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. 2024 Feb 19:2024:3682609.
doi: 10.1155/2024/3682609. eCollection 2024.

The Coping Strategies and Cumulative Changes in Intensive Care Unit Nurses after Experiencing Professional Grief: A Hermeneutic Phenomenological Study

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The Coping Strategies and Cumulative Changes in Intensive Care Unit Nurses after Experiencing Professional Grief: A Hermeneutic Phenomenological Study

Zhengmin Zhang et al. J Nurs Manag. .

Abstract

Background: Compared to nurses in other hospital departments, intensive care unit (ICU) nurses have more frequent exposure to patient deaths, potentially rendering them more susceptible to experiencing professional grief following patient fatalities.

Objective: To explore the coping experiences of ICU nurses following their encounter with professional grief.

Methods: This study utilized a qualitative research design based on Heideggerian phenomenology. A purposive sample of 18 ICU nurses was selected from six tertiary hospitals in Guangdong Province, China. Individual semistructured interviews were audio-recorded and transcribed verbatim. The transcribed texts were analyzed using interpretative phenomenological analysis.

Results: Two main themes emerged: (1) short-term dual coping with professional grief and (2) long-term cumulative changes from professional grief. These themes reflect the dynamic coping processes experienced by ICU nurses amidst frequent encounters with loss and grief during their clinical work.

Conclusions: ICU nurses employ both adaptive and maladaptive coping strategies to address professional grief, significantly impacting their personal and professional well-being. It is advisable to offer targeted education and organizational support systems for ICU nurses to promote positive cumulative growth when they repeatedly encounter patient deaths.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this paper.

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References

    1. Chen C., Chow A., Tang S. Bereavement process of professional caregivers after deaths of their patients: a meta-ethnographic synthesis of qualitative studies and an integrated model. International Journal of Nursing Studies . 2018;88:104–113. doi: 10.1016/j.ijnurstu.2018.08.010. - DOI - PubMed
    1. Lathrop D. Disenfranchised grief and physician burnout. The Annals of Family Medicine . 2017;15(4):375–378. doi: 10.1370/afm.2074. - DOI - PMC - PubMed
    1. Marshall J. C., Bosco L., Adhikari N. K., et al. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care . 2017;37:270–276. doi: 10.1016/j.jcrc.2016.07.015. - DOI - PubMed
    1. Bloomer M. J., Ranse K., Adams L., Brooks L., Coventry A. Time and life is fragile: an integrative review of nurses’ experiences after patient death in adult critical care. Australian Critical Care . 2023;36(5):872–888. doi: 10.1016/j.aucc.2022.09.008. - DOI - PubMed
    1. Papadatou D., Martinson I. M., Chung P. M. Caring for dying children: a comparative study of nurses’ experiences in Greece and Hong Kong. Cancer Nursing . 2001;24(5):402–412. doi: 10.1097/00002820-200110000-00013. - DOI - PubMed

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