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Caring for dying children: nurses' experiences

B Davies1, D Clarke, S Connaughty

  • 1School of Nursing at University of British Columbia, Vancouver.

Pediatric Nursing
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Pediatric nurses experience significant grief and moral distress when a child's death is unavoidable. They use coping strategies influenced by the nurse-patient relationship and contextual factors, impacting their professional and personal lives.

Area of Science:

  • Nursing
  • Pediatric Care
  • Bioethics

Background:

  • Childhood mortality presents unique challenges for healthcare professionals.
  • Nurses often face complex emotional and ethical dilemmas in end-of-life care.
  • Understanding nurses' experiences is crucial for improving support systems.

Purpose of the Study:

  • To explore the experiences of nurses caring for children with inevitable death.
  • To identify the types of distress nurses encounter in this context.
  • To understand the strategies nurses use to cope with grief and moral distress.

Main Methods:

  • Grounded theory approach utilized.
  • In-depth interviews conducted with 25 pediatric nurses.
  • Data analyzed to identify themes and patterns in nurses' experiences.

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Main Results:

  • Nurses experienced both grief distress and moral distress when a child's death was perceived as inevitable.
  • Distress was closely linked to the nurse-patient relationship.
  • A variety of coping strategies were employed by nurses.
  • Facilitating and constraining factors influenced strategy effectiveness.
  • Significant professional and personal implications were reported.

Conclusions:

  • Pediatric nurses face profound emotional and ethical challenges during end-of-life care.
  • The nurse-patient relationship is central to the experience of distress.
  • Supportive interventions are needed to address nurses' grief and moral distress.
  • Further research should explore long-term impacts and effective support strategies.