Evidence map›Paper›PMID 39736781›Full record

ArticleBMC psychology2024

Approach to death and dying patients and its relation with death anxiety among medical interns: a multicenter cross-sectional study.

Israa Sharabati, Mohamed M M Mustafa, Masah Ateeq, Hasan Al-Jabali, Amira Ahmed Elsayed, Ahmed Hamdy Kandil, Mohamed Nabil Hamouda, Noor Alrawajfeh, Sadeel Abu Sharib, Razan A Abumayyala and 6 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Israa Sharabati *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine. sharabatiisraa@gmail.com.ORCID http://orcid.org/0009-0008-2934-7151
Mohamed M M Mustafa *Medical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0002-8987-1875
Masah AteeqMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0007-4836-7185
Hasan Al-JabaliMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0009-0461-154X
Amira Ahmed ElsayedMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0000-2996-248X
Ahmed Hamdy KandilMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0006-5102-4485
Mohamed Nabil HamoudaMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0000-2750-5859
Noor AlrawajfehMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0000-3158-5898
Sadeel Abu SharibMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0003-5545-3955
Razan A AbumayyalaFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0005-6542-1492
Omar Rafeek AlkhateebMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0009-9468-8080
Mira BishtawiMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0004-3729-3924
Juana Abu RahmehMedical Research Group of Egypt, Negida Academy, Arlington, MA, USA.ORCID http://orcid.org/0009-0003-4045-1180
Tasneem HettaFaculty of Medicine, South Valley University, Qena, Egypt.ORCID http://orcid.org/0009-0003-1232-1311
Raghad AbuzantFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0006-6411-501X
Farah Al-MubaidFaculty of Medicine, Albalqaa Applied University, Al-Salt, Jordan.ORCID http://orcid.org/0009-0008-0248-8288

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDealing with death and dying patients is one of the most challenging aspects of medical practice. The purpose of this study was to assess the attitude of medical interns toward death and dying patients as well as their level of death anxiety.

methodsThis cross-sectional study was conducted on medical interns across three countries-Egypt, Jordan, and Palestine-using an online survey created with Google Forms. The survey included sociodemographic information, the Approach to Death and Dying Patients Attitude Scale (ADDPAS), and Templer's Death Anxiety Scale (DAS). The sample size was calculated using OpenEpi, aiming for minimum 466 from Egypt, 273 from Jordan, and 348 from Palestine. Data were analyzed using SPSS version 27. Kruskal-Wallis and Mann-Whitney U tests were used to evaluate significant associations between demographic variables and the outcomes of the scales. Spearman's correlation coefficients and simple linear regression analysis assessed the relationship between the scales. A p-value of ≤ 0.05 was considered statistically significant.

resultsThis cross-sectional study analysis was done on 1156 participants. The median age was 24 years (interquartile range "IQR": 24-25), with most living in urban areas (74.6%). Females comprised 53.6%. The median score on the DAS was 8.00 (IQR: 6-11). Hardness in communicating with the dying and their relatives and avoidance of death and dying patients subscales median scores were 2.22 (IQR: 1.89-2.44) and 2.54 (IQR: 2.18-2.81), respectively. Females had higher death anxiety and a less positive attitude toward communicating with dying patients and their relatives. Egypt scored lower on the ADDPAS subscales but higher than Palestine and Jordan on the DAS. DAS had a significant indirect relationship with hardness in communicating with the dying patients and their relatives (r = -.384; p < 0.001) and avoiding death and dying patients (r = -.123; p < 0.001). Simple linear regression showed that the DAS significantly predicts both subscales.

conclusionsMedical interns showed moderate death anxiety and a positive attitude toward communication and avoidance of death and dying patients. Those with a higher level of death anxiety demonstrated a greater tendency to avoid dealing with dying patients and had more difficulties with communication. End-of-life training is recommended.

Indexed as

AnxietyAttitude to DeathInternship and ResidencyAdultAttitude of Health PersonnelCross-Sectional StudiesEgyptFemaleHumansJordanMaleMiddle EastStudents, MedicalSurveys and QuestionnairesYoung AdultAttitude to deathDeathDeath anxietyDying patientsMedical internsPhysicians

Identifiers

PMID39736781
PMCPMC11684263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.