{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:32:45Z","timestamp":1792683165247,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    Nursing students often encounter emotional challenges when facing death during their clinical training, which can negatively impact their academic performance and mental well-being. As they provide crucial support to patients and their families, this responsibility can induce significant stress.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                    <\/jats:bold>\n                    This study aims to examine nursing students\u2019 attitudes toward death and dying and to identify the demographic and educational factors influencing their preparedness for end-of-life care in the United Arab Emirates context.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    In March 2025, a cross-sectional study was conducted using a convenience sample of 122 nursing students (senior and junior) enrolled in clinical placements at a university in the United Arab Emirates. Data collection utilized the validated Death Attitude Profile-Revised (DAP-R) and Frommelt Attitudes Toward Care of the Dying (FATCOD) scales as assessment tools.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    The study showed that nursing students typically hold neutral attitudes toward caring for patients nearing the end of life. There are statistically significant correlations between age, education level, grade point average, clinical scores, and overall scores on the DAP-R scale, as well as the FATCOD Scale, among the participants.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                    <\/jats:bold>\n                    While many students showed some acceptance of death, high degrees of fear, avoidance, and escape acceptance had a significant impact on their views about end-of-life care. The findings indicate that emotional distress and insufficient training may act as impediments to compassionate treatment. Furthermore, the comparatively low FATCOD ratings indicate a need for better integration of palliative care instruction within the nursing curriculum. Structured clinical exposure, psychological coping mechanisms, and reflective learning opportunities could all be used to help students gain the essential confidence and emotional resilience.\n                  <\/jats:p>","DOI":"10.1177\/26892820251395427","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T01:20:46Z","timestamp":1763428846000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Death and Dying Attitude Through the Eyes of Nursing Students during Clinical Training: A Cross-Sectional Study in the United Arab Emirates"],"prefix":"10.1177","volume":"6","author":[{"given":"Amina","family":"Elzeiny","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Loutfy","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."},{"name":"Department of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrien","family":"Van Belkum","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein M.","family":"Magdi","sequence":"additional","affiliation":[{"name":"North London NHS Foundation Trust, London, England."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Elbatanouny","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bushra","family":"Al Hariri","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haneen","family":"Alazazmeh","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abrar","family":"Alrefai","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Dentistry and Health Sciences, University of Fujairah, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1107"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2022.105304"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.09.013"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000428"},{"key":"e_1_3_8_6_1","article-title":"Emotional and psychological experiences of nursing students caring for dying patients: A phenomenology study at Mulago National Hospital, Uganda","author":"Nabirye AK","year":"2024","unstructured":"5. Nabirye AK, , Munabi IG, , Mubuuke AG, , Kiguli S. Emotional and psychological experiences of nursing students caring for dying patients: A phenomenology study at Mulago National Hospital, Uganda. Res Sq 2024:rs.3.rs\u2013r4323878 .","journal-title":"Res Sq"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.636582"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12602"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v33n2a13"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00846-w"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NEP.0000000000000335"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2019.e02578"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447003000308"},{"issue":"1","key":"e_1_3_8_14_1","article-title":"Attitudes toward care of the terminally ill: An educational intervention","volume":"20","author":"Murray Frommelt KH","year":"2003","unstructured":"13. Murray Frommelt KH. Attitudes toward care of the terminally ill: An educational intervention. American Journal of Hospice and Palliative Medicine 2003;20(1).","journal-title":"American Journal of Hospice and Palliative Medicine"},{"key":"e_1_3_8_15_1","first-page":"121","volume-title":"Death Anxiety Handbook: Research, Instrumentation, and Application","author":"Wong PTP","year":"1994","unstructured":"14. Wong PTP, , Reker GT, , Gesser G. Death Attitude Profile\u2014Revised: A multidimensional measure of attitudes toward death. In Neimeyer R. A (Ed.), Death Anxiety Handbook: Research, Instrumentation, and Application. Taylor & Francis.; 1994. pp. 121\u2013148 ."},{"issue":"5","key":"e_1_3_8_16_1","first-page":"3616","article-title":"Attitude of undergraduate nursing interns in regard to death and the influencing factors","volume":"15","author":"Xiang Y","year":"2023","unstructured":"15. Xiang Y, , Zhang Y, , Ning Z. Attitude of undergraduate nursing interns in regard to death and the influencing factors. Am J Transl Res 2023;15(5):3616\u20133623 .","journal-title":"Am J Transl Res"},{"key":"e_1_3_8_17_1","unstructured":"16. Medesi GA. Death education for palliative psychology: An international death education project for psychology students [Thesis]. University of Padova; 2022 ."},{"key":"e_1_3_8_18_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v8i1.17270"},{"key":"e_1_3_8_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.156497"},{"key":"e_1_3_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898010115596492"},{"issue":"15","key":"e_1_3_8_21_1","first-page":"1","article-title":"End-of-life education: Nurse students knowledge and attitudes. A descriptive and cross-sectional survey","volume":"1","author":"G\u00f3mez-Martinez L","year":"2021","unstructured":"20. G\u00f3mez-Martinez L, , Abajas R, , Pell\u00f3n NR, , Ortego C. End-of-life education: Nurse students knowledge and attitudes. A descriptive and cross-sectional survey. Int J Nurs & Healt Car Scie 2021;1(15):1\u20136. Available from: https:\/\/www.researchgate.net\/publication\/355944294","journal-title":"Int J Nurs & Healt Car Scie"},{"key":"e_1_3_8_22_1","doi-asserted-by":"publisher","DOI":"10.32598\/JCCNC.10.2.519"},{"issue":"2","key":"e_1_3_8_23_1","first-page":"e2021018","article-title":"Nursing student attitudes toward dying patient care: A European multicenter cross-sectional study","volume":"92","author":"Ferri P","year":"2021","unstructured":"22. Ferri P, , Di Lorenzo R, , Stifani S, , Nursing student attitudes toward dying patient care: A European multicenter cross-sectional study. 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