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Coping Mechanism for Nurses When a Patient Dies

The nursing profession has a profound commitment to caring for patients. They ensure the preservation of life and also acknowledge the inevitable death. Nurses usually form a solid emotional connection with their patients. The attachment they are having with sick people makes them susceptible to a patient’s death, as they experience significant emotional damage. Nurses play a pivotal role in navigating the delicate balance between preserving lives and providing compassionate end-of-life care because patients’ deaths are an integral aspect of healthcare. Coping with the loss of a patient through death is an essential part of nursing care that requires attention and support. Nurses handle patient death through various mechanisms, such as emotional resilience, professional support systems, and a commitment to holistic patient care, utilizing coping mechanisms that vary across individuals and healthcare settings.

Emotional Resilience

Nurses usually cope with patient deaths due to their emotional resilience. Nursing work exposes professionals to intense emotions, ranging from joy and relief to grief and loss. In most cases, they are the healthcare providers, often in the middle of life’s final moments (Ocalan et al., 2023). This period requires a delicate balance of empathy and emotional strength from the frontline caregivers (Chang, 2018). Building emotional resilience involves cultivating the ability to process these emotions constructively. It enables nurses to maintain their mental well-being while providing high-quality care. Emotional stability forms the foundation for how nurses navigate the complexities associated with patient death.

Nurses can develop emotional resilience through the experience they gain in their line of duty over time. They can create a nuanced understanding of human experiences, such as fragility, as they get exposed to diverse patient scenarios (Molefe & Mabunda, 2022). The repetition of such encounters provides an opportunity for emotional adaptation, which enables nurses to face the psychological challenges associated with patient death with increasing strength and maturity (Zheng et al., 2017). The experiential learning process facilitates the development of coping mechanisms, allowing healthcare providers to engage compassionately in service delivery without overwhelming grief.

Emotional strength is achieved through the mentorship of nurses help health professionals to gain. The experienced mentors who serve as guides usually offer insights and strategies that cans be used by nurses in processing the emotional toll of patient death. Counseling helps provide nurses with a safe space to discuss their feelings, uncertainties, and coping mechanisms (Zheng et al., 2017). Learning from the experiences of mentors empowers nurses to build emotional resilience by adopting effective coping strategies and learning to balance empathy with professional detachment.

The emotional resilience of nurses can also be gained through continuous professional development. These learning platforms include workshops, seminars, or peer-reviewed literature. Continuous learning helps equip nurses with the tools to manage their emotional responses in the face of patient death (Zhang et al., 2022). Educational programs that address the psychological aspects of nursing care help nurture a culture of emotional intelligence within the profession, such as coping with the loss of a patient’s life. Additionally, the emotional resilience of nurses facing patient death can also be created in a supportive work environment that encourages open communication about emotions and provides access to mental health resources.

Professional Support Systems

Coping with a patient’s death requires a solid professional support system. Dealing with such an emotional toll requires a multidimensional approach that extends beyond individual resilience. Nurses can get a vital support system through collaborative teamwork in a healthcare environment. They usually engage in an interdisciplinary discussion to process emotions, as it requires sharing the experience (Betriana & Kongsuwan, 2019). These forums help healthcare providers share experiences, seek relevant advice, and gain different perspectives. Getting a collective team opinion offers emotional validation to the nurses in the face of death. It also provides a sense of shared responsibility, thus creating a supportive environment, which is critical when dealing with emotional issues at the hospital.

Nurses coping with emotional distress in the face of death require peer support groups. They have a structured platform for nurses to connect with colleagues who have faced similar challenges in their profession. Forums that allow people to share their personal experiences give members the platform to express emotions freely while receiving empathy and gaining insights into effective coping mechanisms (Betriana & Kongsuwan, 2019). Sharing of experience creates a sense of solidarity in these groups as they reduce the isolation that is often felt in the face of patient death.

Accessing mental health professionals, chaplains, and counselors helps provide nurses with a professional support system. Healthcare institutions are increasingly offering counseling services as part of their employee assistance programs (Betriana & Kongsuwan, 2019). It is because they recognize the emotional strain that accompanies patient death. The services offered by healthcare facilities in response to emotional distress help provide a confidential space for the nurses to explore their emotions, develop coping strategies, and receive guidance on managing the psychological impact associated with their work.

Commitment to Holistic Patient Care

The adoption of a commitment to holistic patient care is a critical aspect of a nursing career when faced with a patient’s death. It is a strategy that involves recognizing and addressing the physical, emotional, spiritual, and psychosocial aspects of patients (He et al., 2023). Nurses find avenues to cope with the profound emotional challenges associated with patient death by embracing a holistic approach. The all-inclusive strategy helps nurses to be able to form substantive connections with patients and their nuclear families (Zhang et al., 2022). Nurses create bonds that transcend the clinical setting, as they can recognize the individuality of patients and understand their unique journey. The connection results in emotional strength for nurses. It enables them to cope with patient death, knowing they have provided comprehensive and compassionate care.

The implementation of palliative care principles is a crucial aspect of holistic patient care because it helps nurses cope with patient demise. It is effective in helping healthcare professionals as it focuses on improving the quality of life for patients with life-limiting illnesses. It addresses the physical symptoms and emotional and spiritual needs of patients (Khalaf et al., 2017). Nurses contribute to creating dignified and peaceful end-of-life experiences as they actively engage in palliative care (Gómez‐Brufal‐Flores et al., 2023). Nurses facing emotional challenges due to patient deaths always find solace in recognizing their role in improving the quality of patients’ lives during their final moments of life.

Nurses play an essential role in facilitating communication, offering emotional support, and assisting families in navigating the complexities of grief and loss. This can be because holistic patient care involves providing support to patients and their families (Khalaf et al., 2017). Therefore, nurses are able to extend their care beyond the immediate medical context. It can contribute to the overall well-being of the patient and their relatives. The holistic approach is beneficial to nurses as it helps them cope when their patient dies and equips them with the tools necessary to navigate the emotional difficulties after losing a sick person (Cybulska et al., 2022). It also helps them to develop resilience and compassion in the nursing profession.

In general, coping with patient death is an emotionally demanding aspect of nursing practice that requires attention at individual, organizational, ethical, and educational levels. Nurses use various mechanisms, such as emotional resilience, a professional support system, and a commitment to holistic patient care, to cope with the emotional, psychological, and professional challenges associated with patient death. Nurses can maintain well-being when providing empathetic and patient-centered care through emotional resilience resulting from experience and support systems.

References

Betriana, F., & Kongsuwan, W. (2019). Grief reactions and coping strategies of Muslim nurses dealing with death. Nursing in Critical Care25(5), 277–283. https://doi.org/10.1111/nicc.12481

Chang, W. P. (2018). How social support affects the ability of clinical nursing personnel to cope with death. Applied Nursing Research44, 25–32. https://doi.org/10.1016/j.apnr.2018.09.005

Cybulska, A.M. et al. (2022) ‘Analysis of nurses’ attitudes toward patient death’, International Journal of Environmental Research and Public Health,19(20), p. 13119, https://doi:10.3390/ijerph192013119

Gómez‐Brufal‐Flores, M. et al. (2023) ‘Attitudes and experiences related to the deaths of covid‐19 patients among nursing staff: A qualitative evidence Journal of Advanced Nursing. https://doi:10.1111/jan.15815

He, S. et al. (2023) ‘The mediating effects of attitude toward death and meaning of life on the relationship between perception of death and coping with death competence among Chinese nurses: A cross-sectional study’, BMC Nursing, 22(1). https://doi:10.1186/s12912-023-01245-5

Khalaf, I. A., Al-Dweik, G., Abu-Snieneh, H., Al-Daken, L., Musallam, R. M., BaniYounis, M., AL-Rimawi, R., Khatib, A. H., “Habeeb Allah,” A., Atoum, M. H., & Masadeh, A. (2017). Nurses’ experiences of grief following patient death: A qualitative approach. Journal of Holistic Nursing36(3), 228–240. https://doi.org/10.1177/0898010117720341

Molefe, L.L. and Mabunda, N.F. (2022) ‘Online teaching and learning: Experiences of students in a nursing college during the onset of covid-19’, Curationis, 45(1). https://doi:10.4102/curationis.v45i1.2372

Ocalan, S., Bilgin, A. and Kovanci, M.S. (2023) ‘A structural equation modeling analysis of the effects of nurses’ spirituality and spiritual care on professional quality of life’, Nursing & Health Sciences [Preprint]. https://doi:10.1111/nhs.13058

Zhang, J., Cao, Y., Su, M., Cheng, J., & Yao, N. (2022). The experiences of clinical nurses coping with patient death in the context of rising hospital deaths in China: A qualitative study. BMC Palliative Care21(1). https://doi.org/10.1186/s12904-022-01054-8

Zheng, R., Lee, S. F., & Bloomer, M. J. (2017). How nurses cope with patient death: A systematic review and qualitative meta‐synthesis. Journal of Clinical Nursing27(1–2). https://doi.org/10.1111/jocn.13975

 

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