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Rayani AM, Alodhailah AM, Alreshidi SM. A cross-sectional study of resilience and well-being among nursing students in Saudi Arabia. SAGE Open Med 2024; 12:20503121241245224. [PMID: 38623476 PMCID: PMC11017810 DOI: 10.1177/20503121241245224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 03/19/2024] [Indexed: 04/17/2024] Open
Abstract
Objectives Promoting resilience and embracing healthy coping strategies can effectively assist nursing students in managing stress and enhancing their welfare. Nonetheless, a comprehensive understanding of the factors influencing their well-being and resilience, pivotal for both academic accomplishments and future career longevity, remains incomplete. Methods A cross-sectional descriptive correlational design was adopted for this study. Participants comprised students enrolled in pre-registration nursing programs at both undergraduate and graduate levels. The World Health Organization-5 Well-Being Index and the 10-item Connor-Davidson Resilience Scale were utilized to assess psychological well-being and resilience, respectively. Results The study involved 175 university nursing students selected through convenience sampling. On the 10-item Connor-Davidson Resilience Scale, the average score was 25.5, with undergraduate and graduate students scoring an average of 25.4 and 26.3, respectively. Nevertheless, the two groups had no statistically significant difference (p = 0.526). Regarding perceived well-being, the average World Health Organization-5 score was 16.1, with no noticeable distinction between undergraduates and postgraduates (p = 0.858). Notably, bivariate analysis revealed a moderate positive correlation between self-reported resilience and perceived well-being (rp = 0.281, p = 0.001). Moreover, senior students exhibited significantly higher scores on the perceived well-being scale than junior students (17.0 vs 15.1, p = 0.010). Multivariable regression analysis also identified that self-reported resilience represents a consistent means of predicting perceived well-being (regression coefficient B = 0.22, p < 0.001). Conclusions The outcomes indicate that university-based nursing students who exhibit higher levels of resilience have more positive perceptions of their well-being. Moreover, postgraduate students exhibit more significant resilience levels than undergraduate students.
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Affiliation(s)
- Ahmad M Rayani
- Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh City, Saudi Arabia
| | - Abdulaziz M Alodhailah
- Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh City, Saudi Arabia
| | - Salman M Alreshidi
- Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh City, Saudi Arabia
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Ito Y, Tsubaki M, Kobayashi M. Families' experiences of grief and bereavement in the emergency department: A scoping review. Jpn J Nurs Sci 2021; 19:e12451. [PMID: 34490984 DOI: 10.1111/jjns.12451] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 06/19/2021] [Accepted: 07/26/2021] [Indexed: 11/28/2022]
Abstract
AIM Death is a frequent event in the emergency department, and many family members experience grief and bereavement. However, little is known about what families experience. The aim of this study was to explore previous findings about families' experiences of grief and bereavement in the emergency department to clarify and understand their experience. METHODS A scoping review was chosen as the design for this research. Studies were searched from four electronic databases. The obtained studies were screened independently by two reviewers and selected by mutual agreement of the entire team based upon the eligibility criteria. All relevant data were extracted, and thematic analysis was conducted to assess families' grief and bereavement experiences in the emergency department. RESULTS The database searches initially resulted in 982 studies; these were finally narrowed to 20 studies for data extraction. Publication years ranged from 1987 to 2020. The studies were conducted across nine countries; most were from the United States and had a qualitative research design. Analysis elicited the following themes: "lack of information," "breaking bad news," "being present during resuscitation," "chaotic environment," "psychosocial reaction in bereavement," and "support and care needs from healthcare professionals." CONCLUSION These themes reveal challenges in providing support and care from emergency nurses to bereaved families, including inadequate provision of information, poor design of the emergency department due to the lack of privacy, and families' unmet support and care needs. Emergency nurses need to better understand families' experience of grief and bereavement.
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Affiliation(s)
- Yoshiyasu Ito
- College of Nursing Art and Science, University of Hyogo, Akashi, Japan
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Li R, Zhou W, Wu J. Identifying the subtypes of psychological profiles in senior undergraduate nursing students and its relationship with academic performance: A latent class analysis. J Prof Nurs 2021; 37:757-764. [PMID: 34187675 DOI: 10.1016/j.profnurs.2021.04.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Indexed: 10/21/2022]
Abstract
BACKGROUND Students' academic performance is closely related to their personal psychological factors. The subtypes and heterogeneity of psychological profiles among nursing students has not been systematically examined. PURPOSE To identify subtypes of psychological profiles among nursing students using latent class analysis (LCA). METHODS A cross-sectional study design included 379 senior nursing undergraduate students aged 18-22 from three medical colleges in Shanghai. The subjects were investigated by Ruminative Responses Scale, Academic Burnout Scale and Psychological Capital Scale and were categorized into subtypes by LCA. RESULTS Four latent classes were identified: Class 1 - General group; Class 2 - Negative psychological dominated group; Class 3 - Positive psychological dominated group; and Class 4 - Ambivalence psychological group. Students with higher exam failure rate were more likely to belong to Class 2. After adjusted for demographic variables, the subtypes of psychological profiles significantly correlated with academic performance. CONCLUSIONS The significant heterogeneities were noted between psychological profile subtypes and academic performance among senior undergraduate nursing students.
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Affiliation(s)
- Rui Li
- School of Nursing, Shanghai University of Traditional Chinese Medicine, Room 9122, 1200 Cai Lun Road, Shanghai, China
| | - Wanqiong Zhou
- School of Nursing, Shanghai University of Traditional Chinese Medicine, Room 9122, 1200 Cai Lun Road, Shanghai, China
| | - Jing Wu
- School of Nursing, Shanghai University of Traditional Chinese Medicine, Room 9122, 1200 Cai Lun Road, Shanghai, China.
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Hofmann L, Glaesmer H, Przyrembel M, Wagner B. The Impact of Police Behavior During Death Notifications on Mental Health of the Bereaved: A Cross-Sectional Study. OMEGA-JOURNAL OF DEATH AND DYING 2021; 87:344-362. [PMID: 34034552 DOI: 10.1177/00302228211019202] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The delivery of death notifications may affect the mental health of bereaved individuals. Police officers are often the first people with whom the bereaved have contact in this exceptional situation. Therefore, it is essential to assess the behavior of police officers and the impact on the bereaved. We examined the experiences of 86 individuals who received the notification through the police and assessed symptoms of prolonged grief, depression, and posttraumatic stress symptoms. The interaction with police was associated with posttraumatic avoidance behavior and the presence of another supporting person was associated with higher scores of depression. Handing out information material and staying with the bereaved was related to a positive evaluation of police behavior. It appears important to identify helpful and problematic behavior for a better understanding and for an adaptation of existing guidelines.
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Affiliation(s)
- Laura Hofmann
- Department of Clinical Psychology, Medical School Berlin, Berlin, Germany
| | - Heide Glaesmer
- Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
| | - Marisa Przyrembel
- Akkon University of Applied Sciences for Human Sciences, Berlin, Germany
| | - Birgit Wagner
- Department of Clinical Psychology, Medical School Berlin, Berlin, Germany
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Chow KM, Tang FWK, Tang WPY, Leung AWY. Resilience-building module for undergraduate nursing students: A mixed-methods evaluation. Nurse Educ Pract 2020; 49:102912. [PMID: 33186821 DOI: 10.1016/j.nepr.2020.102912] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/08/2020] [Accepted: 10/26/2020] [Indexed: 12/30/2022]
Abstract
In nursing students, resilience is recognised as a critical quality that will enable them to face and solve the challenges encountered in their studies and future careers. This mixed-methods study aimed to develop a resilience-building module for university nursing students and evaluate its effects on resilience, well-being and mindfulness. We recruited a convenience sample of 195 nursing students and delivered a resilience-building module comprising three 90-minute workshops on the following topics: resilience and emotion regulation, stress management and mindfulness, and burnout and depression. The participants' views and perceptions of the module were explored using pre-test and post-test questionnaires and focus group interviews. No significant changes in outcomes were observed from the pre-test to the post-test. However, a multivariable linear regression analysis indicated that mindfulness was significantly associated with resilience. A qualitative data analysis revealed that the resilience-building module evoked the participants' awareness of resilience and was considered an enjoyable learning experience. In conclusion, although the quantitative results demonstrated no significant changes in outcomes after the module, the qualitative results suggested that the resilience-building module could have beneficial effects if included in the undergraduate nursing curricula. Finally, better mindfulness was identified as important for enhancing resilience among undergraduate nursing students.
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Affiliation(s)
- Ka Ming Chow
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
| | - Fiona W K Tang
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Winnie P Y Tang
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Alice W Y Leung
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
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De Leo D, Zammarrelli J, Viecelli Giannotti A, Donna S, Bertini S, Santini A, Anile C. Notification of Unexpected, Violent and Traumatic Death: A Systematic Review. Front Psychol 2020; 11:2229. [PMID: 33101106 PMCID: PMC7546769 DOI: 10.3389/fpsyg.2020.02229] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 08/10/2020] [Indexed: 11/25/2022] Open
Abstract
Background: The way the death of a person is communicated can have a profound impact on the bereavement process. The words and expressions that are used to give the tragic news, the characteristics of who communicates it, the physical setting in which the notification is given, the means used (e.g., in person, via phone call, etc.) are just some of the factors that can influence the way survivors face one of the most difficult moments in their lives. Aim: To review the literature on the topic of death notification to verify the state of the art related to this important procedure. Methods: A systematic review was conducted with PRISMA criteria on English-written materials produced from 1966 to 2019. Results: Out of the initial 3,166 titles considered, 60 articles were extracted for this review. A content analysis has revealed four main areas of interest: (1) protocols and guidelines; (2) emotional reactions of recipients and notifiers; (3) professional figures involved in the notification process; and, (4) types of death. Discussion: The communication of death represents a complex and stressful experience not only for those who receive it but also for those who give it. Alongside the acquisition of a necessary technique and execution methods, the process should involve the selection of notifiers based on personality characteristics and communication styles. Conclusion: Indications for the need of better training and protocols sensitive to different circumstances emerge. Adequate preparation can positively influence the quality of communication and the effects it produces, both on recipients and notifiers. In vocational training, more space should be devoted to this demanding task.
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Affiliation(s)
- Diego De Leo
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, QLD, Australia
- Slovene Center for Suicide Research, Primorska University, Koper, Slovenia
- De Leo Fund, Padua, Italy
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Experience of nurses who work with children with palliative care needs: A mixed-method systematic review. Palliat Support Care 2019; 18:473-485. [PMID: 31774390 DOI: 10.1017/s1478951519000956] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The importance of palliative care education for nurses has been recognized worldwide. The study aims to explore the experiences of nurses working with children with palliative care needs and to identify any related educational needs. METHODS The electronic databases of CINAHL, Cochrane, PubMed, OVID, Social Care Online, Web of Science, Scopus, and ProQuest were searched for the period 2000-2015. RESULTS Finding revealed that working with children with palliative care needs is an emotionally struggling job for nurses, especially when they try to manage the transition of pediatric patients from curative to palliative care. Staffing level and time constraints comprise a major obstacle in pediatric palliative care. Focusing on invasive treatment and technology in spite of the feelings that it will not improve patients' health status intensifies the feeling of guilt and helplessness for nurses. Finally, nurses asserted the importance of receiving pediatric palliative care education, especially how to communicate with children with palliative care needs and their families. SIGNIFICANCE OF RESULTS Further research is recommended with regard to nurses' experience in communication with children with palliative care needs. Nursing education in pediatric palliative care is significantly important, especially how to communicate with children with palliative care needs and their families.
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Roldán-Merino J, Miguel-Ruiz D, Roca-Capara N, Rodrigo-Pedrosa O. Personal tutoring in nursing studies: A supportive relationship experience aimed at integrating, curricular theory and professional practice. Nurse Educ Pract 2019; 37:81-87. [DOI: 10.1016/j.nepr.2019.05.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 04/08/2019] [Accepted: 05/16/2019] [Indexed: 01/28/2023]
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CHOW KM, TANG WKF, CHAN WHC, SIT WHJ, CHOI KC, CHAN S. Resilience and well-being of university nursing students in Hong Kong: a cross-sectional study. BMC MEDICAL EDUCATION 2018; 18:13. [PMID: 29329529 PMCID: PMC5767064 DOI: 10.1186/s12909-018-1119-0] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Accepted: 01/05/2018] [Indexed: 05/11/2023]
Abstract
BACKGROUND University nursing students experience higher levels of academic stress than those of other disciplines. Academic stress leads to psychological distress and has detrimental effects on well-being. The ability to overcome such adversity and learn to be stronger from the experience is regarded as resilience. Resilience is found to have an impact on learning experience, academic performance, course completion and, in the longer term, professional practice. Resilience and positive coping strategies can resist stress and improve personal well-being. However, the relationship between resilience and well-being remains unexplored in nursing students, which are significant attributes to their academic success and future career persistence. METHODS The study was a cross-sectional descriptive correlational design. Inclusion criteria for recruitment was students studying pre-registration nursing programmes at both undergraduate and postgraduate levels. The 10-item Connor-Davidson Resilience Scale (CD-RISC-10) and World Health Organisation-5 Well-Being Index (WHO-5) were used to measure resilience and psychological well-being respectively. RESULTS A convenience sample of 678 university nursing students was recruited from a university. The mean score of CD-RISC-10 was 24.0. When comparing the resilience levels of undergraduate and postgraduate students, the total scores were found to be 23.8 and 24.9 respectively. There was a statistically significant difference between the groups (p = .020). With regard to perceived well-being, the mean score of WHO-5 was 15.5. There was no significant difference between undergraduates and postgraduates (p = .131). Bivariate analysis showed that self-reported resilience had a medium, positive correlation with perceived well-being (r = .378, p = .000), and senior students had significantly higher level of perceived well-being than junior students (16.0 vs 15.1, p = .003). Multivariable regression analysis on perceived well-being indicated that self-reported resilience emerged as a significant predictor of perceived well-being (regression coefficient B = 0.259; p < .001). CONCLUSIONS The results demonstrate that nursing students with a high level of resilience have better perceived well-being, and the level of resilience of postgraduates was significantly higher than that of undergraduates. Therefore, educational strategies should be developed in the nursing curriculum and a supportive learning environment should be created to foster resilience in the students.
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Affiliation(s)
- Ka Ming CHOW
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Wing Ki Fiona TANG
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Wing Han Carmen CHAN
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Wing Hung Janet SIT
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Kai Chow CHOI
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Sally CHAN
- School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, New South Wales, Australia
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Sucu Dağ G, Dicle A, Firat MZ. Psychometric properties of the critical care family needs inventory-emergency department. Appl Nurs Res 2017; 33:113-120. [DOI: 10.1016/j.apnr.2016.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 10/08/2016] [Accepted: 11/06/2016] [Indexed: 10/20/2022]
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Abstract
In spite of growing bereavement literature, the meaning of the lived experience of parental bereavement is not well understood. This article presents selected findings from a Heideggerian hermeneutic phenomenological study which aimed to describe the lived experience of bereaved parents who experienced the death of a child due to cancer. Conversational interviews were conducted with six parents who experienced the death of a young child due to cancer at least one year prior to participation. The nature of parental bereavement was revealed to be a new state of being into which parents enter immediately after the death of a child and which has no end point. Findings will equip health professionals and others who work with bereaved parents with a deeper understanding of the meaning of parental bereavement.
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Abstract
Supporting relatives following sudden and traumatic death is one of the most daunting aspects of emergency care. Relatives are devastated by the suddenness of the event, a situation often compounded by the mutilation of the body of their loved one. Managing the practical aspects of death pronouncement, explaining the cause of death, performing last offices, and representing the body to relatives can be emotionally draining for even the most experienced emergency practitioner who is required to remain composed whilst supporting grieving relatives through their tragedy. This article considers how emergency personnel may effectively offer emotional presence and support at a time when the sheer magnitude of the event annihilates the possibility of any sense of order. The juxtaposition of communication with caring and the impact of caring on healing should not be underestimated. This concept will be discussed in relation to how relatives are cared for in the emergency department.
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Affiliation(s)
- Tricia Scott
- Department of Academic Emergency Medicine, The James Cook University Hospital, Middlesbrough, TS4 3BW,
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Walker W, Deacon K. Nurses’ experiences of caring for the suddenly bereaved in adult acute and critical care settings, and the provision of person-centred care: A qualitative study. Intensive Crit Care Nurs 2016; 33:39-47. [DOI: 10.1016/j.iccn.2015.12.005] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 11/05/2015] [Accepted: 12/21/2015] [Indexed: 10/22/2022]
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Chow KM, Chan CW, Chan JC, Choi KK, Siu K. A feasibility study of a psychoeducational intervention program for gynecological cancer patients. Eur J Oncol Nurs 2014; 18:385-92. [DOI: 10.1016/j.ejon.2014.03.011] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2013] [Revised: 03/14/2014] [Accepted: 03/26/2014] [Indexed: 10/25/2022]
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Abstract
Reference to the concept of comfort measures is growing in the nursing and medical literature; however, the concept of comfort measures is rarely defined. For the comfort work of nurses to be recognized, nurses must be able to identify and delineate the key attributes of comfort measures. A concept analysis using Rodgers' evolutionary method (2000) was undertaken with the goal of identifying the core attributes of comfort measures and thereby clarifying this concept. Health care literature was accessed from the CINAHL and PubMed databases. No restrictions were placed on publication dates. Four main themes of attributes for comfort measures were identified during the analysis. Comfort measures involve an active, strategic process including elements of "stepping in" and "stepping back," are both simple and complex, move from a physical to a holistic perspective and are a part of supportive care. The antecedents to comfort measures are comfort needs and the most common consequence of comfort measures is enhanced comfort. Although the concept of comfort measures is often associated with end-of-life care, this analysis suggests that comfort measures are appropriate for nursing care in all settings and should be increasingly considered in the clinical management of patients who are living with multiple, chronic comorbidities.
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Affiliation(s)
- Irene Oliveira
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.
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Rejnö Å, Danielson E, Berg L. Next of kin's experiences of sudden and unexpected death from stroke - a study of narratives. BMC Nurs 2013; 12:13. [PMID: 23590246 PMCID: PMC3637261 DOI: 10.1186/1472-6955-12-13] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2012] [Accepted: 04/05/2013] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Death always evokes feelings in those close to the afflicted person. When death comes suddenly the time for preparation is minimal and the next of kin have to cope with the situation despite their own sorrow. The suddenness is found to be stressful for the next of kin and communication both with healthcare professionals and information about what has happened has been found helpful. The aim of this study was to illuminate the experiences of next of kin from the sudden and unexpected death of a relative from acute stroke. METHODS Data was collected over a 12-month period in 2009-2010. Twelve next of kin of patients cared for in stroke units who died suddenly and unexpectedly from stroke were interviewed using a narrative method. The narratives were analyzed using narrative thematic analysis. RESULTS Three themes emerged showing facets of next of kin's experiences of a relative's sudden and unexpected death from stroke: Divided feelings about the sudden and unexpected death; Perception of time and directed attention when keeping vigil; Contradictions and arbitrary memories when searching for understanding. CONCLUSIONS To have to live in the aftermath of severe stroke is absolute horror in people's imagination and death is seen as the lesser of two evils. The sudden and unexpected death totally pervades the next of kin's life, directs their attention to the dying person and even causes them to forget themselves and their own needs, and leads to difficulties in information intake. It is a challenge for the healthcare professionals to be able to identify the individual needs of the next of kin in this situation.
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Affiliation(s)
- Åsa Rejnö
- Institute of Health and Care Sciences, University of Gothenburg, The Sahlgrenska Academy, Box 45740530, Göteborg, Sweden
- The Stroke Unit, Kärnsjukhuset, Skaraborg Hospital, 54185, Skövde, Sweden
| | - Ella Danielson
- Institute of Health and Care Sciences, University of Gothenburg, The Sahlgrenska Academy, Box 45740530, Göteborg, Sweden
- Department of Health Sciences, Mid Sweden University, 83125, Östersund, Sweden
| | - Linda Berg
- Institute of Health and Care Sciences, University of Gothenburg, The Sahlgrenska Academy, Box 45740530, Göteborg, Sweden
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Chan HYL, Lee LH, Chan CWH. The perceptions and experiences of nurses and bereaved families towards bereavement care in an oncology unit. Support Care Cancer 2012; 21:1551-6. [DOI: 10.1007/s00520-012-1692-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2012] [Accepted: 12/10/2012] [Indexed: 11/25/2022]
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Beckstrand RL, Wood RD, Callister LC, Luthy KE, Heaston S. Emergency Nurses' Suggestions for Improving End-of-Life Care Obstacles. J Emerg Nurs 2012; 38:e7-14. [DOI: 10.1016/j.jen.2012.03.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2011] [Revised: 01/13/2012] [Accepted: 03/17/2012] [Indexed: 10/28/2022]
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Rejnö Å, Danielson E, von Post I. The unexpected force of acute stroke leading to patients’ sudden death as described by nurses. Scand J Caring Sci 2012; 27:123-30. [DOI: 10.1111/j.1471-6712.2012.01011.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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20
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Roe E. Practical Strategies for Death Notification in the Emergency Department. J Emerg Nurs 2012; 38:130-4; quiz 200. [DOI: 10.1016/j.jen.2010.10.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Revised: 09/21/2010] [Accepted: 10/05/2010] [Indexed: 10/18/2022]
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Harrington C, Sprowl B. Family Members' Experiences with Viewing in the Wake of Sudden Death. OMEGA-JOURNAL OF DEATH AND DYING 2012; 64:65-82. [DOI: 10.2190/om.64.1.e] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Sudden deaths leave families in crisis and interacting with many professionals from notification through to burial. Whether to view the deceased is often central to discussion. Practice guidelines have evolved over time regarding where, when, how, and why viewing should or should not occur. Unfortunately, there is much contradiction in existing recommendations and a marked absence of a supporting evidence base for the practice of viewing itself, and the influence of this practice on the overall bereavement process. Using a qualitative approach, this study explored the perspectives and experiences of the suddenly bereaved with respect to: viewing or not having viewed; whether or not their viewing experiences have impacted on their bereavement process; and explored particular aspects of their experience such as interactions with various professionals. Results of this study are clustered and presented under three core themes: viewing specifics; intrapersonal responses; and professional interactions.
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Reid M, McDowell J, Hoskins R. Communicating news of a patient's death to relatives. ACTA ACUST UNITED AC 2011; 20:737-40, 742. [DOI: 10.12968/bjon.2011.20.12.737] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Megan Reid
- Intensive Care Unit, Royal Alexandra Hospital, Paisley
| | - Joan McDowell
- Nursing and Healthcare, Faculty of Medicine, University of Glasgow
| | - Robert Hoskins
- Nursing and Healthcare, Faculty of Medicine, University of Glasgow
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Stephen AI, Wimpenny P, Unwin R, Work F, Dempster P, MacDuff C, Wilcock SE, Brown A. Bereavement and bereavement care in health and social care: provision and practice in Scotland. DEATH STUDIES 2009; 33:239-261. [PMID: 19353821 DOI: 10.1080/07481180802671944] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The interview study described here aimed to explore current views of and practice in bereavement care and identify priorities for service development in Scotland. Fifty-nine participants who worked with the bereaved in some way, or whose interest was in bereavement or bereavement care, were interviewed. They represented National Health Service organizations, chaplaincy departments, educational institutions, academic departments, voluntary groups, and other related bodies, such as funeral directors. Transcripts were read repeatedly and initial emerging themes were identified, coded and shared between research team members to reach a consensus for key themes. Priority areas for development were related to raising public awareness, coordination of services, guidance, and professional education.
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Affiliation(s)
- Audrey I Stephen
- School of Nursing and Midwifery, Faculty of Health and Social Care, Robert Gordon University, Garthdee Road Aberdeen AB110 7QG, UK
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Wong MS, Chan SWC. The experiences of Chinese family members of terminally ill patients - a qualitative study. J Clin Nurs 2008; 16:2357-64. [PMID: 18036125 DOI: 10.1111/j.1365-2702.2007.01943.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM To describe and understand the experiences of Chinese family members of terminally ill patients during the end of life process in a palliative care unit. BACKGROUND Palliative care aims to provide care to dying patients and their family members. Skillful interventions are necessary to help family members cope with the impending death of the patient and maintain their emotional equilibrium. Hence, it is important to understand the experiences of family members of palliative care. DESIGN A phenomenological study was conducted. Data were collected by semi-structured interviews. We interviewed a purposive sample of 20 family members of terminally ill patients in a palliative care unit in Hong Kong. The data were analysed following Colaizzi's phenomenological methodology. RESULTS Family members experienced anticipatory grief, with reactions that included anger, unease, sadness and helplessness. This was particularly acute when the patient was first admitted to the palliative care unit. However, the family members quickly accepted the reality and committed themselves to the care of the patient, seeking informational and emotional support from the nurses. The families wanted to be assured that the patient had been offered good care and suffered no pain. It was considered important to be with the patient during the dying process. CONCLUSION This study demonstrated that Chinese family members were committed to the care of the patients in the palliative care unit. Cultural beliefs played a part in influencing family emotions and concerns. RELEVANCE TO CLINICAL PRACTICE This study offers a direction for family interventions that acknowledge the reactions of family members to the admission of a patient to a palliative care unit. It highlights that families need active informational and emotional support from nurses.
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Wisten A, Zingmark K. Supportive needs of parents confronted with sudden cardiac death--a qualitative study. Resuscitation 2007; 74:68-74. [PMID: 17353083 DOI: 10.1016/j.resuscitation.2006.11.014] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2006] [Revised: 11/13/2006] [Accepted: 11/16/2006] [Indexed: 11/26/2022]
Abstract
The death of a close family member is one of life's greatest tragedies. When death is sudden and unexpected, there is an increased risk of posttraumatic reactions and complicated mourning. Care of the bereaved is still often overlooked in medical training and clinical practise. The aim of this study was to elucidate the perceived support and the needs of bereaved parents confronted with sudden cardiac death (SCD) in a young son or daughter. Data were derived from a qualitative contents analysis of tape-recorded, in-depth interviews with bereaved parents confronted with SCD 5-12 years post-loss. The 20 deceased individuals were part of the Swedish forensic SCD cohort of 15-35 year olds from 1992 to 1999. One third of the parents had had no contact with the emergency department (ED), one third had been disappointed after meeting care-givers at the ED who did not act with sensitivity and consistency, while one third were more or less satisfied with the handling at the ED. A majority of the parents experienced a lack of follow-up care; they had been left mainly to themselves to find information and support. Four factors were identified as being particularly important for the parents: evidence, reconstruction, explanation and sensitivity. There is a need of better routines to help the suddenly bereaved. A model of the major needs and a plan for the support needed are proposed.
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Affiliation(s)
- A Wisten
- Department of Internal Medicine, Sunderby Hospital, SE-97180 Luleå, Sweden.
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Marco CA. Commentary on Dr. Death: Reflections of Death Telling. Acad Emerg Med 2006. [DOI: 10.1197/j.aem.2005.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Abstract
BACKGROUND Cross-cultural and international collaborative studies are needed in nursing research. Therefore, it is necessary to translate research instruments into the language of the culture being studied. In this methods review, different processes of instrument translation and evaluation of translation adequacy in published nursing research are described and classified into a hierarchy. METHODS Studies including translation of quantitative research instruments were reviewed. Forty-seven studies were included. These were classified into six categories. RESULTS Studies were classified into categories as follows: forward-only translation (2), forward-only translation with testing (7), back-translation (13), back-translation with monolingual test (18), back-translation with bilingual test (3), and back-translation with both monolingual and bilingual test (4). Strengths and weaknesses are analysed. CONCLUSION The studies reviewed used diverse methods of varying quality. There is need for consensus among researchers in how to achieve quality of instrument translation in cross-cultural research. Researchers should carefully attend to achieving and reporting evidence of the accuracy and validity of instrument translation. When back-translation fails to achieve semantic equivalence, the instrument development process should be replicated in the target language.
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Affiliation(s)
- Wantana Maneesriwongul
- Nursing Department, Ramathibodi Hospital Faculty of Medicine, Mahidol University, Bangkok, Thailand.
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