This paper describes a preliminary cross-sectional study which aimed t
o compare levels of death anxiety and coping responses in palliative c
are and accident and emergency (A & E) nurses. Forty-three nurses (23
from palliative care and 20 from A & E) were recruited from a district
general hospital and nearby hospice. Both sites had the same mean ann
ual death rate of 150 patients. Death anxiety was measured by the Deat
h Attitude Profile-Revised Questionnaire and coping responses were eli
cited by a semi-structured interview. As hypothesized, hospice nurses
had lower death anxiety and they were moro likely to recall both good
and difficult experiences related to patient care, Unlike the hospice
nurses, a subgroup (20%) of A & E nurses reported that they were unabl
e to discuss problems with colleagues, The study has implications for
the development of institutional support for staff to enable nurses to
provide good quality care for dying patients and bereaved people.