Nursing students’ perceptions and coping in end-of-life situations

Authors

DOI:

https://doi.org/10.5902/2179769288803

Keywords:

Students, Nursing, Education, Nursing, Death, Attitude to Death, Terminal Care

Abstract

Objective: to understand nursing students’ perceptions, feelings, and coping strategies when caring for patients at the end of life. Method: qualitative, descriptive-exploratory study. From June to November 2021, semi-structured interviews were conducted with 15 nursing students. Data were analyzed using discursive textual analysis. Results: three categories emerged: (1) Nursing students’ perceptions and feelings about patients’ death and dying in end-of-life care; (2) Nursing students’ coping strategies when caring for patients at the end of life and at the time of death; and (3) Teaching about death and end of life in undergraduate nursing education. Conclusion: nursing curricula should include teaching on compassionate communication and the management of suffering and end-of-life symptoms. Providing emotional support and teaching coping strategies can better prepare students for end-of-life care.

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Author Biographies

Luis Eduardo Oliveira dos Passos, Empresa União Assistencial

Nurse, postgraduate in nephrology, Nurse at the União Assistencial Company, Passo Fundo, Rio Grande do Sul, Brazil

Silvana Bastos Cogo, Federal University of Santa Maria

Nurse, PhD in nursing, associate professor in the Department of Nursing and in the Postgraduate Program in Nursing at the Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.

Aline Ost dos Santos, Federal University of Rio Grande

Nurse, master's degree in nursing, doctoral student in the Postgraduate Program in Nursing at the Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.

Carolina Heleonora Pilger, Federal University of Rio Grande do Sul

Nurse, master's degree in nursing, doctoral student in the Postgraduate Program in Nursing at the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Vanúzia Sari, Federal University of Santa Maria

Nurse, Teacher of Basic Technical and Technological Education, Master in Nursing, Specialist in Intensive Care through the Multiprofessional Residency modality

Graciela Dutra Sehnem, Federal University of Santa Maria

Nurse, PhD in nursing, assistant professor in the Department of Nursing and in the Postgraduate Program in Nursing at the Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.

References

Cordeiro FR, Oliveira SG, Giudice JZ, Fernandes VP, Oliveira AT. Definiciones para “cuidados paliativos”, “final de vida” y “enfermedad terminal” en oncología: scoping review. Enfermería (Montev En Línea). 2020;9(2):205-28. doi: 10.22235/ECH.V9I2.2317. DOI: https://doi.org/10.22235/ech.v9i2.2317

Santos GKN, Oliveira LC, Fonseca MRA, Sousa DA, Lima PAL, Barros LM. O medo da morte e do morrer em estudantes da área da saúde. Psicol Pesqui (Online). 2022;16(1):1-20. doi: 10.34019/1982-1247.2022.v16.30075. DOI: https://doi.org/10.34019/1982-1247.2022.v16.30075

Medeiros DS, Melo MCSC, Souza RCM, Salimena AMO. Conhecimentos e significados da morte para discentes de enfermagem. Rev Bras Pesqui Saúde. 2020;22(2):89-95. doi: 10.47456/rbps.v22i2.19965. DOI: https://doi.org/10.47456/rbps.v22i2.19965

Hey AP, Tonocchii RC, Agudo AT, Garraza TS, Szczypior DM, Massi GAA. Perceptions about the role of nurses in people at the end of life. Rev Enferm UFSM. 2021;11:e21. doi: 10.5902/2179769243525. DOI: https://doi.org/10.5902/2179769243525

Wang Y. Nursing students’ experiences of caring for dying patients and their families: a systematic review and meta-synthesis. Front Nurs. 2019;6(4):261-72. doi: 10.2478/FON-2019-0042. DOI: https://doi.org/10.2478/FON-2019-0042

Lopes MFGL, Melo YST, Santos MWCL, Oliveira DAL, Maciel AMSB. Vivências de enfermeiros no cuidado às pessoas em processo de finitude. Rev Ciênc Plur. 2020;6(2):82-100. doi: 10.21680/2446-7286.2020v6n2ID18828. DOI: https://doi.org/10.21680/2446-7286.2020v6n2ID18828

Cybulska AM, Zołnowska MA, Schneider-Matyka D, Nowak M, Starczewska M, Grochans S, et al. Analysis of nurses attitudes toward patient death. Int J Environ Res Public Health. 2022;19(20):13119. doi: 10.3390/ijerph192013119. DOI: https://doi.org/10.3390/ijerph192013119

Gonçalves RG, Oliveira LPBA, Silva CJA, Elias TMN, Nogueira ILA, Menezes RMP. Palliative care in nursing training: higher education course coordinators’ perception. Rev Bras Enferm. 2023;76(3):e20220222. doi: 10.1590/0034-7167-2022-0222. DOI: https://doi.org/10.1590/0034-7167-2022-0222

Minosso JSA, Martins MMFP, Oliveira MAC. Palliative care in undergraduate nursing education: a mixed-methods study. Referência. 2022;6(1):1-8. doi: 10.12707/rv21060. DOI: https://doi.org/10.12707/RV21060

Ribeiro BS, Coelho TO, Boery RNSO, Vilela ABA, Yarid SD, Silva RS. Ensino dos cuidados paliativos na graduação em enfermagem do Brasil. Enferm Foco [Internet]. 2019 [acesso em 2025 set 08];10(6):131-6. Disponível em: https://enfermfoco.org/wp-content/uploads/articles_xml/2357-707X-enfoco-10-06-0131/2357-707X-enfoco-10-06-0131.pdf.

Sarmento WM, Araújo PCB, Silva BN, Silva CRDV, Dantas RCO, Véras GCB, et al. Formação acadêmica e qualificação profissional dos enfermeiros para a prática em cuidados paliativos. Enferm Foco. 2021;12(1):33-9. doi: 10.21675/2357-707X.2021.v12.n1.3805. DOI: https://doi.org/10.21675/2357-707X.2021.v12.n1.3805

Hökkä M, Lehto JT, Kyngäs H, Pölkki T. Finnish nursing students' perceptions of the development needs in palliative care education and factors influencing learning in undergraduate nursing studies - a qualitative study. BMC Palliat Care. 2022 Mar 23;21(1):40. doi: 10.1186/s12904-022-00915-6. DOI: https://doi.org/10.1186/s12904-022-00915-6

Hökkä M, Pölkki T, Lehto JT. Nursing students' views of the content of palliative care in undergraduate education and their self-assessed palliative care competence-a nationwide cross-sectional study. J Palliat Care. 2022 Jul;37(3):434-42. doi: 10.1177/08258597221084445. DOI: https://doi.org/10.1177/08258597221084445

Pereira SM, Hernández-Marrero P, Pasman HR, Capelas ML, Larkin P, Francke AL. Nursing education on palliative care across Europe: Results and recommendations from the EAPC Taskforce on preparation for practice in palliative care nursing across the EU based on an online-survey and country reports. Palliat Med. 2021 Jan;35(1):130-41. doi: 10.1177/0269216320956817. DOI: https://doi.org/10.1177/0269216320956817

Dominguez RGS, Freire ASV, Lima CFM, Campos NAS. Palliative care: challenges for teaching in the perception of nursing and medical students. Rev Baiana Enferm. 2021;35:e38750. doi: 10.18471/rbe.v35.38750. DOI: https://doi.org/10.18471/rbe.v35.38750

Morais R, Galiazzi MC. Análise textual discursiva. 3 ed. rev. ampl. Ijuí (RS): Unijuí; 2020. eBook.

Alvim ALS, Almeida ALO, Santos KC, Oliveira LKC, Silva NR. Morte e o processo de morrer na visão dos discentes de enfermagem. J Health NPEPS [Internet]. 2021 [acesso em 2023 set 15];6(1):302-13. Disponível em: https://periodicos.unemat.br/index.php/jhnpeps/article/view/5010. DOI: https://doi.org/10.30681/252610105010

Sandoval SÁ, Vargas MAO, Schneider DG, Magalhães ALP, Brehmer LCF, Zilli F. Death and die in the hospital: a social, spiritual and ethical look of students. Esc Anna Nery. 2020;24(3):e20190287. doi: 10.1590/2177-9465-EAN-2019-0287. DOI: https://doi.org/10.1590/2177-9465-ean-2019-0287

Couceiro FBL, Bonini LMM, Afférri C, Imada HN, Nictheroy LM, Silva RA. A percepção da morte e do morrer por estudantes de medicina. Diálogos Interdisciplinares [Internet]. 2019 [acesso em 2023 set 15];8(10):1-13. Disponível em: https://revistas.brazcubas.br/index.php/dialogos/article/view/821.

Ramos VC, Cirino AAOG. Concepções sobre a morte e o morrer entre estudantes de psicologia. Estud Interdiscip Psicol. 2020;11(1):26-48. doi: 10.5433/2236-6407.2020v11n1p26. DOI: https://doi.org/10.5433/2236-6407.2020v11n1p26

Sartor SF, Mercês NNA, Torrealba MNR. Significados da morte para adultos com câncer assistidos em um hospital oncológico do Brasil. Enferm Actual Costa Rica [Internet]. 2022 [acesso em 2023 set 22];42:13-26. Disponível em: https://docs.bvsalud.org/biblioref/2023/03/1384849/enfermerian42art13.pdf.

Andrade PCST, Gomes AMT, Spezani RS, Nogueira VPF, Barbosa DJ, Bernardes MMR, et al. Social representation of death for nursing Students. Cogitare Enferm. 2021;26:e71628. doi: 10.5380/ce.v26i0.71628. DOI: https://doi.org/10.5380/ce.v26i0.71628

Cattâneo LP, Vitali MM, Ferraz F, Soratto J. Atuação dos acadêmicos dos cursos da saúde frente ao processo de morte e morrer nos cenários de prática assistencial. Saúde Redes. 2021;7(1):39-49. doi: 10.18310/2446-4813.2021v7n1p39-49. DOI: https://doi.org/10.18310/2446-4813.2021v7n1p39-49

Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219-39. doi: 10.2307/2136617. DOI: https://doi.org/10.2307/2136617

Ferreira JC, Pereira AP, Bonamigo EL. Difficulty communicating the patient’s death to family members. Rev Bioét. 2022;30(1):36-44. doi: 10.1590/1983-80422022301504PT. DOI: https://doi.org/10.1590/1983-80422022301504pt

Hernández Ramírez MJ, González-Martí EY, Fuentes Rodríguez AM, Carranza López SA, Compeán Padilla V, Guerrero Castañeda RF. Lived experience of first contact with death in nursing students' clinical prácticum. Enfermería Glob. 2022;21(65):116-39. doi: 10.6018/eglobal.483631. DOI: https://doi.org/10.6018/eglobal.483631

López Encina ME, Vega Vega PA, Carrasco Aldunate P, González Briones XG, Abarca González E, Rojo Sánchez L, et al. Estrategias del equipo de salud para afrontar la muerte de niños y adolescentes con câncer. Rev Cuba Enferm. 2022 [acceso en 2023 sep 16];38(2):e4624. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192022000200005.

Novais SAL, Aguiar AR, Sousa AR, Almeida M, Raposo M. Atitudes dos estudantes de enfermagem perante a morte e os cuidados em fim de vida. Referência. 2021;5(6):e20111. doi: 10.12707/rv20111. DOI: https://doi.org/10.12707/RV20111

Jilou V, Duarte JMG, Gonçalves RHA, Vieira EE, Simões ALA. Fatigue due to compassion in health professionals and coping strategies: a scoping review. Rev Bras Enferm. 2021;74(5):e20190628. doi: 10.1590/0034-7167-2019-0628. DOI: https://doi.org/10.1590/0034-7167-2019-0628

Palomar Gallardo MC, Romero Palomar M, Pérez García E, Romero Palomar MI. Educar para la vida y la muerte a los estudiantes de Enfermería: “del miedo al amor”. Enfermería (Montev En Línea). 2020;9(1): 65-81. doi: 10.22235/ech.v9i1.2167. DOI: https://doi.org/10.22235/ech.v9i1.2167

Published

2025-10-13

How to Cite

Passos, L. E. O. dos, Cogo, S. B., Santos, A. O. dos, Pilger, C. H., Sari, V., & Sehnem, G. D. (2025). Nursing students’ perceptions and coping in end-of-life situations. Revista De Enfermagem Da UFSM, 15, e16. https://doi.org/10.5902/2179769288803

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