Abstract

AimDeath distress can increase mental health problems. The aim of the present study was to develop a measure of death distress and evaluate the reliability of this Death Distress Scale‐Farsi (DDS‐F) among nurses. The hypotheses were that death distress has three components and that the DDS‐F would have desirable psychometric properties.DesignA descriptive cross‐sectional study.MethodsA convenience sample of 106 Iranian nurses from two hospitals at Tehran city, Iran was recruited. They completed the Death Anxiety Scale (DAS), the Death Depression Scale (DDS) and the Death Obsession Scale (DOS).ResultsCronbach's α for the DDS‐F was 0.71. As expected, the DDS‐F had three independent components: death obsession, death depression and death anxiety. A principle component analysis with a varimax rotation of the DDS‐F items identified three factors accounting for 66.13% of the variance. Factor 1 was labelled “Death Obsession” (31.3% of the variance), Factor 2 was labelled “Death Depression” (21.9% of the variance), and Factor 3 was labelled “Death Anxiety” (12.8% of the variance).DiscussionDeath distress has three components: death obsession, death depression and death anxiety. The DDS‐F which measures these has good psychometric properties, and it can be used in hospital settings to assess death distress among Iranian nurses.

Highlights

  • There is a negative attitude towards issues related to death and dying in nurses working in hospitals of Iran (e.g. Arab, Seyed Bagheri, Sayadi, & Heydarpour, 2019; Dadfar & Lester, 2014a; Dadfar, Asgharnejad Farid, Atef Vahid, Lester, & Birashk, 2014; Dadfar, Lester, Asgharnejad Farid, Atef Vahid, & Birashk, 2014; Sharif Nia, Lehto, Ebadi, & Peyrovi, 2016)

  • To administer all three Death Anxiety Scale (DAS), Death Depression Scale (DDS), and Death Obsession Scale (DOS) involved a total of 47 items and the goal of the present study was to develop a brief measure of these three components using a brief 9-item scale

  • A convenience sample of 106 Iranian volunteer nurses was selected from different wards of two hospitals in Tehran, Iran: Hazrat-e Rasool General Hospital affiliated with Iran University of Medical Sciences and the Khatom-Al-Anbia General Hospital

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Summary

Introduction

There is a negative attitude towards issues related to death and dying in nurses working in hospitals of Iran (e.g. Arab, Seyed Bagheri, Sayadi, & Heydarpour, 2019; Dadfar & Lester, 2014a; Dadfar, Asgharnejad Farid, Atef Vahid, Lester, & Birashk, 2014; Dadfar, Lester, Asgharnejad Farid, Atef Vahid, & Birashk, 2014; Sharif Nia, Lehto, Ebadi, & Peyrovi, 2016). Death education has been shown to be effective in changing the negative attitude towards death in nurses and other hospital staff Various factors can impact on the level of death distress in nurses (Dadfar & Lester, 2020). Some findings found among English sample (Maltby & Day, 2000a), Muslim Lebanese (Abdel-Khalek, 1998a), Saudi Arabia sample (Almostadi, 2012) and Iranians (Dadfar, Bahrami, Sheybani Noghabi, & Askari, 2016; Dadfar & Lester, 2017a; Mohammadzadeh, 2015; Mohammadzadeh & Najafi, 2010, 2018)

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