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Quality of palliative nursing care: Meaning, death anxiety, and the mediating role of well-being

Published online by Cambridge University Press:  10 February 2022

Mar Zulueta Egea Open the ORCID record for Mar Zulueta Egea [Opens in a new window] ,
María Prieto-Ursúa ,
Laura Bermejo Toro  and
Rafa Jodar Anchía
Mar Zulueta Egea*
Affiliation:
Nursing, Centro Universitario de Ciencias de la Salud San Rafael-Nebrija, Madrid, Spain
María Prieto-Ursúa
Affiliation:
Psychology Department and Clinical Unit of Psychology (UNINPSI), Comillas Pontifical University - Cantoblanco Campus, Comunidad de Madrid, Spain
Laura Bermejo Toro
Affiliation:
Psychology Department and Clinical Unit of Psychology (UNINPSI), Comillas Pontifical University - Cantoblanco Campus, Comunidad de Madrid, Spain
Rafa Jodar Anchía
Affiliation:
Psychology Department and Clinical Unit of Psychology (UNINPSI), Comillas Pontifical University - Cantoblanco Campus, Comunidad de Madrid, Spain
*
Author for correspondence: Mar Zulueta Egea, Nursing, Centro Universitario de Ciencias de la Salud San Rafael-Nebrija, Madrid, Spain. E-mail: mzulueta@nebrija.es
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Abstract

Background

There is increasing concern regarding the quality of palliative nursing care. However, despite the growing number of studies identifying related variables, there is still a paucity of studies analyzing models of how these variables interrelate.

Objective

The study aimed to identify the role played in the quality of palliative care of nursing professionals by the variables meaning and death anxiety and to investigate the mediating role of psychological well-being and engagement.

Method

176 palliative nursing professionals participated, selected by non-probabilistic convenience sampling using the snowball method. A simple mediation analysis and a multiple mediator model were performed in parallel, and data were collected using a paper and online questionnaire between January and May 2018.

Results

Well-being mediated the impact of meaning (indirect effect = 0.096, SE = 0.044, 95% confidence interval (CI): 0.028, 0.213) and death anxiety (indirect effect = −0.032, SE = 0.013, 95% CI: −0.064, −0.010) on the quality of care. Engagement, on the other hand, only mediated the impact of meaning (indirect effect = 0.185, SE = 0.085, 95% CI: 0.035, 0.372), while the indirect effect of death anxiety with the quality of care through engagement was not statistically significant (indirect effect = 0.008, SE = 0.009, 95% CI: −0.004, 0.032).

Significance of results

Death anxiety is not directly related to the quality of care, but rather has an effect through psychological well-being, a variable acting as a mediator between the two. The effect of meaning on the quality of care is explained by the mediation of both engagement and psychological well-being, and its impact on the quality of care is thereby mediated by more variables than death anxiety.

Keywords

Death anxietyHospice and palliative care nursingMeaningPsychological well-beingQuality of care
Type
Original Article
Information
Palliative & Supportive Care , Volume 21 , Issue 2 , April 2023 , pp. 205 - 213
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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