ArticleBMC medical education2026
Construction and implementation of a death education program for nursing interns: an action research study.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Psychological and attitudinal responses to death-related education: a sequential explanatory mixed-methods study informed by terror management theory.BMC medical education · 2026Article
- The mediating role of deep learning approach between the proactive personality and innovative behavior of undergraduate nursing students.BMC nursing · 2026Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundNursing interns frequently encounter patient death but are often inadequately prepared for end-of-life care, leading to distress and reduced efficacy. Existing death education programs rarely address their specific needs.
objectiveTo develop and evaluate a tailored death education program for nursing interns.
methodsThe study was conducted in two phases: development and refinement of a preliminary program through literature review, interviews, Delphi method, and the first action research cycle; followed by evaluation via a second action research cycle with 48 interns (24 per cycle). Quantitative outcomes were assessed using the Death Attitude Profile-Revised (DAP-R), Frommelt Attitude Toward Care of the Dying scale (FATCOD-B), and Coping with Death Scale (CDS) scales, while qualitative data were collected through semi-structured interviews and participatory observation.
resultsAfter the second cycle, significant improvements (P < 0.05) were observed across all DAP-R dimensions, FATCOD-B total score, and CDS total score. The second cycle yielded significantly greater improvements in most outcomes compared to the first (P < 0.05), except for Escape Acceptance (P = 0.073). Qualitative analysis identified three themes: reflections and recommendations on death education workshops; development of end-of-life communication skills and deepening death awareness and Internalized development of life care and empathy capacity.
conclusionThe action research-based program effectively improved nursing interns’ death coping, end-of-life care attitudes, and communication skills, supporting the integration of experiential and reflective pedagogies into palliative care education.
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