Concept Analysis of Nurses’ Acceptance of Patient Deaths

Yi, Mi Joung; Lee, Jeong Seop

doi:10.14475/kjhpc.2016.19.1.34

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…The type analysis showed different results from those obtained by interviewing the first participant; therefore, interviews continued with nursing professionals who practiced in different clinical environments in various regions. Six themes appeared through a meta-synthesis of systematic literature reviews [ 9 ] on nurses’ experiences of patients’ deaths, as follows: “emotional experiences”, “facilitating good death”, “family support”, “inadequacy of end-of-life care issues”, and “personal and professional growth.” However, these themes did not include characteristics related to a patient’s death such as “attaining through mourning” or “ruminating life and attaining insight of life and death” [ 7 ]. As such, sampling continued for locations, people, and cases to maximize the density of each category based on the properties and dimensions we identified through analyzing qualitative resources.…”

Section: Methodsmentioning

confidence: 99%

“…The results of a concept analysis of nurses’ acceptance of patients’ deaths [ 7 ] showed that nurses’ acceptance could be defined as “the phase which nurses who experienced the death of their patient reach after the grieving process, where they acquire insights about life and death through the reflection of their own lives, and maintain a firm and resolute posture in facing the death of their patients while respecting the dignity of a person in nursing practices.” It has also been reported that nurses’ acceptance of the death of their patients results in holistic end-of-life care and a pursuit of positive living, and these two phenomena are appropriate outcomes that should be sought in end-of-life nursing practices. Therefore, it needs to be understood which causal, contextual, and intermedial conditions interact for nurses to accept patients’ deaths so that they can receive the proper support.…”

Section: Introductionmentioning

confidence: 99%

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The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying

Yi¹

2021

Korean J Hosp Palliat Care

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With advances in medicine and the advent of a more individualized society, the place of death has moved from homes to medical institutions. Deaths at medical institutions accounted for 65.9% of all deaths in Korea in 2009, but this proportion rose to 77.1% in 2019 [1]. As Korean culture moves away from the traditional model of dying in the care of the family and more people spend their last moments at medical institutions, nurses more frequently provide end-of-life care. If nurses do not undergo a proper grieving process as part of end-of-life care, they could become addicted to potentially hazardous substances such as drugs and alcohol, or experience extreme exhaustion that could even lead to suicide attempts [2]. A concept analysis defined nurses' grieving process as "personal feeling for healthy resolution of loss and grief" [3]. Brunelli [3] found that these experiences of loss or sorrow were accepted through denial, anger, disorganization, reorganization, and depression. Kondo [4] defined the mourning process of nurses as experiences of death and caring for the dying, and reported that the core scope of nurses' grieving process should be "handling the pain of participating in death and the dying process." Death acceptance, as the opposite of negative death anxiety, has a neutral or positive connotation [5]. Nurses help dying patients and their families on the frontlines so that they can give positive meaning to death and accept it. Zimmermann [6] argued that health care providers need to accept the death of patients beforehand in order to aid patients and their families to accept the death of the patients. She emphasized that accepting patients' deaths is not the last step for health care professionals, but the first step in providing appropriate palliative care.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying

Yi¹

2021

Korean J Hosp Palliat Care

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Development of Audio-visual Aids of Death Education for Hospice Patients and Their Families

Seo

Kang

Yoon

et al. 2016

Korean J Hosp Palliat Care

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Purpose: Patients and their caretakers need to understand various problems and requirements in the dying process so that they may prepare for death for the rest of their remaining life. Accordingly, a systematic audiovisual resource was developed to educate hospice patients and their families at the palliative care ward about the process of dying. Methods: For the development of an audiovisual resource, a initial education material was produced in the form of simple and accessible Power Point handouts based on literature study. Then, the program was completed through five rounds of a process, including expert advice, revision, update and evaluation. Results: The final version of the program was filmed with cooperation of the medical literature information division. Using the program, patients and families were educated through five phases over three sessions for a total 26 minutes and 34 seconds. Conclusion: The significance of this study lies in the fact that it was conducted after the establishment of the palliative care ward, which made it easier for nurses provide the education. It is expected that the program may be used by hospice specialists as well as nurses as an education resource for hospice patients and their families.

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Considering Death and Condolences from an Educational Perspective: How to Examine Condolences in Response to Death in Death Education

Lee¹

2020

Korean Med Educ Rev

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Medical treatments as universal care have been turning into delivering medical technology. Coping with death, which is prevalent in all medical circumstances, without comprehensive understanding results in missing out on significant aspects between life and death. This makes doctors surrender easily to a conventional and binary division of life and death and reduces the chance of including death as a part of the medical realm. Furthermore, in terms of medical education, we need to have the opportunity to consider such subjects that can benefit from special planning and consideration. Through reviewing articles in a variety of disciplines such as medicine, philosophy, psychology, literature, and anthropology, we can better understand death, condolences, and the relevance between them in a contextual way. In order to seek a better approach, this study also aims to survey and review the recent state of death education in diverse fields of medicine in Korea. In conclusion, if it is complicated for us to explain or understand death in general, focusing on condolences as a human response to death could be one meaningful way that deserves contemplation. It is possible to regard condolences as a touchstone and a prerequisite in death education itself.

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Concept Analysis of Nurses’ Acceptance of Patient Deaths

Cited by 3 publications

References 18 publications

The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying

The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying

Development of Audio-visual Aids of Death Education for Hospice Patients and Their Families

Considering Death and Condolences from an Educational Perspective: How to Examine Condolences in Response to Death in Death Education

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