Evidence map›Paper›PMID 41877193›Full record

ArticleBMC nursing2026

Ready for the end? Fear of death and training in palliative care: a look at nursing and physiotherapy students in Bolivia.

Sagrario Pérez-de la Cruz, Ivonne F Ramírez-Martínez

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Sagrario Pérez-de la CruzDepartment of Nursing, Physiotherapy and Medicine, University of Almería, Almería, 04120, Spain. spd205@ual.es.
Ivonne F Ramírez-MartínezUniversity of San Francisco Xavier de Chuquisaca, Sucre, 010001, Bolivia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConfronting death is a highly stressful task for health science students, shaped significantly by cultural and gender-related factors.

objectiveTo evaluate levels of fear of death and coping strategies associated among nursing and physiotherapy students in Bolivia, identifying key predictors of preparedness.

methodsA descriptive, cross-sectional, and multicenter study was conducted with 816 students (414 Nursing students) and 402 Physiotherapy students) from different Bolivian higher education institutions. Data were collected using the Bugen Death Coping Scale, the Collett-Lester Fear of Death Scale (CL- Fods), and ad-hoc clinical preparedness self-assessment. Statistical analysis included independent t-tests, Chi-square tests, and multiple linear regression models.

resultsStudents reported significantly lower preparedness for terminally ill patients compared to non-terminal ones (21.8% vs. 43.4% reporting being "quite" or "very" prepared). Similarly, emotional preparedness was lower for terminal care (32.6% vs. 51.5%). According to the Bugen scale, women demonstrated significantly higher coping scores than men (105.77 vs. 98.12; p<0.001). However, the CL-FODS revealed that women also experience significantly higher fear regarding their own dying process (p<0.001) and the death of others (p<0.001). Regression models identified gender as a primary predictor for coping (β = 0.14, p=0.001). For fear of death (CL-FODS), gender (β = 0.12, p=0.003), academic program (β = 0.07, p=0.038), and age (β=-0.09, p=0.045) were significant predictors, with fear decreasing as age increases.

conclusionA significant gap exists in clinical and emotional preparedness for end-of-life care among health science students in Bolivia. While female students show higher coping capacity, they also report greater anxiety. Results suggest that academic curricula should be redesigned to include specific palliative care competencies, addressing the influence of gender and age on the emotional management of death. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

EducationEnd-of-lifeNursingPalliativePhysiotherapyStudents

Identifiers

PMID41877193
PMCPMC13134127

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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.