10.1177/00302228231162211
Madeline J Bruce, Paul Handal
{"title":"Revisiting the Factor Structure of the Centrality of Event Scale.","authors":"Madeline J Bruce, Paul Handal","doi":"10.1177/00302228231162211","DOIUrl":"10.1177/00302228231162211","url":null,"abstract":"<p><p>Traumatic experiences that become self-defining impact posttraumatic outcomes, yet exact mechanisms are currently being studied. Recent research has used the Centrality of Event Scale (CES). However, the factor structure of the CES has been in question. We analyzed archival data (<i>N</i> = 318) split into homogenous groups of participants to examine whether the factor structure of the CES differed based on event type (bereavement vs. sexual assault) or by levels of PTSD (meeting clinical cut off score vs. group of lowest scorers). Exploratory factor analyses with subsequent confirmatory analyses revealed a single factor model in the bereavement group, sexual assault group, and the low PTSD group. A three-factor model emerged in the high PTSD group, with the factors' themes matching previous findings. Event centrality appears to be a universal theme when people endure and process a diversity of adverse events. These distinct factors may illuminate pathways in the clinical syndrome.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1722-1735"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bereavement and Professional Competencies: Exploring the Personal Experience of Death Among Nursing Students - A Qualitative Study.","authors":"Qianqian Tang, Tianmeng Xu, Zhaoyu Li, Mengmeng Wang, Lijie Xu, Gonglin Xu, Peng Yue","doi":"10.1177/00302228231167495","DOIUrl":"10.1177/00302228231167495","url":null,"abstract":"<p><p><b>Purpose:</b> To explore the death experiences of nursing students in their personal lives. <b>Methods:</b> This study employed a qualitative descriptive design using the semi-structured interview approach. A purposive sampling method was used to recruit 24 nursing students from September 2020 to July 2022. Data were analyzed using Colaizzi's analysis method. Lincoln and Guba's criteria was used to evaluate the trustworthiness of the data. <b>Results:</b> Four main themes emerged from the interviews: (a) reactions to encounters with death; (b) adjustment strategies; (c) personal growth induced by the death experiences; and (d) professional reflections for preparing nurse role. <b>Conclusions:</b> Although the death of a loved one makes nursing students suffer from grief and emotional distress, we show that the experience promotes the personal growth and professional competencies of nursing students and thereby, developing their overall aptitude towards the profession. Death experiences of nursing students have shown to allow them to reflect on both life and death, to consider the demands of the nursing profession, and to provide foundation for nursing students to be more empathetic and compassionate when facing death in the future. Exploring death experiences of nursing students is vital in better providing better quality education and personal support for nursing students.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1984-2006"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9602839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-09-01Epub Date: 2023-04-09DOI: 10.1177/00302228231169541
Mahdi Rezapour, F Richard Ferraro
{"title":"The Associations Between Death Anxiety, Supernatural Beliefs, Caring for Loved Ones and Attachments.","authors":"Mahdi Rezapour, F Richard Ferraro","doi":"10.1177/00302228231169541","DOIUrl":"10.1177/00302228231169541","url":null,"abstract":"<p><p>Despite extensive efforts in a better understanding of associations between death anxiety and various factors, efforts studying the complex associations across those variables are still limited. This study was conducted to better understand the possible complexity between death anxiety and myriad of factors, by first extracting the most important features, and then assessing the complexity of variables by checking all pairwise interaction terms. We found most of associated factors of death anxiety are related to the concept of attachment or caring for loved ones. Ill-effect attachment with positive associations with death anxiety included factors such as attachment to the physical side of oneself, being alone before death, and the possibility of death being the end of us. On the other hand, supernatural conceptions of worldviews such as believing in God, believing that the soul is separate from body, and being religious buffer against the death anxiety.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"2103-2118"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9678483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-09-01Epub Date: 2023-04-27DOI: 10.1177/00302228231173605
Taslima Jannat, Nor Asiah Omar, Zizah Che Senik, Abu Hanifah Ayob, Abdullah Al Mamun, Md Shamshul Arefin, Sri Rahayu Hijrah Hati
{"title":"People's Perceptions and Coping Strategies During the COVID-19 Pandemic: A Phenomenological-Longitudinal Study in Bangladesh.","authors":"Taslima Jannat, Nor Asiah Omar, Zizah Che Senik, Abu Hanifah Ayob, Abdullah Al Mamun, Md Shamshul Arefin, Sri Rahayu Hijrah Hati","doi":"10.1177/00302228231173605","DOIUrl":"10.1177/00302228231173605","url":null,"abstract":"<p><p>By emphasizing the Terror Management Theory, this study investigated the participants' perceptions, psychological experiences, coping strategies, and behavioral changes during the pandemic in Bangladesh in two phases: first, after the pandemic's immediate outbreak, and second, after 3 months of the pandemic (daily infection cases were very high). To perform the research, an empirical-phenomenological method was used. Findings indicate that at the first stage, participants' death phobia was extremely high, and poor medical facilities, religious struggles, imprudent behavior of others, concerns for family members, and a tendency to compare the socioeconomic status with other developed countries affected participants' emotions severely. Later on, participants' perceptions of the disease changed significantly. This study highlights that people's behavior varies depending on whether the thought of death is in the center or on the periphery of their attention. In both stages, religious faith and rituals played a crucial role in coping with the crisis situation.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"2260-2282"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140766/pdf/10.1177_00302228231173605.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9772853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigating Surgeons' Reactions to Patients' Death: A Phenomenological Study.","authors":"Maryam Jalili, Yasser Rezapour-Mirsaleh, Seyed Jalil Mirhosseini","doi":"10.1177/00302228231162731","DOIUrl":"10.1177/00302228231162731","url":null,"abstract":"<p><p>The main purpose of this study was to scrutinize the reaction of surgeons towards patients' death. This study enjoyed a qualitative approach using a phenomenological lived experience. 12 surgeons who had witnessed patients' death were selected through purposive sampling until data saturation was achieved. The data were collected using semi-structured interviews and were analyzed through the Colaizzi's method. The main concepts extracted from the analysis of the participants' experience comprised three main themes, six sub-categories and 19 initial sub-categories. The main themes were (a) emotional-mental reactions including the sub-themes of emotional distress, mood disorder and mental distress, (b) death encounter including the sub-themes of rational encounter and pre-emptive measure and (c) post-traumatic growth covering the concepts of optimism and performance improvement. The obtained findings imply that the patients' death can sometimes make surgeons aware of the post-incident growth although such deaths affect their personal, family, social and professional lives.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1757-1778"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10832478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-09-01Epub Date: 2023-04-02DOI: 10.1177/00302228231167044
Yang Zhao, Mashitah Hamidi, Haris Abd Wahab
{"title":"Challenges of Palliative Care in Advanced Cancer Patients in the Chinese Mainland: A Qualitative Study.","authors":"Yang Zhao, Mashitah Hamidi, Haris Abd Wahab","doi":"10.1177/00302228231167044","DOIUrl":"10.1177/00302228231167044","url":null,"abstract":"<p><p>As cancer has become the second most common cause of death in the world today, how to allow advanced cancer patients to die with dignity has gotten gradually more and more taken paid attention. The study aims to explore the current status and challenges of palliative care for advanced cancer patients in the Chinese Mainland. This study used a semi-structured interview approach by interviewing 14 respondents. The respondents involved patients, family members and relevant practitioners in two regions in China in discovering and summarizing the current status of palliative care implementation for advanced cancer patients in the Chinese Mainland. The study found three challenges of palliative care in the Chinese Mainland: the development of theory and practice being out of sync, the dilemma of operation and promotion, and multiple challenges between different characters. The government should devote multi-dimensional developments and put advanced cancer patients in a central position to respond to patients' needs. The study suggests that the government should promote specialization, enlarge publicity, improve policy, and advocate death education and living wills to respond to the challenges.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1963-1983"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9234461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-09-01Epub Date: 2023-03-09DOI: 10.1177/00302228231163208
Zümrüt Akgün Şahin, Muhammed Deniz, Duygu Akça, Gülistan Uymaz Aras, Sedat Doğan
{"title":"The Relationship Between Intolerance of Uncertainty and Spiritual Well-Being Levels of COVID-19 Among Elderly: A Cross Sectional and Correlational Study.","authors":"Zümrüt Akgün Şahin, Muhammed Deniz, Duygu Akça, Gülistan Uymaz Aras, Sedat Doğan","doi":"10.1177/00302228231163208","DOIUrl":"10.1177/00302228231163208","url":null,"abstract":"<p><p>The aim of this research is to relationship between intolerance of uncertainty and spiritual well-being levels during Covid-19 among elderly. This study was conducted with cross-sectional and corrational design. The research was conducted between January and June 2021 in Turkey's Eastern Anatolia Region. Introductory Information Form, Intolerance of Uncertainty Scale-Short Form (IUS), and Spirituality Index of Well-Being (SIWB) were used to collect data. The research was completed with 302 volunteers who met the following inclusion criteria. All participants belong to the Muslims. A negative significant correlation was found between IUS and SIWB; that is as the spirituality of the elderly individuals increased, the levels of intolerance of uncertainty decreased. It is recommended to identify the fears and intolerances of elderly individuals. For uncertainty, it is necessary to refine their spirituality. For this, it is recommended to organize spiritual education programs.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1807-1822"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008999/pdf/10.1177_00302228231163208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9120496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation into Grief Experiences of the Bereaved During the Covid-19 Pandemic.","authors":"Mohammad Asgari, Mahdi Ghasemzadeh, Asgar Alimohamadi, Shiva Sakhaei, Clare Killikelly, Elham Nikfar","doi":"10.1177/00302228231173075","DOIUrl":"10.1177/00302228231173075","url":null,"abstract":"<p><p>The objective of the current study was to investigate the grief experiences of people affected by COVID-19. The study adopted a qualitative design of descriptive phenomenology. Fifteen adults who had lost a family member during the COVID-19 pandemic were selected as the sample through the purposive sampling method until theoretical saturation was achieved. Data was collected using semi-structured interviews and the Colaizzi analysis method. Six main themes (i.e., unexpressed grief, psychosomatic reactions, negative emotions, family problems, and social and occupational problems) were extracted. Data analysis showed that complex disenfranchised grief is the pervasive consequence of the COVID-19 experience. According to the findings, participants experienced disenfranchised grief during the loss of their loved ones due to the COVID-19 disease, which was a complex, painful experience accompanied by negative emotions and family, work, and social tensions. This grief is accompanied by more severe and prolonged symptoms, making it difficult for the bereaved to return to normal life. In unexpressed grieving, there are intense feelings of grief, pain, separation, despair, emptiness, low self-esteem, bitterness, or longing for the presence of the deceased. This grief originated from the conditions of quarantine and physical distance on the one hand, which required the control of the outbreak of the COVID-19 disease, and on the other hand, the cultural-religious context of the Iranian people.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"2238-2259"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10189522/pdf/10.1177_00302228231173075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-09-01Epub Date: 2023-03-29DOI: 10.1177/00302228231167725
Merve Gulbahar Eren, Kübra Üçgül, Havva Sert
{"title":"Effectiveness of Interventions on Death Anxiety and Fear in Adults with Chronic Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Merve Gulbahar Eren, Kübra Üçgül, Havva Sert","doi":"10.1177/00302228231167725","DOIUrl":"10.1177/00302228231167725","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to synthesize the outcomes of various interventions to alleviate death anxiety and fear. Studies published between January 2010 and June 2022 were searched in the ScienceDirect, Scopus, Web of Science, PubMed, Cochrane Library, and CHINAL databases. The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement guidelines were used in this meta-analysis. The results were examined using 95% confidence intervals, <i>p</i>-values, and fixed- or random-effects models based on the heterogeneity test. Sixteen studies involving 1262 participants were included in this systematic review. Interventions in seven studies using the Templer Death Anxiety Scale (TDAS) significantly decreased death anxiety levels in the intervention groups compared to the control groups (z = -4.47; <i>p</i> < 0.001; 95% CI: -3.36 to -1.31). This meta-analysis provides insights into implementing logotherapy, cognitive behavioral therapy, spirituality-based care, and educational interventions for death anxiety and the fear experienced by patients with chronic diseases.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"2007-2036"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Agencies Displayed by Patients, Medical Teams, and Caregivers at the End of Life from the Perspectives of Family Members - A Qualitative Study.","authors":"Yoel Tawil, Moran Bodas, Adir Shaulov, Arnona Ziv, Giora Kaplan, Baruch Velan","doi":"10.1177/00302228231166736","DOIUrl":"10.1177/00302228231166736","url":null,"abstract":"<p><p><b>Background:</b> End-of-life (EoL) Care is challenging for terminally-ill patients and their caregivers. This research is aimed to examine the relational agencies of the patients, the caregivers, and the medical teams in the context of EoL care, with a particular emphasis on the caregivers. <b>Methods:</b> This study is based on the qualitative analysis of interviews with 12 individuals who were closely supported a loved one to their death from a terminal illness. <b>Results:</b> Information collected revealed several agency-related themes. Family caregivers are significant entities in managing the 'case' of a seriously ill individual. At the final or more advanced stages of the EoL process, caregivers gradually shift from a supportive role to being active agents, but not always backed by the necessary experience, knowledge, or the requisite emotional resilience. <b>Conclusions:</b> Based on recognizing their agentic proactivity, a clear and elaborate articulation of the family caregivers' roles is needed.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1890-1908"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}