A C-E-A Model for Death Education in Chinese Medical Students: Integrating Terror Management Theory and Cognitive-Experiential Self-Theory
Abstract
examines sociocultural and psychological barriers and proposes a culturally adapted C-E-A model for death education. The model outlines
a longitudinal framework integrating cultural reflection, experiential learning, and clinical practice to enhance medical students' end-of-life
competence and professional resilience.
Keywords
Full Text:
PDFReferences
[1] Wang W, Wu C, Bai D, et al. A meta-analysis of nursing students' knowledge and attitudes about end-of-life care [J]. Nurse Education
Today, 2022, 119: 105570.
[2] Tang Z, Fan Y, Ye Z, et al. How does the general public perceive hospice and palliative care? -an empirical study from China [J]. BMC
Palliative Care, 2025, 24(1): 261.
[3] Yuan M, Gong L, Cheng X, et al. Analysis of development status quo and countermeasures of hospice care service under the background
of aging [J]. Chinese General Practice Nursing, 2023, 21(11): 14815.
[4] Yoong S Q, Wang W, Seah A C W, et al. Nursing students' experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis [J]. Nurse Education in Practice, 2023, 69: 103625.
[5] Wang L, Hu Z. Status and Reflection on the Development of Death Education in China [J]. Journal of Medical Research, 2022, 51(10):
1802.
[6] Tu J, Tian T. "Overcoming Cultural Taboo": How Can Death Work Be Feasible in End-of-Life Care? [J]. Journal of Chinese Women's
Studies, 2025, (06): 85103.
[7] Greenberg J, Simon L, Solomon S, et al. Testing alternative explanations for mortality salience effects: Terror management, value accessibility, or worrisome thoughts? [J]. European Journal of Social Psychology, 1995, 25(4): 41733.
[8] Bai N, Yin M. Analysis on the Death Culture Differences between China and the West from Medical Perspective [J]. Medicine and Philosophy, 2014, 35(05): 213.
[9] Hsu C Y, O'connor M, Lee S. Understandings of death and dying for people of Chinese origin [J]. Death Studies, 2009, 33(2): 15374.
[10] Tu J, Shen M, Li Z. When cultural values meets professional values: a qualitative study of Chinese nurses' attitudes and experiences
concerning death [J]. BMC Palliative Care, 2022, 21(1): 181.
[11] Willemsen A M, Paal P, Zhang S, et al. Chinese medical teachers' cultural attitudes influence palliative care education: a qualitative
study [J]. BMC Palliative Care, 2021, 20(1): 14.
[12] Li R. Why Does Cultural Worldview Defense Fail? An Exploration of Death Anxiety Coping Strategies Among Chinese College Students [D]; East China Normal University, 2025.
[13] Epstein S. Integration of the cognitive and the psychodynamic unconscious [J]. American Psychologist, 1994, 49(8): 709-724.
[14] Su J, Zhu H, Su R, et al. Analysis of Knowledge and Attitudes of Undergraduate Interns in Medical Schools towards Palliative Care [J].
Nursing Science, 2024, 13(11): 158291.
[15] Wynter K, Brignall R. End-of-life medical education: Is it dead and buried? [J]. Medical Teacher, 2020, 42(9): 10656.
[16] Ye G, Mao J, Hu J, et al. Palliative care medical student education: a cross-sectional medical school survey in mainland China [J]. BMJ
Supportive & Palliative Care, 2022, 12(e4): e493e6.
[17] Fan L, Pan L, Yan Y, et al. Death education needs and their influencing factors among Chinese medical and nursing students [J]. Death
Studies, 2025: 112.
[18] Su L, Ning X. China's current situation and development of hospice and palliative care in critical care medicine [J]. Frontiers in Medicine, 2023, 10: 1066006.
[19] Shaw P A, Abbott M A. High-fidelity simulation: Teaching end-of-life care [J]. Nurse Education Today, 2017, 49: 811.
[20] Yazdankhahfard M, Haghani F, Omid A. The Balint group and its application in medical education: A systematic review [J]. Journal of
Education and Health Promotion, 2019, 8: 124.
[21] Cao W, Li C, Zhang Q, et al. Perceptions on the current content and pedagogical approaches used in end-of-life care education among
undergraduate nursing students: a qualitative, descriptive study [J]. BMC Medical Education, 2022, 22(1): 553.
DOI: http://dx.doi.org/10.70711/mhr.v3i2.9468
Refbacks
- There are currently no refbacks.