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Fear of Death, Dissection Avoidance ...
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Klender, Sara M.
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Fear of Death, Dissection Avoidance Behaviors, and Performance in Gross Anatomy Courses with Cadaveric Dissection.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Fear of Death, Dissection Avoidance Behaviors, and Performance in Gross Anatomy Courses with Cadaveric Dissection./
作者:
Klender, Sara M.
出版者:
Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:
97 p.
附註:
Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
Contained By:
Dissertations Abstracts International81-10B.
標題:
Science education. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27743851
ISBN:
9798641789668
Fear of Death, Dissection Avoidance Behaviors, and Performance in Gross Anatomy Courses with Cadaveric Dissection.
Klender, Sara M.
Fear of Death, Dissection Avoidance Behaviors, and Performance in Gross Anatomy Courses with Cadaveric Dissection.
- Ann Arbor : ProQuest Dissertations & Theses, 2020 - 97 p.
Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
Thesis (Ph.D.)--The University of Mississippi Medical Center, 2020.
This item must not be sold to any third party vendors.
There is debate as to whether or not cadaveric dissection is the best way to introduce future healthcare providers to death and dying issues. While some anatomists feel that dissection is essential and provides an important launching point for students' development of ideas and attitudes about death and dying, others argue that it may not be an appropriate way to introduce students to these sensitive issues. Literature has established cadaveric dissection as a source of anxiety for anatomy students. It has also been associated with negative reactions such as nausea, fear, insomnia, recurring images, nightmares, and loss of appetite. However, it remains largely unknown how this personal encounter with death impacts students' fear of death. The current study aimed to address this gap by describing how medical and dental students' fear of death changes with continued exposure to cadaveric dissection. Furthermore, we aimed to describe the relationship between students' fear of death, cadaveric dissection avoidance behaviors, and their gross anatomy performance. Students were first surveyed at the beginning of their gross anatomy course, before they began dissection. This survey collected demographic data along with information regarding prior anatomy experiences. This survey also included three of the eight subscales from the Multidimensional Fear of Death Scale (MFODS); Fear of the Dead, Fear of Being Destroyed, and Fear for the Body After Death. These three subscales consisted of 16 items which were chosen based on their relevance to the dissection experience. Students were also surveyed at the conclusion of each exam block. These follow-up surveys collected data regarding students' avoidance of dissection and also included the three subscales from the MFODS. Written and practical examination scores were obtained from the anatomy course directors at the conclusion of the course. Thirty-nine of 40 dental students (97.5%) and 143 of 165 medical students (86.7%) completed the initial survey. For medical students, repeated measures ANOVA showed no significant changes in Fear of the Dead (F (4, 108) = 1.45, p = .222) or Fear for the Body After Death (F (4, 108) = 1.83, p = .129) throughout the semester. However, there was a significant increase in medical students' Fear of Being Destroyed (F (4, 108) = 6.86, p < .0005). Dental students had similar results, with no change in Fear of the Dead (F (3, 32) = .374, p = .772) or Fear for the Body After Death (F (3, 32) = 1.221, p = .318), but a significant increase in Fear of Being Destroyed (F (3, 32) = 4.683, p = .008). Increases in both groups were primarily related to students' decreased willingness to donate their body after their dissection experience. Instructors might consider modifying dissection laboratories to mitigate this negative shift in attitudes toward dissection. Fear of death was associated with avoidance behaviors, particularly for the medical students, while the correlation between fear of death and performance was inconsistent. It appears that students with higher fear of death may use some avoidance behaviors to cope with dissection, but performance does not seem to be negatively impacted.
ISBN: 9798641789668Subjects--Topical Terms:
521340
Science education.
Subjects--Index Terms:
Avoidance
Fear of Death, Dissection Avoidance Behaviors, and Performance in Gross Anatomy Courses with Cadaveric Dissection.
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There is debate as to whether or not cadaveric dissection is the best way to introduce future healthcare providers to death and dying issues. While some anatomists feel that dissection is essential and provides an important launching point for students' development of ideas and attitudes about death and dying, others argue that it may not be an appropriate way to introduce students to these sensitive issues. Literature has established cadaveric dissection as a source of anxiety for anatomy students. It has also been associated with negative reactions such as nausea, fear, insomnia, recurring images, nightmares, and loss of appetite. However, it remains largely unknown how this personal encounter with death impacts students' fear of death. The current study aimed to address this gap by describing how medical and dental students' fear of death changes with continued exposure to cadaveric dissection. Furthermore, we aimed to describe the relationship between students' fear of death, cadaveric dissection avoidance behaviors, and their gross anatomy performance. Students were first surveyed at the beginning of their gross anatomy course, before they began dissection. This survey collected demographic data along with information regarding prior anatomy experiences. This survey also included three of the eight subscales from the Multidimensional Fear of Death Scale (MFODS); Fear of the Dead, Fear of Being Destroyed, and Fear for the Body After Death. These three subscales consisted of 16 items which were chosen based on their relevance to the dissection experience. Students were also surveyed at the conclusion of each exam block. These follow-up surveys collected data regarding students' avoidance of dissection and also included the three subscales from the MFODS. Written and practical examination scores were obtained from the anatomy course directors at the conclusion of the course. Thirty-nine of 40 dental students (97.5%) and 143 of 165 medical students (86.7%) completed the initial survey. For medical students, repeated measures ANOVA showed no significant changes in Fear of the Dead (F (4, 108) = 1.45, p = .222) or Fear for the Body After Death (F (4, 108) = 1.83, p = .129) throughout the semester. However, there was a significant increase in medical students' Fear of Being Destroyed (F (4, 108) = 6.86, p < .0005). Dental students had similar results, with no change in Fear of the Dead (F (3, 32) = .374, p = .772) or Fear for the Body After Death (F (3, 32) = 1.221, p = .318), but a significant increase in Fear of Being Destroyed (F (3, 32) = 4.683, p = .008). Increases in both groups were primarily related to students' decreased willingness to donate their body after their dissection experience. Instructors might consider modifying dissection laboratories to mitigate this negative shift in attitudes toward dissection. Fear of death was associated with avoidance behaviors, particularly for the medical students, while the correlation between fear of death and performance was inconsistent. It appears that students with higher fear of death may use some avoidance behaviors to cope with dissection, but performance does not seem to be negatively impacted.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27743851
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