This survey study examined a proposed causal model of acceptance of death, through a chart review and interviews of sixty-nine home hospice patients, their primary caregivers, and hospice staff. Path analysis revealed an overall significant effect of the model, explaining 23 percent of the variance in the dependent variable planning for death. Patient values was found to have a significant direct effect upon planning for death. Spirituality was negatively related to death anxiety and positively related to social support. Age had a direct effect upon spirituality, with older patients having a higher level of spirituality. Ethnicity was related to patient social support, with whites having higher social support. Correlations conducted between variables further specified the model, revealing relationships between age and ethnicity, and social support and hospice values.
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References
1.
EriksonE. H., Childhood and Society, Norton, Philadelphia, Pennsylvania, 1950.
2.
JosephM. V., Religion and Social Work Practice, Social Casework, 69, pp. 443–452, 1988.
3.
ReedP. G., Spirituality and Wellbeing in Terminally Ill Hospitalized Adults, Research in Nursing and Health, 10, pp. 335–344, 1987.
4.
CorrC. A., A Task-Based Approach to Coping with Dying, Omega: Journal of Death and Dying, 24:2, pp. 81–94, 1991–92.
5.
DobratzM.BurnsK., and OdenR., Pain in Home Hospice Patients: An Exploratory Descriptive Study, The Hospice Journal, 5:3–4, pp. 117–133, 1989.
6.
TittleM., Toward a Predictive Model for Nursing Care Needs of Do-Not-Resuscitate Patients in Intensive Care (doctoral dissertation, University of Florida), Dissertation Abstracts International, 1988.
7.
KulysR., Readiness among the Very Old to Face Culture Crises, Journal of Gerontological Social Work, 5:4, pp. 3–26, 1983.
8.
PressmanP.LyonsJ. S.LarsonD. B., and StrainJ. J., Religious Belief, Depression, and Ambulation Status in Elderly Women with Broken Hips, American Journal of Psychiatry, 147:6, pp. 758–760, 1990.
9.
BarkwellD., Ascribed Meaning: A Critical Factor in Coping and Pain Attenuation in Patients with Cancer-Related Pain, Journal of Palliative Care, 7:3, pp. 5–14, 1991.
10.
PollnerM., Divine Relations, Social Relations, and Wellbeing, Journal of Health and Social Behavior, 30, pp. 92–104, 1989.
11.
KlenowD. and BolinR., Belief in an Afterlife: A National Survey, Omega: Journal of Death and Dying, 20, pp. 63–74, 1989–90.
12.
EllK. and NishimotoR., Coping Resources in Adaptation to Cancer: Socioeconomic and Racial Differences, Social Service Review, 63, pp. 433–446, 1989.
13.
HandalP.PealR., and AustrinH., The Relationship between Direct and Indirect Measures of Death Anxiety, Omega: Journal of Death and Dying, 15:3, pp. 245–262, 1984–85.
14.
MenonG., Social Integration, Age Groups, and Attitudes toward Euthanasia (doctoral dissertation, University of Akron), Dissertation Abstracts International, 51, No. 05A, 1990.
15.
SovineC., Attitudes toward Euthanasia: A Family Generational Study (doctoral dissertation, University of Iowa), Dissertation Abstracts International, 1988.
16.
BarrettD., The Relationships among Ego Development, Intuition, and Death Anxiety in a Sample of Death Educators and Health Care Providers Working with the Dying and Their Families (doctoral dissertation, University of Minnesota), Dissertation Abstracts International, No. 9112659, 1990.
17.
FrankeK. and DurlakJ., Impact of Life Factors upon Attitudes toward Death, Omega: Journal of Death and Dying, 21:1, pp. 41–49, 1990.
18.
GibbsH. and Achterberg-LawlisJ., Spiritual Values and Death Anxiety: Implications for Counseling with Terminal Cancer Patients, Journal of Counseling Psychology, 25, pp. 563–569, 1978.
19.
TemplerD. I., Death Anxiety in Religiously Very Involved Persons, Psychological Reports, 31, pp. 361–362, 1972.
20.
TemplerD. I. and DotsonE., Religious Correlates of Death Anxiety, Psychological Reports, 26, pp. 895–897, 1970.
21.
ChaggarisM. and LesterD., Fear of Death and Religious Belief, Psychological Reports, 64, p. 274, 1989.
22.
FranksK.TemplerD. I., and CappellettyG., Exploration of Death Anxiety as a Function of Religious Variables in Gay Men with and without AIDS, Omega: Journal of Death and Dying, 22:1, pp. 43–50, 1990–91.
23.
AdayR., Belief in Afterlife and Death Anxiety: Correlates and Comparisons, Omega: Journal of Death and Dying, 15:1, pp. 67–75, 1984–85.
24.
WuK., Family Support, Age, and Emotional States of Terminally Ill Cancer Patients, Omega: Journal of Death and Dying, 22:2, pp. 139–151, 1990–91.
25.
BlakeL., Unfolding Spirituality—Women's Stories: An Exploration of Women's Spirituality from the Perspective of Women's Psychological Development (doctoral dissertation, University of Massachusetts), Dissertation Abstracts, 1991.
26.
KaczorowskiJ., Spiritual Wellbeing and Anxiety in Adults Diagnosed with Cancer, The Hospice Journal, 5, pp. 105–116, 1989.
27.
EasleyE., The Impact of Traumatic Events on Religious Faith: Implications for Social Work (doctoral dissertation, Alabama), Dissertation Abstracts, 23:3, No. 1050, 1987.
28.
PetersonS. and GreilA., Death Experience and Religion, Omega: Journal of Death and Dying, 21, pp. 75–82, 1990.
29.
BassD., Response Bias in Studying Hospice Clients' Needs, Omega: Journal of Death and Dying, 13:4, pp. 305–318, 1982–83.
30.
MagazinerJ., The Epidemiologic Study of the Elderly, WallaceR. and WoolsonR. (eds.), Oxford University Press, New York, 1992.
31.
DiamondE.JerniganJ.MoseleyR.MessinaV., and McKeownR., Decision-making Ability and Advance Directive Preferences in Nursing Home Patients and Proxies, The Gerontologist, 29:5, pp. 622–626, 1989.
TurnerR. J.FrankelB. G., and LevinD. M., Research in Community and Mental Health, 3, GreenleyJ. R. (ed.), JAL, Greenwich, Connecticut, pp. 67–111, 1983.
34.
MelzackR., The McGill Pain Questionnaire: Major Properties and Scoring Methods, Pain, 1, pp. 277–299, 1975.
35.
FillenbaumG. and SmyerM., The Development, Validity, and Reliability of the OARS Multidimensional Functional Assessment Questionnaire, Journal of Gerontology, 36, pp. 428–434, 1981.
36.
ConteH.WeinerM., and PlutchikR., Measuring Death Anxiety: Conceptual, Psychometric, and Factor-Analytic Aspects, Journal of Personality and Social Psychology, 43:4, pp. 775–785, 1982.
37.
LevineJ.WarrenburgS.KernsR.SchwartzG.DelaneyR.FontanaA.GradmanA.SmithS.AllenS., and CascioneR., The Role of Denial in Recovery from Coronary Heart Disease, Psychosomatic Medicine, 49:2, pp. 109–117, 1987.
38.
National Hospice Organization, 1992 Stats Show Continued Growth in Programs and Patients, NHO Newsline, 3:16, p. 1, 1993.
