고위험신생아 임종에 대한 신생아 중환자실 간호사의 대처 경험
Neonatal ICU Nurses’ Coping with Death of High Risk Newborn
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Objectives: This study aimed to explore neonatal ICU nurses’ coping with stress from the death of high risk newborns. Methods: Participants were 26 nurses working in a neonatal ICU. Five focus group interviews and one 1:1 interview were conducted guided by stress-coping model. Each interview lasted about two and a half hours. A directed content analysis was conducted. Results: Nurses’ primary appraisals to stress from the death were being frightened and feeling guilty, empty and ambivalent. Secondary appraisals were responsibility for recovery, uncertainty and being overwhelmed. Coping strategies were empowerment, emotional relieving, keeping distance, avoidance and being blunt. Lastly, meaning-based copings were ‘carrying on’ the death of newborns, being dignified, and getting energy from patients’ recovery. Conclusions: The death of newborns were stressful regardless of participants’ careers. They believed that they would carry on the stress for the rest of their lives. Nurses need team- and organization-wide support in order to overcome the stress. It is important to provide stress management programs including timely debriefing and mentoring.
Abstract
Objectives: This study aimed to explore neonatal ICU nurses’ coping with stress from the death of high risk newborns. Methods: Participants were 26 nurses working in a neonatal ICU. Five focus group interviews and one 1:1 interview were conducted guided by stress-coping model. Each interview lasted about two and a half hours. A directed content analysis was conducted. Results: Nurses’ primary appraisals to stress from the death were being frightened and feeling guilty, empty and ambivalent. Secondary appraisals were responsibility for recovery, uncertainty and being overwhelmed. Coping strategies were empowerment, emotional relieving, keeping distance, avoidance and being blunt. Lastly, meaning-based copings were ‘carrying on’ the death of newborns, being dignified, and getting energy from patients’ recovery. Conclusions: The death of newborns were stressful regardless of participants’ careers. They believed that they would carry on the stress for the rest of their lives. Nurses need team- and organization-wide support in order to overcome the stress. It is important to provide stress management programs including timely debriefing and mentoring.
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