Background: Caring for dying patients is an emotional burden for nurses.
Purpose: This study used reflective groups to explore the process of transition that nurses go through in caring for dying patients.
Methods: We adopted a phenomenological approach. Data were collected from nurses participating in 12 reflective groups. All nurses worked in oncology / hospice units in a general hospital in Taipei. We used thematic analysis to analyze data.
Results: Findings identified a transition in how nurses handled and contained their emotions within three main themes: (1) containing unpredictable reality, (2) cautious "holding back" in discussion, and (3) self-cultivation in order to serve others. These findings led us to extrapolate the three issues of wounded healer, facing others, and altruism in caring.
Conclusions/implications For Practice: This study represented the holding and containing of nurses in caring for dying patients and held group dialogues to facilitate reflection. Findings will be used to facilitate nurse self-awareness and improve end-of-life care quality.
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http://dx.doi.org/10.6224/JN.60.3.31 | DOI Listing |
Am J Hosp Palliat Care
January 2025
Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.
Anticipatory grief is associated with post-bereavement grief; however, reports on the influence of pre-loss depression are limited. Therefore, we investigated the association between the anticipatory grief of family members and post-loss and post-depression grief adjusted for pre-loss depression. This cohort study included the family members of dying patients with cancer.
View Article and Find Full Text PDFIssues Ment Health Nurs
January 2025
School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
BMJ Support Palliat Care
December 2024
Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.
Implantable cardioverter defibrillators (ICDs) are implanted in increasing numbers of patients with the aim of treating ventricular arrhythmias in high-risk patients and reducing their risk of dying. Individuals are also living longer with these devices. As a result, a greater number of patients with an ICD will deteriorate either with worsening cardiac failure, another non-cardiac condition or general frailty and will have a limited prognosis.
View Article and Find Full Text PDFNurs Rep
December 2024
Department of Philosophy, Idaho State University, Pocatello, ID 83209, USA.
Background/objectives: Caring for patients at the end of life can involve issues that are ethically and legally fraught: withholding or withdrawing artificial nutrition and hydration, pain control that could hasten death, aggressive treatment that is continued when it seems only to be prolonging suffering, patients who request medical assistance in dying, and so forth. Clinicians may find that their deeply held ethical principles conflict with law, institutional policy, or patients' choices. In these situations, they may consider either refusing to participate in procedures that they find morally abhorrent (conscientious refusal) or providing care that they believe to be ethically obligatory despite being contrary to law or policy (conscientious commitment).
View Article and Find Full Text PDFPsychiatr Danub
December 2024
School of Medicine, University of Zagreb, Zagreb, Croatia.
A global culture of empathy appears crucial for the survival of humankind and life on our planet. There is no health without mental health and no mental health without a culture of empathy at all levels: individual, family, national, and global. Similarly, there is no global security without peace, and no peace without a culture of empathy.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!