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- MakaleYalnız künye2025Scopus SJRQ2Death Literacy Index Short Form: Cultural Adaptation and Psychometric Evaluation of the Turkish Version
Semerci Çakmak, Vahide; Sönmez Sarı, Ebru; Seven, Ahmet
The aim of this study was to adapt the short form of Death Literacy Index (DLI-9) into Turkish and to examine its psychometric properties. This study has a methodological cross-sectional design. The study was conducted with a sample of 400 adults across Türkiye during October-November. Content Validity Index, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Convergent and Discriminant Validity Analyses, test-retest reliability, Cronbach’s α-coefficient, item-total-score correlation, 27% upper-lower-group item analysis and Hotelling-T2test were used in data analysis. In the EFA analysis, the scale consisted of 2 factors. The original two-factor structure of the scale was confirmed by CFA. CFA model fit values were found as CMIN/DF = 2.078, RMSEA = 0.074, RMR = 0.077, SRMR = 0.0455, CFI = 0.960, NFI = 0.927, TLI = 0.945, GFI = 0.946, and AGFI = 0.906. The total Cronbach’s α reliability coefficient of the DLI-9 was found to be 0.84. This study indicates that scale is a reliable tool for evaluating death literacy in the Turkish population.
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İncele - MakaleAçık Erişim2025Scopus SJRQ1Perceptions of Good Death and Death Literacy Levels of Nurses Working in Palliative Care: A Cross-Sectional Study
Seven, Ahmet; Sari, Ebru Sönmez; Semerci, Vahide
Aim: To determine the perceptions of good death and death literacy levels of Turkish nurses working in palliative care services and the factors affecting their perceptions of good death. Background: Death literacy is defined as the acquisition of the knowledge and skills necessary to understand end-of-life care and contribute to a good death. Methods: For this cross-sectional study, sample consisted of 162 Turkish nurses working in palliative care services. The data were collected using the Socio-demographic Information Form, Good Death Scale (GDS), and Death Literacy Index (DLI). The data were analyzed by Pearson correlation, independent sample t test, and one-way ANOVA. Hierarchical regression analysis was performed to determine the predictors of good death perception. The STROBE checklist was used in the study. Findings: The mean GDS score was 59.53 ± 4.49, and the mean DLI score was 100.70 ± 12.11. It was determined that those who are older, male, married, have worked longer in the clinic, and have knowledge about a good death have higher average scores on the GDS. The models explain 91.8% of the variance in the perception of good death. Discussion: Our study shows that as death literacy increases, nurses’ perceptions of a good death tend to decrease. This situation suggests that as nurses’ knowledge and awareness of death increase, the inadequacies of the healthcare system and the impact of limited resources may cause them to develop a more negative perception. Death literacy in nurses is a new concept, and further studies are needed in different cultures. Conclusions: In the study, it was observed that death literacy levels and good death perceptions of nurses were above average, and as the death literacy level of nurses increased, their good death perceptions decreased. Age, gender, marital status, working time in the clinic and knowledge about good death affect the perception of good death of nurses working in palliative care. Implications for nursing: By improving their understanding of death literacy and the principles of a good death, palliative care nurses can achieve greater job satisfaction and develop a more positive attitude toward end-of-life care. In addition, systematically incorporating death literacy into nursing education curricula and continuing professional development programs, and the establishment of evidence-based clinical guidelines and standard care protocols will improve the quality of palliative care services.
AtıfScopus5WoS5OpenAlex6İncele - MakaleAçık Erişim2025Scopus SJRQ1Death anxiety and death literacy among Turkish patients with chronic diseases: a cross-sectional study
Semerci Çakmak, Vahide; Seven, Ahmet; Sönmez Sari, Ebru
Background: Death anxiety is common in patients with chronic diseases. Death literacy is a novel theoretical framework that enables patients to discuss death, accept it as a natural aspect of life, and get a deeper comprehension of it. However, it is unclear whether there is a relationship between death literacy and death anxiety. Furthermore, death literacy has not been sufficiently researched in Turkish society. This study investigated the levels of death anxiety and death literacy among Turkish patients with chronic diseases and the factors affecting death anxiety. Methods: This was a cross-sectional study. The sample consisted of Turkish patients with chronic diseases (n = 225). The data were collected with the Turkish Death Anxiety Scale and the Death Literacy Index. Pearson correlation, independent samples t test, One-Way ANOVA, and multiple linear regression were employed to analyse the data. Results: There exists a negative moderate correlation between death anxiety and death literacy. It has been determined that the factors that most influence patients’ fear of death are their level of death literacy and gender. These factors explained 12.8% of the variance in death anxiety (R2 = 0.128, F = 3.153, p < 0.001). Conclusions: The results suggest that death literacy level and gender were found to be factors affecting death anxiety of patients. Women have higher death anxiety scores. While the level of death literacy of Turkish patients with chronic diseases increases, their death anxiety decreases. The findings of the study were believed to offer a comprehensive information for healthcare practitioners in the management of such patients.
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