Omega最新文献

{"title":"The Relationship Between Frailty, Spiritual Orientation, and Death Anxiety in Older Adults With Chronic Illness.","authors":"Yasemin Sazak, Meltem Kalayci, Keriman Aytekin Kanadli, Nermin Olgun","doi":"10.1177/00302228251323139","DOIUrl":"https://doi.org/10.1177/00302228251323139","url":null,"abstract":"<p><p>The purpose of the current work was to identify the levels of frailty, spiritual orientation, and death anxiety and the relationship between them in older adults with chronic illness. This descriptive, cross-sectional, and correlational study was conducted with 221 participants. Of the participants, 43.9% were frail. Considering the correlation between the scales, a positive moderate significant correlation was identified between the FRAIL Scale and the Death Anxiety Scale. In contrast, a negative moderate significant correlation was revealed between the Spiritual Orientation Scale, FRAIL Scale, and Death Anxiety Scale. When the mediator variable, death anxiety, was not included in the model, the total effect of spiritual orientation on death anxiety was significant. It was revealed that death anxiety mediated the relationship between spiritual orientation and frailty. Hence, it is recommended that spiritual care needs and death anxiety be evaluated in the assessment of patients' frailty levels and patient care.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251323139"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461041","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":"Deathbed Phenomena, Other End-of-Life Experiences and Their Effects in Palliative Care Teams: A Systematic Review.","authors":"Manuela Bertão, Úrsula Dalcolmo, Francisca Rego","doi":"10.1177/00302228251321203","DOIUrl":"https://doi.org/10.1177/00302228251321203","url":null,"abstract":"<p><p>The dying process includes many subjective experiences called end-of-life experiences. The author conducted a systematic review following PRISMA guidelines to characterize end-of-life experiences and their effects on patients, families, healthcare professionals, and volunteers in palliative care settings. The databases used were PubMed, PsycInfo, and Web of Science. Of 7095 articles found, 12 met the eligibility criteria. The prevalence of end-of-life experiences ranged from 28 to 87% and dreams and visions were the most reported. Eight common themes were found: end-of-life experiences are not uncommon (100%); end-of-life experiences can be comforting or not (83.3%); spiritual transformation of end-of-life experiences (58.3%); hallucinations and end-of-life experiences (50%); normalization of end-of-life experiences (50%); training of health professionals (41.6%); end-of-life experiences as prognostic indicators (33.3%); contribution of end-of-life experiences in grief (25%). These experiences, whether comforting or distressing, play a therapeutic role in facilitating a peaceful death and aiding the grieving process.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251321203"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442670","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":"From Mourning to Healing: Continuing Bonds With Strangers in Chinese Social Media.","authors":"Anqi Hu, Hong Jiang","doi":"10.1177/00302228251319834","DOIUrl":"https://doi.org/10.1177/00302228251319834","url":null,"abstract":"<p><p>The study examined the distinctive characteristics and underlying motivations of communication behaviours within the comment sections of Weibo posts belonging to deceased strangers. Taking the comment section of the last post of deceased user @Zoufan on Weibo, one of the most influential social media platforms in China, as a case study, the study adopted the humanities computing method to develop an artificial 'close reading' based on quantitative descriptions and topic clustering of the texts of more than 80,000 comments. Findings showed that in China, people engage in conversations with other mourners, the deceased, and themselves on the deceased's Weibo. Mourners built a social support network through emotional communication among mourners and constructed continuing bonds with the deceased through self-expression. The motivations of the mourning practices are self-help mental healing. The findings contribute to the scholarship on stranger mourning and the mediatization of mourning practices and dialogic healing in China.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251319834"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442791","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":"The Right to Life, and Death: A Health Equity Approach to Canada's Expansion of Medical Assistance in Dying for Individuals With Mental Disorder(s).","authors":"Katarina Bojkovic, Rithvic Jupudi, Michael Bojkovic, Robert Bossarte","doi":"10.1177/00302228251318414","DOIUrl":"https://doi.org/10.1177/00302228251318414","url":null,"abstract":"<p><p>Canadian medical assistance in dying (MAID) is positioned to expand to allow voluntary euthanasia for individuals with mental disorders as their sole underlying condition(s) (MAID-MD-SUMC) by 2027. As governments consider this type of legislation, thoughtful critique of proposed eligibility criteria is imperative in order to consider potential consequences that may follow expansion of current policies guiding end-of-life care. As MAID-MD-SUMC enters another phase of revision, we propose two critical consideration: (1) the need to define a comprehensive, empirical basis for the \"irremediability\" of psychiatric disorders and (2) a more comprehensive consideration of the inextricable links between an individual's surrounding environment, socioeconomic factors, access to healthcare and outcomes resulting from treatment of mental health disorders.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251318414"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416507","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":"Assessment of Oncology Nurses' and Physicians' Attitudes Toward Death and End-of-Life Care, Along With Contributing Factors: A Cross-Sectional Study.","authors":"Bushra Alhusamiah, Ruqayya S Zeilani","doi":"10.1177/00302228251320685","DOIUrl":"https://doi.org/10.1177/00302228251320685","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background&lt;/b&gt;: Providing care for terminally ill patients presents a complex challenge for nurses and physicians, often leading to psychological concerns and significant physical and emotional distress for patients, their families, and healthcare providers. The intricacies of managing end-of-life care can evoke a range of feelings, including fear, anxiety, and sadness, which can affect the quality of care delivered. Understanding these dynamics is essential for improving the support systems for both healthcare professionals and patients during this critical time. &lt;b&gt;Aim&lt;/b&gt;: This study aimed to evaluate the attitudes toward death and end-of-life care among nurses and physicians and to investigate whether these attitudes are influenced by specific demographic characteristics, including gender, years of experience, previous education on death and dying, previous experience in dealing with terminally ill persons, previous experience with loss, present experience with loss, and the influence of religious beliefs. By examining these attitudes, the research seeks to identify potential areas for intervention and education that could enhance the overall approach to end-of-life care in oncology settings. &lt;b&gt;Method&lt;/b&gt;: A total of 200 oncology nurses and physicians were recruited through a non-probability convenience sampling method from a specialized oncology hospital in Jordan. Participants were asked to complete a comprehensive questionnaire that included a demographic data sheet and Frommelt's Attitude Toward Care of the Dying - B scale. This scale is designed to measure attitudes toward caring for dying patients, providing valuable insights into the perspectives of healthcare professionals in this challenging field. &lt;b&gt;Results&lt;/b&gt;: The findings indicated that the majority of nurses and physicians held a positive attitude toward death (FATCOD = 106.31), suggesting a general comfort with the concept of death and the process of dying. Additionally, statistically significant correlations were found between attitudes toward death and demographic factors, specifically, female nurses had significantly higher scores on the FATCOD scale compared to male nurses (&lt;i&gt;p&lt;/i&gt; = .003); participants with prior experience caring for terminally ill patients had more positive attitudes (&lt;i&gt;p&lt;/i&gt; = .047); increased years of professional experience were associated with higher scores (&lt;i&gt;p&lt;/i&gt; &lt; .001); participants who received education on death and dying had significantly better attitudes (&lt;i&gt;p&lt;/i&gt; &lt; .001); personal experiences with loss correlated with more positive attitudes (&lt;i&gt;p&lt;/i&gt; = .001); and those whose religious beliefs strongly influenced their attitudes scored higher (&lt;i&gt;p&lt;/i&gt; &lt; .001). These associations highlight the multifaceted nature of attitudes toward death and the various influences that shape them. &lt;b&gt;Conclusion&lt;/b&gt;: The findings of this study indicate that end-of-life care can induce a range of emotions that significantly impact the attitudes","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251320685"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416506","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":"The Death Literacy Index: Testing the Death System Literacy of Unpaid Carers of Palliative Patients.","authors":"Kristine Van Dinther, Kerrie Noonan, Rosemary Leonard, Sara Javanparast","doi":"10.1177/00302228251319478","DOIUrl":"https://doi.org/10.1177/00302228251319478","url":null,"abstract":"<p><p>Unpaid carers of palliative patients make a significant contribution to the health economy but are particularly vulnerable to burdens due to facing the prospect of death. Caring for a loved one at the end-of-life requires knowledge of the death system in which they operate to access both practical support networks and services and emotional support for themselves. We combined qualitative data from interviews and focus groups with survey data designed using the Death Literacy Index (DLI) for 18 unpaid carers of palliative patients in South Australia. Comparing the DLI with the lived experience of carers revealed factors affecting the manner in which carers talk, learn and share knowledge about death and dying. A compassionate communities' model is proposed to capitalise on the strengths and rectify the deficits which pose barriers to unpaid carers networks of support.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251319478"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411946","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":"Beyond the Veil of Death: Evolving Traditions in the Ancestral Rituals of the <i>Irula</i> Tribe of Attapadi, South India.","authors":"Sreehari K R, Eswarappa Kasi","doi":"10.1177/00302228251319828","DOIUrl":"https://doi.org/10.1177/00302228251319828","url":null,"abstract":"<p><p>The Irula, a Dravidian ethnic group, reside in the Nilgiri Mountains of the Western Ghats, spread across Tamil Nadu and Kerala, India. It is the fifth-largest tribe in Kerala. Each tribe has unique cultural practices and beliefs; the Irulas are no exception. The Irulas observe distinct rituals during crucial life events, particularly death ceremonies. Death, marking the cessation of an organism's independent existence and its return to a nonliving state, is observed by the Irulas in a unique ceremony known as cheeru and an annual feast ceremony for the ancestors known as Kanji Seeru. This paper aims to delve into the underlying practices of the Irula death ceremony and the associated ritualistic practices and the transformation of traditional practices are also enquired based on empirical research. The research adopts a qualitative methodology, with primary data gathered through ethnographic fieldwork and the secondary data is collected from the published sources.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251319828"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383811","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":"Death Doulas' Experiences With and Perspectives on Unusual End-Of-Life Phenomena.","authors":"Stephen Claxton-Oldfield, Madeleine de Ste-Croix Killoran","doi":"10.1177/00302228251318400","DOIUrl":"https://doi.org/10.1177/00302228251318400","url":null,"abstract":"<p><p>Twenty-six death doulas completed an online survey about their experiences with and beliefs about unusual end-of-life phenomena (EOLP). Consistent with the results of previous studies involving people who work with the dying (i.e., doctors, nurses, hospice palliative care volunteers, nursing home staff) death doulas had commonly observed or been told about various EOLP in their work supporting people through the dying process. Deathbed visions were the most witnessed and reported EOLP. Death doulas indicated that they were comfortable talking about EOLP with their clients and clients' families and most or almost all endorsed spiritual or transpersonal explanations for EOLP over scientific or medical ones. Death doulas have an important role to play in normalizing, validating, and educating their clients and clients' families about EOLP.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251318400"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371342","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":"Socialisation of Children to Cope With Death, Bereavement and Grief - A Berger and Luckman Inspired Analysis of Children's Picture Books in a Chinese Context.","authors":"Cong Fu, Hongxuan Xu, Sigrid Stjernswärd, Stinne Glasdam","doi":"10.1177/00302228251313671","DOIUrl":"https://doi.org/10.1177/00302228251313671","url":null,"abstract":"<p><p>Children's understanding of death, bereavement and grief develop through socialisation where picture books also may play a role. The study explores how children's picture books published in China (2010-2024), communicated themes of death, bereavement and grief. A systematic search identified 321 relevant books, of which 47 met the inclusion criteria and were analysed using both descriptive and a Berger and Luckmann-inspired qualitative thematic approach. Three themes were constructed: '<i>Nature as a framework for understanding death, bereavement and grief '</i>, '<i>Normalisation strategies of death, bereavement and grief</i>', and '<i>Reinventing new relationships to the deceased</i>'. Nature was depicted as a retreat and a medium for socialising children about death, bereavement, and grief. Grieving and bereavement were portrayed as complex processes, with external support and communal rituals emphasised as essential strategies, shaped by societal norms and rituals. Relationships with the deceased were often reinvented to continue bonds.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251313671"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257626","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":"A Network Meta-Analysis of Different Psychological Therapies for Death Anxiety in Older Adults.","authors":"Jinhong Lu, Youzhuan Yang, Hongchao Ma","doi":"10.1177/00302228251316924","DOIUrl":"https://doi.org/10.1177/00302228251316924","url":null,"abstract":"<p><p><b>Objective:</b> The purpose of this research was to assess and contrast the impact of psychosocial therapies on older individuals' death anxiety and to offer evidence-based recommendations to both older adults and healthcare professionals. <b>Methods:</b> Randomized controlled trials (RCTs) were collected through a thorough search of multiple databases such as PubMed, Embase, Cochrane Library, Web of Science, Scopus, etc. Review Manager 5.4 was employed to evaluate the caliber of the included studies, and STATA (15.1) was used for data analysis. <b>Results:</b> This study included seven randomized controlled trials with a total of 266 older adults, and the search time ranged from the earliest possible date to July 2024. The results of the Network Meta-Analysis (NMA) showed that the teaching the components of spiritual intelligence therapy significantly reduced death anxiety in the elderly (SUCRA: 99.6%). <b>Conclusion:</b> The network ranking chart showed that the teaching the components of spiritual intelligence therapy as a psychotherapeutic method, had the most superior efficacy in reducing death anxiety in the elderly.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251316924"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124141","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}