Death anxiety: concept analysis and clarification of nursing diagnosis
Abstract
PURPOSE: To analyze the concept of "Death anxiety" (00147) and to propose modifications in the components of this diagnosis in Taxonomy II of NANDA-I. METHODS: A conceptual analysis was developed based on the eight steps proposed by Walker and Avant. FINDINGS: Twenty-six articles were included from a search in four databases. Three defining attributes, nine antecedents, and two consequent ones were identified from concept analysis. CONCLUSIONS: Conceptual analysis made possible the clarification of this diagnosis and the proposition of modifications in its components, which could provide a diagnostic accuracy. IMPLICATIONS FOR NURSING PRACTICE: Clarification of the diagnosis will allow the accurate identification of this phenomenon in clinical practice and, consequently, more appropriate nursing interventions. OBJETIVO: Analisar o conceito de "Ansiedade relacionada à morte" (00147) e propor modificações nos componentes deste diagnóstico na Taxonomia II da NANDA-I. MÉTODOS: Uma análise conceitual foi desenvolvida com base nos oito passos propostos por Walker e Avant. RESULTADOS: Vinte e seis artigos foram incluídos a partir de uma busca em quatro base de dados. Três atributos definidores, nove antecedentes e dois consequentes foram identificados a partir da análise deste conceito. CONCLUSÕES: A análise conceitual possibilitou a clarificação deste diagnóstico e a proposição de modificações em seus componentes, o que poderá proporcionar uma acurácia diagnóstica. IMPLICAÇÕES PARA A ENFERMAGEM: A clarificação do diagnóstico possibilitará a identificação precisa deste fenômeno na prática clínica e, consequentemente, intervenções de enfermagem mais adequadas.
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In Western societies, death is usually considered taboo, leading to everyday conversations being suppressed or rejected, and isolating these topics in specific environments such as hospitals, to prevent causing distress to those who may be approaching the end of life.
“In Western societies, death is usually considered taboo, leading to everyday conversations being suppressed or rejected, and isolating these topics in specific environments such as hospitals, to prevent causing distress to those who may be approaching the end of life.36”
From Psychological adjustment to death anxiety: a qualitative study of Chinese patients with advanced cancer (2024) · cites this paper as [36]
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“…and death anxiety, indicating that elderly people experience pain due to illness and are extremely anxious about their short and limited lifespan (Mercês et al., 2020), thus, we should pay greater attention to elderly individuals who are otherwise healthy but suffer from chronic ailments,…”
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“Although this denial of death may help a person avoid being in touch with painful experiences, it may subsequently prevent the development of more healthy coping mechanisms (Mercês et al., 2019).”
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- Authors
- Mercês, C. A. M. F., Souto, J. D. S. S., Zaccaro, K. R. L., deSouza, J. F., Primo, C. C., & Brandão, M. A. G.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Graduate Program in Nursing School Anna Nery, UFRJ, Rio de Janeiro, Rio de Janeiro, Brazil
- Departament of Nursing of Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
- Corresponding author
- Souto, Jaqueline da Silva Soares
- ORCID
- Venue
- International Journal of Nursing Knowledge
- Publisher
- SAGE Publications
- Published
- 2020-07
- Volume
- 31
- Issue
- 3
- Pages
- 218-227
- ISSN
- 2047-3087 (ISSN-L)
- 2047-3095
- OpenAlex
- W2973583884
- Semantic Scholar
- 748740e37270d6fdc79712ae57f3da9971556ae1
- Cited by
- 22
- References
- 52
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 4 · 2021: 4 · 2020: 1
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Knowledge (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (200.839/2019 (242621))
- Topics
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Keywords
- fear of death, nursing diagnosis, NANDA-I Taxonomy II, conceptual analysis, defining attributes, antecedents, consequences, nursing interventions, terminological clarification
- MeSH terms
- Anxiety, Attitude to Death, Brazil, Death, Humans, Nursing Diagnosis
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