Nursing Perspective Critique

Great Essays
Living with the Dying in the Pediatric Intensive Care Unit: A Nursing Perspective Critique
Anna Evangelio, Von Vidal and Patricia Pineda
University of St. Thomas
NURS 3252 B: Clinical Inquiry
Spring 2017

Living with the Dying in the Pediatric Intensive Care Unit: A Nursing Perspective Critique
Statement of the phenomenon of interest
In this article, the focus is on the phenomena of palliative care from the perspective of nurses who have provided care for children with life-threatening illnesses and their families. The researchers imply that the phenomenon requires a qualitative format because the results will be based on subjective human experiences. In this case, the experience of the nurses participating in the research. Additionally,
…show more content…
As a result, it is necessary to describe, interpret, and evaluate “the essence of the experiences” the nurses have gone through in their career (Stayer and Lockhart, 2016, 350). According to the authors, the projected significance of their work in the nursing field suggests the need to concentrate extensively in future research to help nurses deal with personal grieving, coping strategies, reduction in stress and the need to create an interdisciplinary approach to the care provided to those in end-of-life …show more content…
As an illustration, one nurse expressed anger and frustration of having two kids dying on the same night and not being able to say good-bye to the parents; the nurse felt like there was no closure. On the other hand, a different nurse expressed feelings of satisfaction and content while caring for a dying child, and stated that one thing that has helped him cope during difficult situations has been to remain honest with the family regarding the prognosis of the child. Other nurses voiced how difficult it was to watch the children as they took the last few breaths of life and how the situation considerably affected the nurses, knowing the situation could be reversed at any time. One participant stated, “I was overcome by my emotions ... I cried with the family!” (Stayer and Lockhart, 2016, p.352). Most nurses expressed the feeling of grief at some point while caring for a dying child. Nurses are continually trying to meet the needs of their patient’s families while recognizing, at the same time, where the family is in the grieving process. One of the nurses shared the following: "I need to be patient and recognize denial is a powerful emotion! (Stayer and Lockhart, 2016, p.353). Many nurses remarked how dealing with a child’s death was difficult for them. They described their need to try and make some “good” from a bad situation for the children’s families, such as

Related Documents

  • Improved Essays

    Final Gift Analysis

    • 1094 Words
    • 5 Pages

    Death is often a hard thing to understand and very emotional for everyone who is affected by it. More times than not it is hard to react in the proper way when someone else is dealing with a death. The book “Final Gifts: Understanding the Special Awareness, Needs and Communication of the Dying” by Maggie Callan and Patricia Kelley is all about Hospice care nurses. They tell many stories about their dying patients and their families reactions to the death process. Most of the stories show how to better listen to someone who is dying, how to react to certain situations not just initially react but truly analyze the situation, how to make both the dying and the people around them that more comfortable and also they showed the steps of grieving.…

    • 1094 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    A Nurse leader is defined as nurse who is interested in the profession of nursing and interested in refining the ways to better and improve upon goals to make a better healthcare system. Nurse leaders are “essential to help shape and lead the future of a dynamic integrated patient-centric health care system” (Kennedy, M., Moen, A. (2017)), helping to maintain an overall healthy and functioning community. Nurse leaders need to ensure that they possess the necessary skills to provide “safe and competent patient care to ensure the success of the healthcare institution” (Kroning, M. (2015)), and those effected by the healthcare choices being implemented. Florence Wald, an influential nurse leader is known as the Mother of the American Hospice…

    • 1613 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Education Does Not Determine Success We are born, we live, and then ultimately, we die. Cindy Lee, age 56, knows this all too well. She is the owner and founder of Heart 'n Home Hospice & Palliative Care LLC whose mission statement is to, “optimize the quality of life for individuals in the final stages of terminal illness.” Hospice care is designed to give terminally ill patients in their final stages quality of life.…

    • 835 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    End Of Life Care Essay

    • 704 Words
    • 3 Pages

    Khadijeh Hamad Nursing 393 Writing assignment 5 1.) The three elements that assist healthcare professionals in addressing end of life discussions are critical to a family 's decision making capacity. These include the need for increased education of the healthcare system to better understand the dying process, the communication between family and healthcare staff on the prognosis of their loved ones, and lastly a need for up-to date advance directives. 2.)In this 2008 study, families who had a lost a member in the previous three to eight years were interviewed to recount and record their experiences and emotions.…

    • 704 Words
    • 3 Pages
    Decent Essays
  • Superior Essays

    Palliative Care Model

    • 1316 Words
    • 6 Pages

    The realization that illnesses can be cumbersome to contain especially in the event that the patient is approaching the end of their lives is an issue that cannot be understated. In such situations, therefore, there is the need to have in place strategies that will satisfactorily address the problems associated with such life-limiting sickness (Palliative care NSW, 2012). In this direction, therefore, one of the most appropriate ways through which these illnesses can be solved is by employing the palliative care in addressing the problems that such patients and their families may be going through. As such, there is the need to have a better understanding of palliative care and the role that it plays in ensuring that the healthcare wants…

    • 1316 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Pediatric Palliative Care

    • 1729 Words
    • 7 Pages

    In view of all the benefits to pediatric palliative care, there are still numerous barriers to get over to deliver the best care possible. The clinical, operational, and the financial worlds in healthcare all have opposing goals and principles that , make it difficult to provide pediatric palliative care. Nurses should continue to do further research on these areas to find the best methods to overcomes conflicting ideals in these areas of healthcare. Overall, nursing in pediatric palliative care strive to provide outstanding care, by doing this they ensure that quality is added to the child’s…

    • 1729 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Grounded Theory Paper

    • 880 Words
    • 4 Pages

    Another factor that contributed to lack of communication from the nurse side with the dying patient is attributed by the doctors, because they place the nurse in a state of confusion due to errors they make in prescription and which often consume the nurse’s time in trying to clarify order and, adding more stress on nurses. Furthermore, another common stressor among nursing professionals who care for dying patients include; watching the sick people die, talking to the patients about their impending death and watching them suffer throughout their medication until their time of death as sited by (Costello, 2006). This creates problem because the family may still be in denial process despite what the advance directive may state. Therefore, putting the nurse…

    • 880 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    With the Right to Die Act passing here in Colorado we as future nurses will be part of this change and need to have a solid foundation. Part of nursing is the relief of suffering and when we witness our patients in pain it can hinder our rationales. Nurses are either unclear about what the right thing to do is or the nurse can see what should be done but can not perform the task. Nurses can face moral distress when their actions violate their own personal beliefs. The impact of moral distress on nurses can have personal and professional effects if not handled properly.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    End-of-life care is an important topic that is on the rise as the number of people dying per year increases. The hands at the forefront of this issue are those of the nurses that are put in place to care for these patients; however, many of these nurses have received little to no training in palliative or end-of-life care (Dobson, 2017, p.3). Without proper guidance and education, nurses lack the skills necessary to provide care for these patients when they need it most. This article highlights the need for more education on this topic. With proper training, nurses can help make the last days of life more comfortable for the patient, as well as their family.…

    • 666 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    1.Discuss at least three components of hospice care. Then, compare these elements to other forms of life options. What form of end-of-life care would you want for yourself? Why? (SLO 4c: Chapter 6)…

    • 967 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Antecedents The antecedents of pediatric palliative care would “include children/families with an acute illness that progresses to a life-limiting illness, children/families with a chronic disease that progresses to a life-limiting illness, an interdisciplinary team educated in pediatric palliative care, and an institution providing pediatric palliative care services” (Stayer, 2012 p. 354). Before a child is put into pediatric palliative care, they have to suffer a life-limiting illness. The child may have been born with this illness, may have caught the illness, or may have suffered severe trauma bringing upon this life-limiting illness.…

    • 649 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    There is the combination of the psychological and spiritual aspect of the patient care and offers a support system that assist to keep the patient lively. It is in this regard that the role of nurses is articulated. The nurse plays a vital role in the end life process of the patient. The major role of the nurse is to provide quality care at the end of the life (Fowler, 2008). It is a time when curative treatment is not possible or no longer anticipated by the suffering patient.…

    • 2668 Words
    • 11 Pages
    Great Essays
  • Improved Essays

    My nursing philosophy combines the science of nursing with knowledge, empathy, as well as respect and dignity of each individual in different situations. I believe my nursing philosophy is focused on delivering quality patient care that is individualized to the needs of each patient. The delivery of care must be compassionate and empathetic for all people. Therefore, the circumstance that influenced my decision to become a nurse is having the opportunity to be with my mother during the end of her life.…

    • 1280 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    All fourteen points ensure complete and holistic care of the patient. There is an exchange that takes place between those who provide care and those cared for that goes beyond the empirical reality of the moment and incorporates the spiritual. The 'art' of providing care includes an aspect of caring that has metaphysical origins and connotations. It concerns all aspects of the human experience, physical, psychological, spiritual and social. The Gestalt approach to nursing and the inclusion of caring as a primary requisite is the heart of the concept of interactive theory as it applies to nursing and as presented by Ms. Henderson.…

    • 2852 Words
    • 12 Pages
    Great Essays
  • Superior Essays

    Role Of Nursing Essay

    • 1309 Words
    • 6 Pages

    The Role of Nursing It is said that the nursing profession is one of the most respected and trusted careers there are. From the beginning, a nurse’s role was to nurture and mend those that are sick, frail and even through the process of end of life, but it doesn’t just stop there. Nursing has come a long way and entails many more aspects than they are even given credit for. A nurse wears many hats and is required to perform duties outside of healing obvious wounds.…

    • 1309 Words
    • 6 Pages
    Superior Essays