Journal of Japan Academy of Nursing Science
Online ISSN : 2185-8888
Print ISSN : 0287-5330
ISSN-L : 0287-5330
Original Articles
Structure of Nurses’ Views of Death and Dying Related to End-of-Life Care: Development and Verification of a Scale of Nurses’ Views on Death and Dying
Hiroko NagayamaChie OgasawaraYuri Tainaka
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2021 Volume 41 Pages 296-304


Objectives: To develop and verify a scale of nurses’ views on death and dying based on the views of nurses working in a general hospital, and to clarify the constituent elements of nurses’ views on death and dying.

Methods: The scale of nurses’ views on death and dying was developed based on a systematic review of qualitative research into nurses’ views on death and dying and evolutionary concept analysis. A draft scale of 35 items was developed, and the questionnaire was distributed to 630 general ward nurses. Subsequently, the reliability and validity of the scale were examined.

Results: Of the distributed questionnaire forms, valid response rate was 54.4%. Principal factor analysis was conducted to identify constituent elements. The scale was ultimately composed of 18 items and five subscales. The reliability of the scale was confirmed with Cronbach’s alpha internal consistency reliability coefficient of .801 and test-retest reliability coefficient of .681. As for the validity of the scale, criterion-related validity and construct validity were confirmed.

Conclusion: The analysis identified five constituent elements: “The quality of death and dying by the family,” “The teachings of people who are dying,” “Negative feelings about death,” “Death is a law of nature,” and “Suggestions for spending the end-of-life stage.”

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© 2021 Japan Academy of Nursing Science
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