Living With Death and Dying: The Experience of Taiwanese Hospice Nurses

Wu, Hung-Lan; Volker, Deborah L.

doi:10.1188/09.onf.578-584

Cited by 31 publications

(30 citation statements)

References 18 publications

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“…For example, clinicians who reflected on their own mortality were motivated to live more in the present life and cultivate a sense of spirituality (12). Furthermore, hospice care nurses who had an opportunity to reflect on their own philosophy of death and meaning in life reported an enhanced ability to have perspective on life and focus on the present (19). …”

Section: Resultsmentioning

confidence: 99%

“…Several authors have acknowledged the negative emotional impact of exposure to death, (16*, 18**, 19, 22*), the severity of which is multiply determined. For instance, the closeness of a relationship and perceived responsibility for the death of a patient is linked to greater distress, which fosters emotional reactions such as depersonalization, poor quality of care, and burnout in HCPs (9).…”

Section: Resultsmentioning

confidence: 99%

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Existential distress among healthcare providers caring for patients at the end of life

Pessin

Fenn

Hendriksen

et al. 2015

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review Existential distress is well-documented among patients at end-of-life and increasingly recognized among informal caregivers. However, less is known about existential concerns among healthcare providers working with patients at end-of-life (EOL), and the impact that such concerns may have on professionals. Recent findings Recent literature documents five key existential themes for professionals working in EOL care: 1) opportunity for introspection; 2) death anxiety and potential to compromise patient care; 3) risk factors and negative impact of existential distress; 4) positive effects such as enhanced meaning and personal growth; and 5) the importance of interventions and self-care. Summary EOL work can be taxing, yet also highly rewarding. It is critical for health care providers to make time for reflection and prioritize self-care in order to effectively cope with the emotional, physical, and existential demands that EOL care precipitates.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Existential distress among healthcare providers caring for patients at the end of life

Pessin

Fenn

Hendriksen

et al. 2015

Current Opinion in Supportive &Amp; Palliative Care

View full text Add to dashboard Cite

show abstract

“…Getting to know patients, as Tanner, Benner, Chesla, and Gordon (1993) suggest, includes knowing them not only by expected patterns of response but as individual people. Nurses understand the depth and complexities of their patients through their involvement and engagement in the nurse-patient relationship (Whittmore, 2000) and gain additional insight into their needs (Wu & Volker, 2009) which can help to guide nursing decision making and judgments (Benner & Tanner, 1987).…”

Section: Caring For the Whole Personmentioning

confidence: 99%

The meaning of being an oncology nurse: Investing to make a difference

Davis¹,

Fothergill‐Bourbonnais

McPherson

2017

CONJ

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The landscape of cancer care is evolving and as a result nursing care continues to develop and respond to the changing needs of oncology patients and their families. There is a paucity of qualitative research examining the experience of being an oncology nurse on an inpatient unit. Therefore, a qualitative study using an interpretive phenomenological approach has been undertaken to discover the lived experience of being an oncology nurse. In-depth tape recorded interviews has been conducted with six oncology nurses who worked on two adult inpatient oncology units. Van Manen's (1990) interpretive phenomenological approach has been used to analyze the data by subjecting the transcripts to an analysis both line by line and as a whole. The overarching theme of the interviews is: Investing to Make a Difference. The themes that reflect this overarching theme are: Caring for the Whole Person, Being an Advocate, Walking a Fine Line, and Feeling Like You are Part of Something Good. Oncology nurses provide care for their patients through a holistic lens that further enhances how they come to know their patients. Over time, relationships with patients and families develop and these nurses share that balancing the emotional aspects of their work is key in being able to continue to invest in their work and in these relationships. Their investment is further evident as oncology nurses continuously update their knowledge, for example, of treatment regimes, medication protocols, and as they champion their patients wishes and needs. As nurses develop their own identities as oncology nurses, they in turn enhance the team with their emerging skill and knowledge. These research findings serve to acknowledge the meaning of oncology nurses' work and inform the profession's understanding of what it means to be an oncology nurse.iii Acknowledgements

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“…특히 호스피스간호사들은 임종 환자 간 호에 대한 지식이 거의 없는 점 때문에 더욱 힘들어 하고 있는 것으로 나타났으며 [7], 이들의 소진정도는 응급실이나 중환자 실 간호사에 버금갈 정도로 높은 것으로 보고된 바도 있다 [8]. [10,11], 스트레스 또는 소진 [5,6,[12][13][14], 경험 [7,15,16], 직무 분석 및 교육과정 개발 [1,17] …”

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Role Adaptation Process of Hospice Nurses

곽¹,

이²

2018

J Korean Acad Nurs Adm

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Purpose: This study was performed to identify the role adaptation process of hospice nurses and suggest a model for the process. Methods: Grounded theory methodology was used. Twenty nurses participated in individual in-depth interviews. Data were collected until saturated. Questions for the interviews were about phenomenon, conditions, action/interaction strategies, and consequences in the process. Data were analyzed by applying open, axial and selective coding proposed by Strauss and Corbin. Results: Core category of the role adaptation process was 'building up real capabilities'. Phenomenon of the role adaptation was oppressive feelings when caring for dying patients. Contextual conditions were lack of knowledge, experience and belief about hospice and hospice care being regarded as penance. Intervening conditions were expansion of horizons in understanding life and expansion of social comprehension about hospice. Action/interaction strategies included 'reflecting on oneself as a hospice nurse', 'using oneself with feelings of a calling' and 'striving for self-management'. Consequence of the process was being a caring expert for peaceful death. Conclusion: The role adaptation process of hospice nurses for the participants was the process of building up real capabilities leading them to become caring experts for peaceful death through overcoming oppressive feeling when caring for dying patients.

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Living With Death and Dying: The Experience of Taiwanese Hospice Nurses

Abstract: Improved end-of-life education for the Taiwanese public, nurses, and other healthcare professionals that includes hospice concepts is needed. Administrators should provide adequate support to encourage and empower their nursing staff in hospice settings.

Cited by 31 publications

References 18 publications

Existential distress among healthcare providers caring for patients at the end of life

Existential distress among healthcare providers caring for patients at the end of life

The meaning of being an oncology nurse: Investing to make a difference

Role Adaptation Process of Hospice Nurses

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