Coping strategies used by nurses to deal with the care of organ donors and their families

Pelletier-Hibbert, Maryse

doi:10.1016/s0147-9563(98)90034-6

Cited by 29 publications

(17 citation statements)

References 9 publications

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“…These sources of stress include lack of time to interact with family members, the stress of making mistakes in managing the caring process of donor patients and therefore, endangering the viability of potential organs for donation, and emotional requirements of the family members (38). The study by Pelletier-Hibbert in Canada demonstrated that when a brain-dead patient is admitted to the ward, nurses confront three major stresses, including the fear of losing the donor patient, lack of time to fulfill information and supporting needs of the family, and uncertainty in prescriptions of some physicians (39). Concepts of these studies comply with “the fear of negligence” in our study.…”

Section: Discussionmentioning

confidence: 99%

Explaining nurses' experiences of caring for brain dead patients: a content analysis

et al. 2018

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BackgroundCaring for patients with brain death diagnosis is the heaviest of duties for nurses, and, due to the complexities and stressors, it is the biggest challenge of nursing in an intensive care unit.ObjectiveThis qualitative research aimed to disclose the nurses’ experience of caring for brain-dead patients.MethodsThe present study was a qualitative research using a content analysis, where the data collection process included 21 semi-structured and in-depth interviews with intensive care nurses, physicians, head nurses, a transplantation committee coordinator, and the authority of the organ procurement unit. Adequate data were collected from March 2014 until the saturation point was reached in June 2016. Data were analyzed simultaneously with data collection using qualitative content analysis with a conventional approach.ResultsQualitative content analysis of data resulted in two themes and eight subthemes, reflecting the analysis of nurses’ experiences of caring for brain-dead patients. The themes included “Challenges of right and duty requirement,” and “turbulent confrontation with successive chains of tension”. Finally, the main themes of “resonance of stress and internal conflict in care” were abstracted.ConclusionThe findings deepened our understanding and knowledge of the issue. Despite all the stress, nurses care for potential organ donors, and this results in preserving the organs’ viability for donation. Nurses’ problems and challenges in this caring process should be considered by policymakers of health and treatment systems and a supportive model be designed for nurses in the intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Explaining nurses' experiences of caring for brain dead patients: a content analysis

et al. 2018

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“…Fagin 22 discussed stress and its implications for nursing research. To ensure optimal health care, it is important to determine if stress and physiological arousal negatively or positively 23 affect nursing performance and whether interventions 9,[24][25][26] can be implemented to maximize performance. To ensure optimal health care, it is important to determine if stress and physiological arousal negatively or positively 23 affect nursing performance and whether interventions 9,[24][25][26] can be implemented to maximize performance.…”

Section: Mayo Clin Proc 2001;76:275-284mentioning

confidence: 99%

A Preliminary Analysis of Psychophysiological Variables and Nursing Performance in Situations of Increasing Criticality

Smith

Ortiguera

Laskowski

et al. 2001

Mayo Clinic Proceedings

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“…10,[12][13][14] The difference in coping behaviors used may offer an explanation of why individuals have different psychological outcomes (PTSD symptom severity) after similar events. [15][16][17] Distinct from moral distress, which occurs when critical care nurses are unable to act on moral decisions or judgments in practice, postcode stress is the acute psychological response to unsuccessful resuscitation participation with specific emotional and physical stressors or antecedents. 8,[10][11][12][13][14]18 Physical signs and sounds during resuscitation, such as color changes, gasping, emesis, and indignities suffered by patients are perceived as stressful by nurses.…”

Section: Introductionmentioning

confidence: 99%

“…15,16,23 Although these informal methods of coping are perceived to be effective by critical and acute care nurses, empirical evidence that these coping mechanisms decrease the psychological well-being of these nurses or retard symptoms associated with PTSD is lacking.…”

Section: Introductionmentioning

confidence: 99%

Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation

McMeekin

Hickman

Douglas

et al. 2017

American Journal of Critical Care

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Background Participation by a critical care nurse in an unsuccessful resuscitation can create a unique heightened level of psychological stress referred to as postcode stress, activation of coping behaviors, and symptoms of posttraumatic stress disorder (PTSD). Objectives To explore the relationships among postcode stress, coping behaviors, and PTSD symptom severity in critical care nurses after experiencing unsuccessful cardiopulmonary resuscitations and to see whether institutional support attenuates these repeated psychological traumas. Methods A national sample of 490 critical care nurses was recruited from the American Association of CriticalCare Nurses' eNewsline and social media. Participants completed the Post-Code Stress Scale, the Brief COPE (abbreviated), and the Impact of Event Scale-Revised, which were administered through an online survey. Results Postcode stress and PTSD symptom severity were weakly associated (r = 0.20, P = .01). No significant associations between coping behaviors and postcode stress were found. Four coping behaviors (denial, selfdistraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Severity of postcode stress and PTSD symptoms varied with the availability of institutional support. Conclusions Critical care nurses show moderate levels of postcode stress and PTSD symptoms when asked to recall an unsuccessful resuscitation and the coping behaviors used. Identifying the critical care nurses most at risk for PTSD will inform the development of interventional research to promote critical care nurses' psychological well-being and reduce their attrition from the profession. (American Journal of Critical Care. 2017; 26:128-135) [1][2][3][4] It is estimated that between 40% and 84% of all resuscitation attempts within critical care units result in immediate or imminent death of the patient within 24 hours. [1][2][3]5,6 Because critical care nurses have frequent and cumulative exposures to unsuccessful cardiopulmonary resuscitations, psychological trauma often ensues. 7 The literature in this area is nascent. Despite a growing workforce demand for registered nurses in critical care, turnover and vacancy rates are high.7,8 Investigation of the cumulative psychological injuries associated with unsuccessful cardiopulmonary resuscitation is warranted and may offer new insights on strategies to attenuate the psychological morbidity associated with providing life-sustaining care and highlight a need for psychological support processes that may aid in the retention of critical care nurses in the workforce.The influence of postcode stress and coping behaviors on the psychological health of critical care nurses is unclear. However, it is hypothesized that critical care nurses who are exposed to the psychological trauma of cardiopulmonary resuscitation efforts that fail to prolong the patient's life will perceive heightened states of postcode stress, coping behaviors, and lower states of psychological health. Therefore the aims of this art...

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Coping strategies used by nurses to deal with the care of organ donors and their families

Cited by 29 publications

References 9 publications

Explaining nurses' experiences of caring for brain dead patients: a content analysis

Explaining nurses' experiences of caring for brain dead patients: a content analysis

A Preliminary Analysis of Psychophysiological Variables and Nursing Performance in Situations of Increasing Criticality

Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation

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