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On projective identification, containment, and feeling special: some thoughts about hospice nurses' experiences
1School of Nursing, Midwifery, and Health Visiting, University of Manchester, Manchester, England.
The American Journal of Hospice & Palliative Care
|December 3, 2003
Summary
Small group supervision offers hospice nurses valuable support and learning opportunities. This approach aids in navigating complex patient care and enhances professional development in end-of-life care settings.
Area of Science:
- Psychoanalytic theory
- Hospice nursing
- Qualitative research
Background:
- Explores the benefits of small group supervision for hospice nurses.
- Utilizes psychoanalytic theories (Freud, Klein, Bion) as a conceptual framework.
- Draws on early psychoanalytic research with nurses.
Observation:
- Hospice nurses' experiences with serious illness are illustrated through individual comments.
- A clinical narrative depicts the work of a hospice nurse.
- Examines how patients signal readiness for change or intensify communication patterns during serious illness.
Findings:
- Small group supervision provides a supportive environment for hospice nurses.
- Facilitates professional learning and mutual support among hospice nursing teams.
- Enables nurses to assist patients in making life decisions and improving relationships.
Implications:
- Small group supervision can enhance the practice of hospice nursing.
- Offers a model for professional development and emotional support in palliative care.
- Highlights the importance of reflective practice and team collaboration in hospice settings.