How social support affects the ability of clinical nursing personnel to cope with death

Chang, Wen Pei

doi:10.1016/j.apnr.2018.09.005

Cited by 33 publications

(35 citation statements)

References 31 publications

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“…Another critical component of resilience is the ability to both give and receive support, which is widely recognised as necessary for nurses to cope with the demands of their role 50. The nurses in this review were no exception and highlighted that support could take many forms and come from a variety of sources.…”

Section: Discussionmentioning

confidence: 95%

Resilience in inpatient palliative care nursing: a qualitative systematic review

Powell

Froggatt

Giga

2019

BMJ Support Palliat Care

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BackgroundNurses in inpatient palliative care are frequently exposed to death and dying in addition to common stressors found in other nursing practice. Resilience may mitigate against stress but remains ill-defined and under-researched in the specialist palliative care setting.ObjectiveThe aim of this systematic review was to understand resilience from the perspectives of inpatient palliative care nurses.DesignA thematic synthesis of qualitative studies was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Data sourcesAcademic Search Ultimate, Cumulative Index to Nursing and Allied Health Literature, Medline Complete, PsycINFO and Scopus.Review methodsThe review stages were searching for relevant literature, selecting relevant papers, data extraction, critical appraisal and thematic synthesis.ResultsEight studies revealed 10 subthemes, 3 descriptive themes and 1 analytical theme: resilience occurs when nurses incorporate stressful aspects of their personal or professional lives into a coherent narrative that enhances their ability to cope with the demands of their role.ConclusionPalliative care nursing is more stressful if patients or situations remind nurses of personal experiences. Nurses cope better with adequate support; however, coping does not necessarily imply increased resilience. Resilience occurs when nurses cognitively process their experiences, articulate their thoughts and feelings into a coherent narrative, and construct a sense of meaning or purpose. Future research could explore how nurses understand resilience and how it could be enhanced in the palliative care inpatient setting. With resilience, nurses may remain in the profession longer and improve the quality of care when they do.

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Section: Discussionmentioning

confidence: 95%

Resilience in inpatient palliative care nursing: a qualitative systematic review

Powell

Froggatt

Giga

2019

BMJ Support Palliat Care

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“…The sample size was determined through power analysis and calculated using the G*Power program [29,30]. When considering an effect size of 0.15 and 26 related factors [25,28,31,32], significance level (p) of 0.05, 95% power, at least 241 participants were required.…”

Section: E-questionnaire Distributionmentioning

confidence: 99%

“…Self-efficacy refers to the personal judgment of how well an individual can execute required courses of action to deal with prospective situations, and the hospice care self-efficacy is targeted at hospice care and addressed the health workers' confidence regarding the provision of mental and spiritual care for the terminally ill and their family members [25]. Studies found that high level of hospice care self-efficacy helps hospice care givers avoid negative emotions (e.g., escape, fear) [26,27], and actively assume their professional responsibilities [28]. Queries regarding the attitudes and self-efficacy of clinical nurses and physicians involved in fighting against COVID-19 during the implementation of hospice care for patients with dying COVID-19 was the focus aim of this study.…”

Section: Introductionmentioning

confidence: 99%

Hospice care self-efficacy among clinical medical staff working in the coronavirus disease 2019 (COVID-19) isolation wards of designated hospitals: a cross–sectional study

et al. 2020

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Background The COVID-19 pandemic has caused more than 462,417 deaths worldwide. A large number of patients with severe COVID-19 face death in hospital. Hospice care is truly a philosophy of care that delivers patient-centred care to the terminally ill and their families. Hospice care could provide many benefits for patients, families, and for hospice caregivers. The aim of this study is to investigate hospice care self-efficacy and identify its predictors among Chinese clinical medical staff in COVID-19 isolation wards of designated hospitals. Methods A cross-sectional design was used. The Hospice Care Self-Efficacy, Self-Competence in Death Work Scale, Positive Aspects of Caregiving, and Simplified Coping Style Questionnaires were administered between February and April 2020. A total of 281 eligible medical staff responded to the questionnaires, with a response rate of ≥78.9%. Results The mean score of hospice care self-efficacy was 47.04 (SD = 7.72). Self-efficacy was predicted by self-competence in death work (B = 0.433, P < 0.001), positive aspects of caregiving (B = 0.149, P = 0.027), positive coping (B = 0.219, P < 0.001), giving hospice care to dying or dead patients before fighting against COVID-19 (B = -1.487, P = 0.023), occupational exposure while fighting against COVID-19 (B = -5.244, P = 0.004), holding respect for life and professional sentiment as motivation in fighting against COVID-19 (B = 2.372, P = 0.031), and grade of hospital employment (B = -1.426, P = 0.024). The variables co-explained 58.7% variation of hospice care self-efficacy. Conclusion Clinical nurses and physicians fighting COVID-19 reported a moderate level of hospice care self-efficacy during this pandemic. Exploring the traditional Chinese philosophy of life to learn from its strengths and make up for its weaknesses and applying it to hospice care may provide a new framework for facing death and dying during the COVID-19 pandemic. Continuous hospice care education to improve self-competence in death work, taking effective measures to mobilize positive psychological resources, and providing safer practice environments to avoid occupational exposure are also essential for the improvement of the hospice care self-efficacy of clinical nurses and physicians. These measures help caregivers deal effectively with death and dying while fighting against the COVID-19 pandemic.

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“…The ability of nursing personnel to cope with death was assessed using the Death Coping Self-Efficacy Scale (DCSS), as adapted from the Hospice-Related DCSS by Robbins [10]. This was previously translated into Chinese with good reliability and validity in a Taiwanese sample [33]. The DCSS consists of three dimensions with a total of 29 items rated on a Likert scale from 1 to 5 points (1 = highly uncertain, 5 = completely certain).…”

Section: Measurementsmentioning

confidence: 99%

“…Furthermore, nurses are always expected to help others, while their own sadness and loss is often ignored [56,57]. A social support system for nurses that includes colleagues, team members, leaders and family members can alleviate pain in the face of loss through the channels of emotional expression [33]. Intervention nursing managers should note the many ways of strengthening training and promoting grief coping ability.…”

Section: Plos Onementioning

confidence: 99%

Big Five Personality Model-based study of death coping self-efficacy in clinical nurses: A cross-sectional survey

Lin

Liu

et al. 2021

PLoS ONE

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Background Specific personality traits may affect the ability of nurses to deal with patient death. The relationship between personality and death coping self-efficacy (DCS) has rarely been investigated in the palliative care setting. In this study, we explored the associations between different personality profiles and DCS in clinical nurses from general wards and ICU. Methods A cross-sectional survey of 572 Chinese nurses was conducted between August and September 2020, by way of a self-administered questionnaire. Results Among the Big Five Personality Traits, in nurses the score was highest for conscientiousness and lowest for neuroticism. With regard to DCS, nurses scored highly on the intention of hospice care. The Big Five Personality Traits were found to explain 20.2% of the overall variation in DCS. Openness, agreeableness and conscientiousness were significantly associated with DCS in nurses. Conclusions Nursing managers should pay attention to differences in personality characteristics and provide personalized and targeted nursing education. This should improve nurses’ DCS, enrich their professional development and promote high quality palliative care for patients and their families.

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How social support affects the ability of clinical nursing personnel to cope with death

Cited by 33 publications

References 31 publications

Resilience in inpatient palliative care nursing: a qualitative systematic review

Resilience in inpatient palliative care nursing: a qualitative systematic review

Hospice care self-efficacy among clinical medical staff working in the coronavirus disease 2019 (COVID-19) isolation wards of designated hospitals: a cross–sectional study

Big Five Personality Model-based study of death coping self-efficacy in clinical nurses: A cross-sectional survey

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