Hidden Beyond the Social Structure: The Lived Experiences of Intensive Care Unit (ICU) Nurses with End of Life Care (EoLC) Patients In Qatar, A Phenomenological Study
Keywords:
Coping strategies, Emotional Changes, End of Life Care Patients, and NursesAbstract
Nurses are at the forefront of healthcare. Providing care, compassion, and comfort to patients and families, especially in end-of-life care, nurses in Qatar are a source of strength for patients and families as they prepare for difficult decisions and painful realities of life. This qualitative study captures the lived experiences of a selected group using phenomenology as the study design following the semi-structured interviews to possess the impact of intensive care unit (ICU) nurses on end-of-life care patients in Qatar. Three major points were identified as they handled end-of-life patients, and these are Psycho-social concerns, Coping Strategies, and Self-Realization. Psycho-social concerns define the experiences of nurses in end-of-life care which in a way impacted their work performance and can be categorized as Emotional Connection, Family Complications, and Effective Communication. Coping strategies are tactics of nurses to manage and deal with stressful situations that will help them feel better and can be achieved through Self-Preservation, Spiritual Conviction, and Positive Perception. Self-realization is the ability to realize and achieve the nurses' highest potential through Radical Confirmation, Life Appreciation, and Professional Progression. The findings of the study show that nurses managing patients receiving end-of-life care presents a variety of challenges. It demonstrates how many nurses’ lives are significantly impacted and understanding how managing altered priorities may also aid these nurses in integrating more successfully into society, particularly in their academic, social, and psychological aspects.
References
Abu Hasheesh, M., AboZeid, S., et. al. (2021). Nurses' characteristics and their attitudes toward death and caring for dying patients in a public hospital in Jordan. Health Science Journal. [On- line]. 46(81). Available: https://www.hsj.gr/medicine/nurses-characteristics-and-their-attitudes-toward-death-and-caring-for-dying-patients-in-a-public-hospital-in-jordan.php?aid=2813
Jang, S., et al. (2019). Exploring nurses’ end-of-life care for dying patients in the ICU using focus group interviews. Intensive and Critical Care Nursing. [On- line]. 52(73), 3-8. Available: https://doi.org/10.1016/j.iccn.2018.09.007
Meinke, H. (2019). ICU Nursing: What You Need to Know About Working in the Intensive Care Unit. Rasmussen University. [On- line]. Available: https://www.rasmussen.edu/degrees/education/blog/stages-of-emotional-development/
Shi, H., Shan, B., Zheng, J., et al. (2019). Knowledge and attitudes toward end-of-life care among community health care providers and its influencing factors in China. Medicine (Baltimore). [On- line]. 98(45). Available: doi: 10.1097/MD.0000000000017683
Neubauer, B., Witkop, C., & Varpio, L. (2019). How phenomenology can help us learn from the experiences of others. Perspect Med Educ. [On- line]. 8(2), 90–97. Available: doi: 10.1007/s40037-019-0509-2
Molina-Mula, J. & Gallo-Estrada, J. (2020). Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. Int J Environ Res Public Health,. [On- line]. 17(3), 835. Available: doi: 10.3390/ijerph17030835
Brighton, L., et al. (2019). Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers. Patient Education and Counseling. [On- line]. 102(3), 494-502. Available: https://doi.org/10.1016/j.pec.2018.10.013
Blaževi?ien?, A., Laurs, L. & Newland, J.A. (2020). Attitudes of registered nurses about the end – of – life care in multi-profile hospitals: a cross-sectional survey. BMC Palliate Care. [On- line]. 19, 131. Available: doi: https://doi.org/10.1186/s12904-020-00637-7
Androus, A. (2022). The Importance of the Nurse-Patient Relationship for Patient Care. Registered Nursing.org. [On- line]. Available: https://www.registerednursing.org/articles/importance-nurse-patient-relationship-care/
Bramley, Louise, & Matiti, M., (2014) “How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurses.” Journal of clinical nursing. [On- line]. vol. 23,19-20: 2790-9. Available: doi:10.1111/jocn.12537
Huang, X., (2016, July). Tenecteplase versus alteplase in stroke thrombolysis: An individual patient data meta-analysis of randomized controlled trials. Int J Stroke. [On- line]. (5):534-43. Available: doi: 10.1177/1747493016641112
Lin, Dan-Yu et al. (2022, June). “Durability of Protection Against Symptomatic COVID-19 Among Participants of the mRNA-1273 SARS-CoV-2 Vaccine Trial.” JAMA network open. [On- line] vol. 5,6 e2215984. Available: doi:10.1001/jamanetworkopen.2022.15984
Martins, M., Chaves, C., & Campos, S., (2014). "Coping Strategies of Nurses in Terminal Ill" Procedia - Social and Behavioral Sciences, [On- line] vol. 113. Available: doi:10.1016/j.sbspro.2014.01.024
Purdue University Global. (2021). The Importance of Self-Care for Nurses and How to Put a Plan in Place. [On- line]. Available: https://www.purdueglobal.edu/blog/nursing/self-care-for-nurses/#:~:text=Self%2Dcare%20reduces%20stress%2C%20replenishes,especially%20important%20during%20COVID%2D19.
Sapeta, A., Centeno, C., & Arantzamendi, M. (2022). Adaptation and Continuous Learning: Integrative Review of Coping Strategies of Palliative Care Professionals. Sage Journals. [On- line]. Available: https://journals.sagepub.com/doi/full/10.1177/02692163211047149
Kelbach, J. (2022). The Ultimate Guide to Self-Care for Nurses. RegisteredNusring.org. [On- line]. Available: https://www.registerednursing.org/articles/ultimate-guide-self-care-nurses/
Lewis, S. (2017). Exploring NICU Nurses' Affective Responses to End-of-Life Care. National Library of Medicine. [On- line]. 17(2), 96-105. Available: doi: 10.1097/ANC.0000000000000355
Cain, C. (2019). The Effects of Prayer as a Coping Strategy for Nurses. Journal of PeriAnesthesia Nursing. [On- line]. 34(6), 1887-1195. Available: doi: 10.1016/j.jopan.2019.03.013
Park, Y., et al. (2020). “Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020.” Emerging infectious diseases. [On- line] vol. 26,10: 2465-2468. Available: doi:10.3201/eid2610.201315
Patrick, Yusuf et al. (2017). “Effects of sleep deprivation on cognitive and physical performance in university students.” Sleep and biological rhythms. [On- line]. vol. 15,3: 217-225. Available: doi:10.1007/s41105-017-0099-5
Sinclair, S., Norris, J.M., McConnell, S.J. et al. (2016). Compassion: a scoping review of the healthcare literature. BMC Palliat Care. [On- line]. 15, 6. Available: https://doi.org/10.1186/s12904-016-0080-0
Kristoffersen, M. & Friberg, F. (2014). The Nursing Discipline and Self-realization. Nursing Ethics. [On- line]. 22(6). Available: doi: 10.1177/0969733014543967
Holland, M. (2022). Nurses Reflect on What They’re Most Grateful for About the Profession. Nurse Journal. [On- line]. Available: https://nursejournal.org/articles/nurses-express-gratitude-for-the-profession/
Roseline A., Tasner, C., & Aichetou, E. (2016). Coping strategies used by nurses in dealing with patient death and dying. Bachelor’s thesis. [On- line]. 47. Available: https://www.theseus.fi/bitstream/handle/10024/123887/Akuroma_Roseline.pdf?sequence=1
Nipp, R.D., et al. (2017, August). Coping and Prognostic Awareness in Patients With Advanced Cancer. J Clin Oncol. [On- line]. 1;35(22):2551-2557. Available: doi: 10.1200/JCO.2016.71.3404.
Stasik, S. (2018). What It Means to Embody Nurse Professionalism. Nursing News. [On- line]. Available: https://www.americanmobile.com/nursezone/nursing-news/what-it-means-to-embody-nurse-professionalism/
Bordoagni, Giulia et al. (2021, November). “Burnout, Attachment and Mentalization in Nursing Students and Nurse Professionals.” Healthcare (Basel, Switzerland). [On- line]. vol. 9,11 1576. Available: doi:10.3390/healthcare9111576
Kostka, A.M., Borodzicz, A. & Krzemi?ska, S.A. (2021). Feelings and Emotions of Nurses Related to Dying and Death of Patients – A Pilot Study. Psychology Research and Behavior Management. [On- line]. 14, 705-717. Available: doi: 10.2147/PRBM.S311996
Marcysiak, M. & D?browska, O. (2013). Acceptance of death as a life attitude for nurses and nursing students. Department of Health Care and Human Sciences. [On- line]. 3(1). Available: https://www.umb.edu.pl/photo/pliki/progress-file/phs/phs_2013_1/104_-110_marcysiak.pdf
A Deeper Understanding of Palliative Care. (2021, April 09). [On- line]. Available: https://online.nursing.georgetown.edu/blog/understanding-palliative-versus-end-of-life-care
ANA Center for Ethics and Human Rights (2016). Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. American Nurses Association. [On- line]. Available: https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf
Cedar SH, Walker G (2020). Protecting the well-being of nurses providing end-of-life care. Nursing Times. [On- line]. 116(2), 36-40. Available: https://www.nursingtimes.net/clinical-archive/end-of-life-and-palliative-care/protecting-the-wellbeing-of-nurses-providing-end-of-life-care-13-01-2020/
Davidson, A. (2022). How Nurses Can Cope With a Patient’s Death. Nurse Journal. [On- line]. Available: https://nursejournal.org/articles/how-nurses-can-cope-with-a-patients-death/
Suhonen, R., et al. (2018). Ethical elements in priority setting in nursing care: A scoping review. International Journal of Nursing Studies. [On- line]. 88, 25-42. Available: doi: 10.1016/j.ijnurstu.2018.08.006
Tornøe, K.A., Danbolt, L.J., Kvigne, K. et al. (2014). The power of consoling presence - hospice nurses’ lived experience with spiritual and existential care for the dying. BMC Nurs. [On- line]. 13, 25. Available: https://doi.org/10.1186/1472-6955-13-25
Zeng, B. (2021). Impact Of Nurse-Patient Relationship on Healthcare Quality. Ponbee. [On- line]. Available: https://ponbee.com/nurse-patient-relationship/#:~:text=The%20nurse-patient%20relationship%20stems%20from%20%E2%80%9Ctrust%E2%80%9D%20that%20empowers,other%20factors%2C%20like%20power%2C%20respect%2C%20empathy%2C%20and%20intimacy
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