Facing death in the clinical practice: a view from nurses in Mexico

Marván, Ma. Luisa; Oñate‐Ocaña, Luis F.; Santillán-Doherty, Patricio; Río, Asunción Álvarez-del

doi:10.21149/8417

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…From this literature study, it was found that nurses need to increase knowledge about care for dying patients and SOP in order to work professionally. 3,4,6,9,10 Nurses also need to increase their sense of empathy in dealing with conditions of terminal patients. 5 Collaboration between health professionals is needed to determine continuation of care and medical treatment of patients either at the hospital or at home (home care).…”

Section: Resultsmentioning

confidence: 99%

“…Besides, they also need to understand that fear is a consequence they may experience. 3,4 Nurses are health professionals who have a longer contact time together with patients than other medical professionals. 5 This fact requires nurses to be professional and adaptive to all condition experienced by patients, including terminally ill patients who will experience a process of death.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ experiences in caring for dying patients: A literature review

Pratama¹,

Wardaningsih

2020

JKKI

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Setiap manusia akan menghadapi kematian, dan beberapa pasien dapat mengalami kondisi kritis saat sakit sebelum meninggal. Perawat adalah tenaga medis profesional yang diharapkan mampu merawat kondisi kritis pasien. Diperlukan kajian pengalaman perawat dalam menghadapi kondisi kritis pasien agar dapat meningkatkan pelayanannya. Penelitian ini bertujuan untuk menganalisis artikel yang menjelaskan tentang pengalaman perawat dalam menangani pasien sekarat. Sebuah tinjauan pustaka dilakukan dengan mencari artikel dari database PubMed dan EBSCO (menggunakan kata kunci "sekarat DAN perawat DAN pengalaman"). Dalam database PubMed ditemukan 563 artikel, dan di EBSCO ditemukan 1.632 artikel. Dari semua database tersebut, hanya 10 artikel yang memenuhi kriteria inklusi dan eksklusi. Hasil review artikel menemukan bahwa pengalaman perawat dalam merawat pasien sekarat memberi kesan bahwa perawat memiliki empati yang lebih dan memberikan dorongan moral kontekstual bagi pasien dan keluarganya. Perawat juga perlu mempersiapkan diri dengan pengetahuan tentang akhir hayat.Every human will face death, and some patients can experience a critical condition during illness before death. Nurses are medical professionals who are expected to be able to care for a patient's critical condition. Studying experiences of nurses in dealing with a patient's critical condition is needed so that they can improve their services. This study aims to analyze articles that explain about nurses' experiences in dealing with dying patients. A literature review was conducted by searching articles from the PubMed and EBSCO databases (using keywords "dying AND nurse AND experience"). In the PubMed databases were found 563 articles, and in the EBSCO were found 1,632 articles. From the all the databases, only 10 articles met the inclusion and exclusion criteria. Results of the article reviews found that the experiences of nurses in caring for dying patients suggest nurses to have more empathy and to provide contextual moral encouragement for patients and their families. Nurses also need to prepare themselves with knowledge about end of life.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences in caring for dying patients: A literature review

Pratama¹,

Wardaningsih

2020

JKKI

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“…Another hypothesis is that Mexico's special relationship with death may bear some relationship. 17,18 In Mexico, death is lived in a more natural manner 19 than in other countries. In Europe and the United States, there are many taboos surrounding death, 20 greater difficulty in accepting it, and perhaps in coming to terms with it.…”

Section: Discussionmentioning

confidence: 99%

What are the ethical conflicts faced by Mexican internists?

et al. 2021

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Background No studies have been conducted in Mexico to ascertain what ethical problems doctors working at hospitals deal with. This article aims to describe the ethical conflicts most commonly identified by Mexican internists and the importance they attribute to each of these conflicts. Methods Voluntary survey to the members of the Internal Medicine Association of Mexico. Results Responses were submitted by 347 internists. Half of those face ethical conflicts almost always or frequently. The most commonplace and relevant conflicts are those resulting from the clinical relationship (communication, confidentiality, informed consent, assessment of mental capacity, decisions involving incapacitated patients, and conflicts with family members), and secondly those problems related with the end of life (palliative care, withholding or withdrawing treatment, and “No CPR orders”). To resolve conflicts they seek support through protocols, Institutional Ethics Committees (IECs), and consultations with colleagues and, occasionally, with bioethics experts. Protocols and IECs are the tools most in demand among them. Conclusions 1) the most frequent and relevant conflicts are those caused by the clinical relationship, above all those due to doctor–patient communication, and secondly those due to problems which arise at the end of life; 2) though nearly all of them have doubts about how to resolve conflicts, the vast majority are satisfied with the way in which they do so; 3) to deal with conflicts, they seek support mainly in protocols, IECs, and consultation with colleagues; and 4) in order to resolve them better, what they most demand are protocols and IECs, but also bioethics consultants.

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“…It would be expected that health professionals would have the theoretical knowledge and the skills training for these future experiences, regrettably this is not the case. There are some optional courses for students of health careers [4,5,6,7], but those that do not take the diplomat, loss the opportunity to have homogeneous scholar training for the graduate profile in the subject; then, regarding the labour field, when a person dies the harsh reality put to test all our values, knowledge, beliefs and emotions such that our strength may crumble surfacing pain, since the death of a person shows the reality of our own death and the fragility of life, such that these continuous events may overwhelm health professionals with negative emotions provoking somatization or evasion of the event [8,9]. The way death is seeing and interpreted, either as a general or other´s event, changes when it affects a specific person, most of all if a child is dying, and also the age of the sick detonates the death process differently, i.e., when the ill or his relatives confront the closeness of death [9,10,11]; then it is important that health professionals may identify their reactions and attitudes under these circumstances, and give themselves the chance to seek for help to fulfill training skills timely, even if it was not in their curriculum.…”

Section: Introductionmentioning

confidence: 99%

Thanatology Students’ Attitudes When Facing Patients Death

Pancardo

2021

JESBS

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Background: Health professionals constantly face patients’ death in their work places, along with a series of changes that develop during the mourn process of the human being in both, patient´s relatives and themselves. They intervene in some steps of the process since, consciously or unconsciously they interact with the hospitalized dying patient and relatives, either in a public or private institution. Health professionals receive some training in the subject, but it is not common so that they seek to get it. The aim of the study was to identify the attitudes of the thanatology diplomat students when facing death in their professional and personal lives, in order to promote their continuum improvement in thanatology attention. Methods: the study was quantitative, observational, descriptive, cross-sectional and prospective; a questionnaire was applied to 33 students of the thanatology diplomat from National Autonomous University of Mexico with hospital practice. The questionnaire had 7 items with a Likert scale of frequent, infrequent, never, that included the variables of study, such as death process in different life steps, death due to suicide, sudden death, due to HIV/AIDS, etc. An Excel data base was created and descriptive statistics was used in the analysis. Results: When a child was dying, 27 students were empathetic in communicating affection and companionship during the process, while the rest had difficulty doing so. For the death of the adolescents, 27 students behaved empathetic and affective, while 2 showed difficulty in accepting the death of the patient and the rest avoided interaction with the patient and relatives. In the case of adult death, 28 students behaved empathetic and affectionate; while for the older ones, 24 students behaved empathetic and affective, 3 believed it as a natural process that comes to an end. Conclusion: Attitudes of thanatology diplomat students facing death, along their professional and personal lives improve once they received information for dealing with patients and relatives.

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Facing death in the clinical practice: a view from nurses in Mexico

Cited by 6 publications

References 14 publications

Nurses’ experiences in caring for dying patients: A literature review

Nurses’ experiences in caring for dying patients: A literature review

What are the ethical conflicts faced by Mexican internists?

Thanatology Students’ Attitudes When Facing Patients Death

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