P180 Guiding the Process of Dying: The Personal Impact on Nurses

White, Dianne; Meeker, Mary Ann

doi:10.1016/j.jpainsymman.2016.10.246

Cited by 5 publications

(10 citation statements)

References 0 publications

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“…AGOSTO 2020 /20 rada con enfermeras de UCI, ha demostrado que la reflexión profesional y el codesarrollo conjunto, reducen el estrés y mejoran las habilidades de quienes brindan cuidados a pacientes con enfermedades terminales. En este caso, el liderazgo es una herramienta importante para promover actitudes que mejoren la calidad de los cuidados paliativos, especialmente en las enfermeras de primer nivel (36) .…”

Section: Discussionunclassified

Competencias en fin de vida entre un grupo de enfermeros españoles y chilenos

Zubiri¹,

Tejerina²,

Palma³

2020

Ene.

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Section: Discussionunclassified

Competencias en fin de vida entre un grupo de enfermeros españoles y chilenos

Zubiri¹,

Tejerina²,

Palma³

2020

Ene.

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“…69 Given critical care nurses establish a rapport with families, 67 their inclusion in family meetings is central to supporting families. 45,70 More than 80% of deaths in ICUs are the result of a decision to withdraw or withhold life-sustaining treatment. 71 Where family meetings include a decision to withdraw or withhold lifesustaining treatment, consideration for place of death is important.…”

Section: Communication and Decision-makingmentioning

confidence: 99%

“…51 4.6. Nurse self-care Whilst providing quality end-of-life care can be uniquely satisfying for nurses, 70 this care does include a component of emotional work. 13 The significance of death and establishing and maintaining interpersonal relationships with family may be sources of emotional stress for the nurse.…”

Section: Care After Deathmentioning

confidence: 99%

“…13 For this reason, self-care is essential for nurses to remain efficient and successful in their work. 14,70 This includes processing their own feelings about providing end-of-life care, taking time to disconnect from the workplace grief, and prioritising self-care activities, such as exercise and journaling. 70 Seeking support from colleagues, reflecting, and participating in debriefing activities are recommended.…”

Section: Care After Deathmentioning

confidence: 99%

“…14,70 This includes processing their own feelings about providing end-of-life care, taking time to disconnect from the workplace grief, and prioritising self-care activities, such as exercise and journaling. 70 Seeking support from colleagues, reflecting, and participating in debriefing activities are recommended. 14,70 Almost 90% of critical care nurses in Australia and New Zealand have access to formal debriefing opportunities after a death; 83 however, this should be in addition to nurse leaders providing immediate support, responding to concerns for nurses, and ensuring that the time-intensive nature of providing end-of-life care is considered in unit workload allocation.…”

Section: Care After Deathmentioning

confidence: 99%

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A national Position Statement on adult end-of-life care in critical care

Bloomer

Ranse

Butler

et al. 2022

Australian Critical Care

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Patient death in critical care is not uncommon. Rather, the provision of end-of-life care is a core feature of critical care nursing, yet not all nurses feel adequately prepared for their role in the provision of end-oflife care. For this reason, the Australian College of Critical Care Nurses (ACCCN) supported the development of a Position Statement to provide nurses with clear practice recommendations to guide the provision of end-of-life care, which reflect the most relevant evidence and information associated with end-of-life care for adult patients in Australian critical care settings. A systematic literature search was conducted between June and July, 2020 in CINAHL Complete, Medline, and EMBASE databases to locate research evidence related to key elements of end-of-life care in critical care. Preference was given to the most recent Australian or Australasian research evidence, where available. Once the practice recommendations were drafted in accordance with the research evidence, a clinical expert review panel was established. The panel comprised clinically active ACCCN members with at least 12 months of clinical experience. The clinical expert review panel participated in an eDelphi process to provide face validity for practice recommendations and a subsequent online meeting to suggest additional refinements and ensure the final practice recommendations were meaningful and practical for critical care nursing practice in Australia. ACCCN Board members also provided independent review of the Position Statement. This Position Statement is intended to provide practical guidance to critical care nurses in the provision of adult end-of-life care in Australian critical care settings.

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Clinician distress in seriously ill patient care: A dimensional analysis

Foxwell

Meghani²,

Ulrich

2021

Nurs Ethics

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Background: Caring for patients with serious illness may severely strain clinicians causing distress and probable poor patient outcomes. Unfortunately, clinician distress and its impact historically has received little attention. Research purpose: The purpose of this article was to investigate the nature of clinician distress. Research design: Qualitative inductive dimensional analysis. Participants and research context: After review of 577 articles from health sciences databases, a total of 33 articles were eligible for analysis. Ethical considerations: This study did not require ethical review and the authors adhered to appropriate academic standards in their analysis. Findings: A narrative of clinician distress in the hospital clinician in the United States emerged from the analysis. This included clinicians’ perceptions and sense of should or the feeling that something is awry in the clinical situation. The explanatory matrix consequence of clinician distress occurred under conditions including: the recognition of conflict, the recognition of emotion, or the recognition of a mismatch; followed by a process of an inability to feel and act according to one’s values due to a precipitating event. Discussion: This study adds three unique contributions to the concept of clinician distress by (1) including the emotional aspects of caring for seriously ill patients, (2) providing a new framework for understanding clinician distress within the clinician’s own perceptions, and (3) looking at action outside of a purely moral lens by dimensionalizing data, thereby pulling apart what has been socially constructed. Conclusion: For clinicians, learning to recognize one’s perceptions and emotional reactions is the first step in mitigating distress. There is a critical need to understand the full scope of clinician distress and its impact on the quality of patient-centered care in serious illness.

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P180 Guiding the Process of Dying: The Personal Impact on Nurses

Cited by 5 publications

References 0 publications

Competencias en fin de vida entre un grupo de enfermeros españoles y chilenos

Competencias en fin de vida entre un grupo de enfermeros españoles y chilenos

A national Position Statement on adult end-of-life care in critical care

Clinician distress in seriously ill patient care: A dimensional analysis

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