Emotional Nursing Labour in the Childcare at the End-of-Life and Their Family: A Systematic Review (original) (raw)
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Emotional Nursing Labour in the Childcare at the End-of-Life and Their Family: A Sistematic Review
2014
We intend to present a systematization of scientific evidence about the emotional labour of nurses in the process of childcare in the end-of-life and their family. It was performed a literature search in the databases CINAHL, Medline, Psychology and Behavioral Sciences Collection, from which we obtained nine studies for analysis and they gave response to the research questions: "How nurses perform the emotional labour inherent to nursing care provided to children in end-of-life and their family?" and "What are the nursing sensitive outcomes?". The findings highlights the focus of the emotional labour, simultaneously focused in the child and family, extolling the philosophy of family-centered care and also focused in the nurses themselves, because they are also affected by the emotional responses of clients and their need to manage these emotions in their care practice. The emotional labour is featured as part of the process of care, as key competence in caring, as a stressful experience and as regulation of their own emotions, and presents nursing sensitive outcomes. Caring for children at the end-of-life is one of the biggest emotional challenges for parents and nurses. Nurses play an emotional labour enrolled in the philosophy of holism and care relationship.
Care in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira De Enfermagem, 2021
Objective: Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present. Method: Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing. Results: From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses. Final considerations: In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
Nurses Grief as a Reaction to Patient Death in Pediatric Units of BPKIHS
International Journal of Trend in Scientific Research and Development, 2018
Introduction: Grief is a phenomenon that every human being eventually experiences. As healthcare providers who are in close contact with dying patients, nurses are vulnerable to experience grief. However the emotional aspect of nurses' response to the death of patient has already been explored. Objective: Objective of the study were to assess the level of grief that nurses experiences upon the death of patient and factors that affects the level of grief. Material and methods: A descriptive cross sectional study was carried out to assess the nurses' grief as a Reaction to Patient Death in Pediatric Units of BPKIHS. Semi structured questionnaire was designed to obtain nurses personal characteristics, death attitude profile adopted by Wong, Reker and Gesser (1994). Data were analyzed using descriptive statistics. Result: The result showed that all the nurses showed various level of grief on death of patient of patient they had taken care of. The feeling of grief was more among nurses who were new and recently posted in pediatric wards. Duration of interaction with the patient found to be major appealing factor for grief among nurses. Senior nurses less often miss the patient if the bed was occupied by another patient. Conclusion: All nurses have some degree of grief after death of their patient however it is more among new nurses.
What do we know about emotional labour in nursing? A narrative review
British Journal of Nursing, 2017
Nurses have to manage their emotions and the emotion expressions to perform best care, and their behaviours pass through emotional labour (EL). However, EL seems to be an under-appreciated aspect of caring work and there is not a synthetic portrait of literature about EL in the nursing profession. Hence,this review was conductedto synthesize and to critically analyse the literature in the nursing field related to the emotional labour (EL). Twenty-seven papers were included and analysed with a narrative approach, where two main themes was found: (a) EL strategies and (b) EL antecedents and consequences. Hence, EL is a multidimensional, complex concept and it represents a nursing competence to perform the best caring. Moreover, nurses have a highawareness of EL as a professional competence, which is a fundamental element to balance engagement with an appropriate degree of detachment to accomplish some tasks aimed to perform the best behaviour, and to achieve good results for the patients' caring.
Between Birth and Death : Palliative Care in the Experience of Health Professionals
2018
Objective: To understand how the health professionals of a neonatal intensive care unit (NICU) in a high-risk maternity hospital experience neonatal palliative care. Methods: Qualitative study carried out using the critical phenomenological method and with the unstructured interview as instrument, performed from October to December 2015, with participation of eight health professionals of the said NICU. Four categories arose: Experiencing palliative care; Giving meaning to the baby with no prognosis; The families of the babies and the affectation of professionals; and Traversing death in the lived experience of the professionals. Results: The main findings of the study indicate that palliative care for the professionals can be portrayed from different aspects. For them, looking and caring for babies without prognosis are intertwined with the onset of affective involvement; the experience of contact with the family also appears as a way of being affected, as feelings that had not eme...
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.
Promoting Neonatal Staff Nurses' Comfort and Involvement in End-of-Life and Bereavement Care
2011
Background. Nurses who provide end of life and bereavement care to neonates and their families are potentially at risk for developing stress-related health problems. These health problems can negatively affect nurses' ability to care for their patients. Purpose. Nurses need to be knowledgeable about end of life and bereavement issues to provide quality care. This study sought to evaluate the effect of a bereavement seminar on the attitudes of nurses regarding end of life and palliative care of neonates. Design. A convenience sample of fourteen neonatal nurses completed a Bereavement/End of Life Attitudes about Care of Neonatal Nurses Scale after a bereavement seminar designed to provide information on end of life care. A pre-and posttest design with an intervention and control group was used to assess changes in nurse bereavement attitudes in relationship to comfort, role, and involvement. Results. After bereavement seminar, the seminar attendees had higher levels of comfort in providing end of life care than nurses in the control group ( = −0.214; = 0.04). Discussion. Nurses' comfort levels can be improved by attending continuing education on end of life care and having their thoughts on ethical issues in end of life care acknowledged by their peers.
2017
Nurses have to manage their emotions and the emotion expressions to perform best care, and their behaviours pass through emotional labour (EL). However, EL seems to be an under-appreciated aspect of caring work and there is not a synthetic portrait of literature about EL in the nursing profession. Hence,this review was conductedto synthesize and to critically analyse the literature in the nursing field related to the emotional labour (EL). Twenty-seven papers were included and analysed with a narrative approach, where two main themes was found: (a) EL strategies and (b) EL antecedents and consequences. Hence, EL is a multidimensional, complex concept and it represents a nursing competence to perform the best caring. Moreover, nurses have a highawareness of EL as a professional competence, which is a fundamental element to balance engagement with an appropriate degree of detachment to accomplish some tasks aimed to perform the best behaviour, and to achieve good results for the patie...
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...