Promoting Neonatal Staff Nurses' Comfort and Involvement in End-of-Life and Bereavement Care (original) (raw)
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Effect of end-of-life care education on the attitudes of nurses in infants’ and children's wards
Iranian Journal of Nursing and Midwifery Research, 2011
BACKGROUND: Infants palliative care becomes an important aspect of nursing when providing welfare and promoting children's life quality are the objectives of care. The number of children with life threatening diseases has increased alongside the developments in technology and medical treatment in medicine. It is a pure fact that our attitudes are related to our behaviors and performances. This research was conducted with the aim of assessing the effect of intensive course of children's palliative care on the attitudes of children and infants’ nurses in Isfahan University of Medical Sciences. METHODS: This was a quasi-experimental, two-group and two-stage study in which 56 nurses working at Infants’ and children's wards who met inclusion criteria were divided into experiment and control groups. The participants of experiment group attended in the infants’ palliative care training course which lasted for 3 weeks. A reliable and already validated questionnaire of Infants an...
2019
End of life care of neonates by nurses at the neonatal intensive care units (NICUs) may contribute to stress and establish coping strategies among nurses, as well as may lead to influence the psychological well-being among nurses who provide the end of life care for these neonates. The study purpose was to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in the neonatal intensive care units, and to investigate the effect of stress levels and coping strategies on their Psychological well-being. The study is a descriptive-analytical cross-sectional carried out in the level III NICUs of the governmental hospitals at Gaza Strip. The study started in March 2019 and ended in November 2019. The study participants were census population, the sample size is 117 eligible nurses. The data collection was through a valid and reliable self-administered questionnaire. SPSS was used for data entry and analysis, the researcher used simple statistics including frequencies, means and percentages, also independent sample t test, One-way ANOVA, and person correlation. The findings of the study showed that the population of the study mostly was from males (65%). Regarding their experience in NICU (40.2%) of the participants have 3 years work experience, 20.5% have 4-6 years of experience, 15.4% have 7-10 years of experience and 23.9% have more than 10 years of experience, also 76.9% of the study participants have bachelor degree in nursing, 17.9% of them have diploma, while 4.3% have higher education certificate. The total mean percentage of the level of nurses' stress due to end-of-life care 69.95%, the most source of stress among nurses due to end-of-life care with neonates is-the unexpected death of neonates‖. The mean percentage of the level of nurses' coping strategies during the end-oflife care with neonates was 64.34%. The mean percentage of the level of nurses' psychological well-being was 70.08%. The study showed 93.2% of the nurses said that the nurses are in need for educational and training session about end of life care. The study showed that there is no significant difference in the mean level of nurses' stress or coping strategies due to end-of-life care with regard to their ages, gender, marital status, educational levels, working hospital, number of children, and their level of working experience. The result of the study showed was an increase in the level of nurses' stress, will lead to a significant increase in their coping strategies, an increase in the level of nurses' coping strategies, will lead to significantly increase in their psychological wellbeing. The study concluded that an increase in the level of nurses' stress, leads to a significant increase in their coping strategies, an increase in the level of nurses' coping strategies, leads to a significant increase in their psychological well-being. The study recommended that providing educational sessions and training courses to prepare every nurse in neonatal intensive care units to deal with cases are needed.
Palliative Medicine, 2019
Background Moral distress and burnout related to end-of-life decisions (ELDs) in neonates is common in neonatologists and nurses working in Neonatal Intensive Care Units (NICUs). Attention to their emotional burden and psychological support in research is lacking. Aim To evaluate perceived psychological support in relation to ELDs of neonatologists and nurses working in Flemish NICUs, and whether or not this support is sufficient. Design/participants A self-administered questionnaire was sent to all neonatologists and neonatal nurses of all eight Flemish NICUs (Belgium) in May 2017. The response rate was 63% (52/83) for neonatologists and 46% (250/527) for nurses. Respondents indicated their level of agreement (5-point Likert scale) with seven statements regarding psychological support.
Nurses’ attitudes towards perinatal bereavement care
Journal of Advanced Nursing, 2009
Title. Nurses' attitudes towards perinatal bereavement care. Aim. This paper is a report of a study conducted to explore the factors associated with nurses and midwives' attitudes towards perinatal bereavement care. Background. Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. In some situations nurses may experience personal failure, feel helpless, and need to distance themselves from bereaved parents because they feel unable to deal with the enormity of the parental feelings of loss. Method. A correlational questionnaire study using convenience sampling was carried out in Singapore in 2007 with 185 nurses/midwives in one obstetrics and gynaecology unit. Results. Regression models showed that nurses/midwives with religious beliefs and those with more positive attitudes to the importance of hospital policy and training for bereavement care were statistically significantly more likely to have a positive attitude towards perinatal bereavement care. Nurses emphasized their need for increased knowledge and training on how to cope with bereaved parents and requested greater support from team members and the hospital. Conclusion. Bereavement counselling education and preceptorship supervision are recommended to reduce this stressful experience, increase the confidence and expertise of novices, and lead to increased quality of care for bereaved parents.
SSRG International Journal of Nursing and Health Science (SSRG-IJNHS), 2020
Background: Neonatology has made significant advances in the last 30 years. Despite the advances in treatment, not all neonates survive and a palliative care model is required within the neonatal context. Palliative care is an approach by which healthcare providers support both dying neonates and their families in order to improve the quality of life. Aim: this study aimed to identify the facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit.
Knowing nursing team care practices in relation to newborns in end-of-life situations
Escola Anna Nery, 2017
Objective: Understand the care practices experiences of nursing staff in relation to providing end-of-life care to newborns and their families in neonatal intensive care units (NICU). Method: Descriptive study with a qualitative approach, involving eight nursing professionals from an NICU. Results: Through the data analysis, it was possible to identify three central themes: the "obscurity of death in neonatal ICUs": coping with death at the onset of a human life; palliative care and end-of-life decisions: the challenges faced by nursing staff in neonatal ICUs; and types of nursing care in the daily activities of neonatal ICUs. Conclusion: It is essential to understand the experiences and needs of nursing staff, so that proposals can be formulated for seeking improvements in the care relationships that take place in this context.
Journal of Hospice & Palliative Nursing, 2015
The kind of care that nurses provide for dying persons is influenced by their perceptions and attitudes toward death. Gaining an increased understanding of nurses' perceptions of changes that would facilitate appropriate end-of-life care is important to improve quality care. Using a translated modified version of The National Survey of Critical Care Nurses Regarding End-of-Life questionnaire, the correlation between 151 nurses' demographic factors and their perceptions of supportive behaviors' magnitude was assessed. The highest/lowest perceived supportive behavior magnitude scores belonged to items, respectively, ''providing a peaceful, dignified bedside scene for family once the child has died'' (5.75) in health care professionalYrelated category and ''letting the religious leader take primary care of the grieving family'' (1.08) in organizational-related category. Some nurses' demographic factors including family and close friends' death experience, number of dying children who were cared for, and previous education toward death and dying were positively correlated with perceived supportive behavior magnitude scores. This study revealed that nurses' personal and professional experience may affect their perceptions of supportive behaviors in providing end-of-life care. Some educational programs in raising nurses' self-awareness of their perceptions, accompanied by interventions, are required to improve pediatric end-of-life care.
Spiritual Challenges Experienced by Nurses in Neonatal End of Life: A Qualitative Study
International Journal of Pediatrics, 2018
Background The literature reviews show that taking care of dying newborns for a nurse is associated with stress and anxiety, and nurses will be faced with many challenges, the present study aimed to explain the spiritual challenges experienced by nurses in neonatal end of life in the NICU. Materials and Methods The present study was conducted with a qualitative method and "purposive" sampling. The study environment was NICU in the hospitals of Zahedan, Iran. Semi-structured interviews used for interview and data collection. A number of 24 participants with inclusion criteria were interviewed. Qualitative content analysis method was used with the conventional approach and inductive method with Graneheim and Lundman approach. Results Data analysis explored were categorized in three main themes: spiritual challenge of neonatal care with two-categories (palliative care, and care with love and affection); psychological / spiritual support challenges of family with two catego...
Grief among Neonatal Intensive Care Nurses
MCN: The American Journal of Maternal/Child Nursing, 2020
Background: Nurses working in the high-stress environment of the neonatal intensive care unit (NICU) are at high risk of experiencing grief after death of a baby. Design: Using a quantitative crosssectional design, a convenience sample of nurses working in a Level IV NICU in Northern California, United States completed online surveys. Level of grief among NICU nurses, perceptions of grief support available at their institution, and past and future grief coping methods were assessed. Participants: A diverse sample of 55 NICU nurses, mean age 45.5 (SD = 11.7) years. Setting: A high-acuity NICU in one large Northern California hospital. Methods: Participant demographic data and the Revised Grief Experience Inventory were completed online. Results: Total grief scores ranged between 22 and 82 with a mean of 46.9 (SD = 17.4). Sixty percent (n = 33) moderately/strongly disagreed on adequacy of current grief support services at their institution and 81% (n = 45) reported hospital staff could benefi t from additional grief support. Nurses' past grief support included family, friends, and church. Future grief resources would include family, friends, and coworkers. Participants indicated need for debriefi ng and additional nurse staffi ng resources at the time of a patient death. Conclusions: Neonatal intensive care unit nurses in our study reported experiencing grief. Debriefi ng and bereavement support may be helpful for nurses working in high-stress environments where there is a higher likelihood of patient death.