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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Grief among Neonatal Intensive Care Nurses
Alison Rodriguez1, Arlene Spilker, Deepika Goyal
1Alison Rodriguez is a registered nurse, Lucile Packard Children's Hospital Stanford, Palo Alto, CA. Dr. Arlene Spilker is an Assistant Professor, The Valley Foundation School of Nursing, San José State University, San Jose, CA. Dr. Deepika Goyal is a Professor, The Valley Foundation School of Nursing, San José State University, San Jose, CA. Dr. Goyal can be reached via email at Deepika.goyal@sjsu.edu.
Neonatal intensive care unit (NICU) nurses experience significant grief. They reported inadequate institutional support and a need for debriefing and bereavement services to cope with patient deaths.
Area of Science:
- Nursing
- Psychology
- Healthcare Management
Background:
- Nurses in high-stress neonatal intensive care units (NICUs) face a high risk of grief following infant death.
- The emotional toll on NICU staff necessitates an understanding of their grief experiences and support needs.
Purpose of the Study:
- To assess the level of grief experienced by NICU nurses.
- To evaluate nurses' perceptions of available grief support services.
- To identify effective grief coping methods for NICU nurses.
Main Methods:
- A quantitative, cross-sectional study was conducted with 55 nurses in a Level IV NICU.
- Online surveys assessed grief levels using the Revised Grief Experience Inventory.
- Data on perceived support and coping strategies were collected.
Main Results:
- Nurses reported moderate to high grief scores (mean = 46.9).
- 60% found current grief support inadequate; 81% desired additional support.
- Nurses identified family, friends, and coworkers as primary support, and requested debriefing and staffing resources.
Conclusions:
- NICU nurses experience significant grief related to their work.
- Enhanced debriefing and bereavement support are crucial for NICU nurses.
- Addressing support deficits can improve well-being in high-acuity NICU settings.
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