Impact of a contemplative end-of-life training program: Being with dying

Rushton, Cynda Hylton; Sellers, Deborah E.; Heller, Karen S.; Spring, Beverly; Dossey, Barbara; Halifax, Joan

doi:10.1017/s1478951509990411

Cited by 54 publications

(42 citation statements)

References 58 publications

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“…72,73 Cultivating mental and emotional stability via strategies such as mindfulness can enable nurses to function in stressful and emotionally charged situations without being overwhelmed. 74 Our results also suggest that higher levels of self-reported physical and spiritual well-being are associated with decreased levels of emotional exhaustion. If this association is real, interventions to help nurses expand their repertoire of activities to support their physical well-being (eg, exercise, [75][76][77] healthy eating, 77,78 and adequate sleep 79 ) may help reduce burnout and mitigate moral distress.…”

Section: Discussionsupporting

confidence: 61%

Burnout and Resilience Among Nurses Practicing in High-Intensity Settings

Rushton

Batcheller

Schroeder

et al. 2015

American Journal of Critical Care

503

374

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Define and better understand burnout and moral distress. 2. Identify the impact that burnout and resilience have among nurses. 3. Discuss the results of the study.To read this article and take the CE test online, visit www.ajcconline.org and click "CE Articles in This Issue. " No CE test fee for AACN members.Background The high level of stress experienced by nurses leads to moral distress, burnout, and a host of detrimental effects. Objectives To support creation of healthy work environments and to design a 2-phase project to enhance nurses' resilience while improving retention and reducing turnover. Methods In phase 1, a cross-sectional survey was used to characterize the experiences of a high-stress nursing cohort. A total of 114 nurses in 6 high-intensity units completed 6 survey tools to assess the nurses' characteristics as the context for burnout and to explore factors involved in burnout, moral distress, and resilience. Statistical analysis was used to determine associations between scale measures and to identify independent variables related to burnout. Results Moral distress was a significant predictor of all 3 aspects of burnout, and the association between burnout and resilience was strong. Greater resilience protected nurses from emotional exhaustion and contributed to personal accomplishment. Spiritual well-being reduced emotional exhaustion and depersonalization; physical well-being was associated with personal accomplishment. Meaning in patient care and hope were independent predictors of burnout. Higher levels of resilience were associated with increased hope and reduced stress. Resilience scores were relatively flat over years of experience. Conclusions These findings provide the basis for an experimental intervention in phase 2, which is designed to help participants cultivate strategies and practices for renewal, including mindfulness practices and personal resilience plans. (American Journal of Critical Care. 2015; 24:412-421)

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Section: Discussionsupporting

confidence: 61%

Burnout and Resilience Among Nurses Practicing in High-Intensity Settings

Rushton

Batcheller

Schroeder

et al. 2015

American Journal of Critical Care

503

374

View full text Add to dashboard Cite

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“…Our survey findings indicate that, although some of the coping strategies mentioned by our participants are corroborated by other studies, the individual coping preferences of oncologists are idiosyncratic. In recent years, institutions have attempted to incorporate debriefing sessions 28,45,46 , day-long retreat workshops [47][48][49] , education sessions about coping 50,51 , and week-long residential programs 46 to help health care professionals cope with patient death and other difficult aspects of working with terminally ill patients. Although these are excellent resources to offer to oncologists, our findings point to wide variability in preferred coping strategies, and no single intervention is likely to be suitable for all, or even most, oncologists.…”

Section: "Bad Death"mentioning

confidence: 99%

Experiences of Canadian Oncologists with Difficult Patient Deaths and Coping Strategies Used

et al. 2017

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Objectives We aimed to explore and identify what makes patient death more emotionally difficult for oncologists and how oncologists cope with patient death.Methods A convenience sample of 98 Canadian oncologists (50 men, 48 women) completed an online survey that included a demographics section and a section about patient death. ResultsMore than 80% of oncologists reported that patient age, long-term management of a patient, and unexpected disease outcomes contributed to difficult patient loss. Other factors included the doctor-patient relationship, identification with the patient, caregiver-related factors, oncologist-related factors, and "bad deaths." Oncologists reported varying strategies to cope with patient death. Most prevalent was peer support from colleagues, including nurses and other oncologists. Additional strategies included social support, exercise and meditation, faith, vacations, and use of alcohol and medications. ConclusionsOncologists listed a number of interpersonal and structural factors that make patient death challenging for them to cope with. Oncologists reported a number of coping strategies in responding to patient death, including peer support, particularly from nursing colleagues. No single intervention will be suitable for all oncologists, and institutions wishing to help their staff cope with the emotional difficulty of patient loss should offer a variety of interventions to maximize the likelihood of oncologist participation.

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“…56 A nurse who is present is fully engaged in the moment and not distracted by personal bias or other obligations. 37 Mindful body practices, including breathing deeply and exhaling slowly, may help nurses to cultivate "compassionate intention."…”

Section: Explanationmentioning

confidence: 99%

Caring for Pediatric Patients’ Families at the Child’s End of Life

Mullen

Reynolds

Larson

2015

Critical Care Nurse

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Nurses play an important role in supporting families who are faced with the critical illness and death of their child. Grieving families desire compassionate, sensitive care that respects their wishes and meets their needs. 1-5 Some nurses feel anxiety related to the experience of death and are inadequately prepared to provide end-of-life care. 3,6,7 We begin by presenting a case that illustrates a family's response when faced with such a life-altering event and the challenges nurses face in caring for and communicating with the family throughout the end-of-life experience. Next, we review practical strategies that nurses can use to communicate with patients' families at the end of a child's life. We also provide additional strategies to provide compassionate, sensitive care that respects a family's wishes and attends to the needs of the family. Finally, we describe a bereavement program designed to facilitate lasting communication with the grieving family. This article has been designated for CE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:1. Describe the challenges nurses face in caring for and communicating with the family throughout the end-of-life experience 2. Discuss strategies to provide compassionate care that respects a family's wishes and attends to the needs of the family throughout the end-of-life experience 3. Identify strategies that nurses can use to communicate with patients' families at the end of a child's life CE Continuing Education 46

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Impact of a contemplative end-of-life training program: Being with dying

Cited by 54 publications

References 58 publications

Burnout and Resilience Among Nurses Practicing in High-Intensity Settings

Burnout and Resilience Among Nurses Practicing in High-Intensity Settings

Experiences of Canadian Oncologists with Difficult Patient Deaths and Coping Strategies Used

Caring for Pediatric Patients’ Families at the Child’s End of Life

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