Dealing with end of life—New graduated nurse experiences

Croxon, Lyn; Deravin, Linda; Anderson, Judith

doi:10.1111/jocn.13907

Cited by 64 publications

(31 citation statements)

References 29 publications

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“…The inadequate preparation of new nurses to deal with paediatric death in this study seems to be a common phenomenon and has been reported in other studies (Thompson, Austin, & Profetto-McGrath, 2010;Croxon et al, 2018;Johnson, 2011). Unlike experienced nurses who are able to professionally handle the aftermath of a paediatric death and still continue to perform administrative duties and handle family members (Stayer, 2013) Interestingly, the new nurses in this study reported that recounting better times with their patients helped them to move on from the death.…”

Section: Discussionsupporting

confidence: 80%

Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study

Chew

Ang

Shorey

2020

Journal of Advanced Nursing

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Aims To explore and describe the experiences, challenges and coping strategies of new nurses dealing with paediatric death in a clinical setting. Design A descriptive qualitative study design was used. Methods Semi‐structured interviews were conducted to explore the experiences of 12 new paediatric nurses from a tertiary public hospital in Singapore. Data were collected from September 2019‐December 2019. A thematic analysis was performed for data analysis. Results Four themes were generated: (a) a spectrum of emotions; (b) the ‘blame’ game; (c) getting through the grief; and (d) new nurses' wish list. The new nurses tended to be emotionally affected by their first death experience. They felt anxious and personally responsible for the death but eventually controlled their emotions. Colleagues, religion and self‐actualization were key in overcoming grief. Conclusion The experiences nurses go through at the early stages of their profession shape future workplace attitudes. Additional training and support should be provided to new nurses to build their confidence in managing end‐of‐life care. Training should include cultural awareness and communication skills to equip nurses with the necessary skills. Impact This research will have an impact on institutions, which develop culturally congruent training and support platforms that prepare new nurses for nursing practice. This research will drive future investigations on the long‐term effects of paediatric death on new nurses.

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Section: Discussionsupporting

confidence: 80%

Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study

Chew

Ang

Shorey

2020

Journal of Advanced Nursing

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“…One study showed that positive attitudes towards EOL care for the dying is enhanced through actual caring for dying patients, which contribute to nurses' personal growth [29]. Greater exposure leads to greater acceptance, which in turn, develops into a more positive overall attitude of nurses [40,41]. It is for this reason that nurses should first be aware of their own values and attitudes towards patients with terminal illnesses.…”

Section: Discussionmentioning

confidence: 99%

“…The experience of unpredictable and stressful environments might be more uncomfortable to novice nurses who have relatively insufficient education in the area of EOL care [8,41]. Younger nurses may also be less-equipped for dealing with emotional burdens [40,42]. On the contrary, nurses with more professional experience are more likely to have better communication with dying patients [18,34].…”

Section: Discussionmentioning

confidence: 99%

Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care

et al. 2020

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Few studies have explored how nurses in acute care hospitals perceive and perform end-of-life care in Korea. Therefore, this study aimed to evaluate the influence of nurses’ perceptions of death on end-of-life care performance and analyze the mediating role of attitude towards end-of-life care among hospital nurses. This cross-sectional study included a total of 250 nurses who have had experience with end-of-life care from four general hospitals in Korea. We used the Korean validated tools with the View of Life and Death Scale, the Frommelt Attitudes Toward Care of the Dying (FATCOD) scale, and the performance of end-of-life care. Hierarchical linear regression and mediation analysis, applying the bootstrapping method. The results of hierarchical linear regression showed that nurses’ positive perceptions of death and attitude towards end-of-life care were significantly associated with their performance of end-of-life care. A mediation analysis further revealed that nurses’ attitude towards end-of-life care mediates the relationship between the perceptions of death and performance of end-of-life care. Our findings suggest that supportive and practical death educational programs should be designed, based on nurses’ professional experience and work environment, which will enable them to provide better end-of-life care.

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“…Quality of care at the EOL requires effective communication skills [ 44 , 45 ]. However, the nursing students, in general, lack confidence, and have provided information regarding the limited opportunities for developing these skills.…”

Section: Discussionmentioning

confidence: 99%

Using High-Fidelity Simulation to Introduce Communication Skills about End-of-Life to Novice Nursing Students

et al. 2020

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Background: High-fidelity simulation is being considered as a suitable environment for imparting the skills needed to deal with end-of-life (EOL) situations. The objective was to evaluate an EOL simulation project that introduced communication skills to nursing students who had not yet begun their training in real healthcare environments. Methods: A sequential approach was used. The “questionnaire for the evaluation of the end-of-life project” was employed. Results: A total of 130 students participated. Increasing the time spent in high-fidelity simulation significantly favored the exploration of feelings and fears regarding EOL (t = −2.37, p = 0.019), encouraged dialogue (t = −2.23, p = 0.028) and increased the acquisition of communication skills (t = −2.32, p = 0.022). Conclusions: High-fidelity simulation promotes communication skills related to EOL in novice nursing students.

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Dealing with end of life—New graduated nurse experiences

Cited by 64 publications

References 29 publications

Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study

Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study

Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care

Using High-Fidelity Simulation to Introduce Communication Skills about End-of-Life to Novice Nursing Students

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