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Death Acceptance in Intensive Care Unit Nurses: A Concept Analysis Using Walker and Avant’s Method: A Cross-Sectional Study
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Mina Alipoor    , Monirehsadat Nematollahi * , Somayeh Moayedi , Samira Beigmoradi , Bahar Noori |
| Nursing School of Nursing and Midwifery Reproductive and family health research center Kerman University of Medical Sciences Kerman University of Medical Sciences, Kerman, Iran , mpnirnematollahi@yahoo.com |
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Abstract: (41 Views) |
Background & aim: Repeated exposure to patient death in intensive care units (ICUs) places nurses under considerable psychological, emotional, and ethical stress. Death acceptance, as a psychological and spiritual process, plays a crucial role in enhancing nurses’ professional performance and well-being. However, a clear, structured understanding of this concept-particularly within the Iranian cultural context-is lacking. This study aimed to conceptually clarify death acceptance among ICU nurses using Walker and Avant’s method.
Methods: This study employed a concept analysis based on Walker and Avant’s systematic eight-step method. A comprehensive literature search was conducted in the following electronic databases: PubMed, Scopus, Web of Science, ProQuest, and Magiran, covering the period from 2000 to 2024. To ensure data relevance and quality, only articles addressing the concept of death acceptance among intensive care unit (ICU) nurses, published in Persian or English and with full-text availability, were included. Following the initial screening process, 40 eligible articles were selected for this analysis. Data were systematically extracted and examined according to the steps outlined by Walker and Avant.
Results: The core attributes of death acceptance included awareness of death as a natural phenomenon, emotional regulation, and professional engagement with dying patients. Antecedents comprised ICU experience, formal end-of-life care training, and cultural and religious beliefs. Consequences included improved care quality, reduced burnout, and enhanced empathy.
Conclusion: Death acceptance in ICU nurses is a multidimensional concept shaped by individual, cultural, and organizational factors. Clarifying this concept can inform educational and psychosocial interventions to strengthen nurse’s resilience and end-of-life care quality. |
Article number: 1 |
| Keywords: Death Acceptance, ICU Nurses, Concept Analysis, End-of-Life Care, Walker and Avant Method |
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Full-Text [PDF 1201 kb]
(2 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/07/26 | Accepted: 2025/11/16 | Published: 2025/12/10
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