Henao-Castaño Á M, Quiñonez-Mora M A
Enfermera, Especialista en Cuidado Crítico Adulto, Magíster en Educación, Doctora en Enfermería, Facultad de Enfermería, Universidad Nacional de Colombia, Bogotá, D. C, Colombia.
Enfermera, Especialista en Cuidado Crítico Pediátrico, Facultad de Enfermería, Universidad de Antioquia, Medellín, Antioquia, Colombia.
Enferm Intensiva (Engl Ed). 2019 Oct-Dec;30(4):163-169. doi: 10.1016/j.enfi.2018.10.005. Epub 2018 Nov 30.
The death of a child in the Paediatric Intensive Care Unit (PICU) is difficult, the loss generates feelings of sadness and pain; this study highlights the different coping strategies used by nurses to manage this situation and find the strength to provide care at the end of life.
Explore the strategies used by nurses in the PICU in coping with death.
Study conducted in the city of Manizales, Colombia, during the months of October, November and December. A qualitative, hermeneutical phenomenological approach was used. The method of intentional sampling for the selection of participating nurses (n=10) working in PICU, in-depth interviews were conducted for the construction of the information and the data were analyzed according to the procedures proposed by Cohen, Kahn and Steeves.
Nurses use coping strategies focused on emotions: they inhibit their feelings towards the patient and their family; they use communication and prayer with the patient, as well as accompaniment to alleviate the suffering of the family.
UCIP nurses develop coping strategies for end-of-life care using spiritual resources and communication with the family who require ongoing support, reflecting on death and accompanying the child in its transcendence.
儿科重症监护病房（PICU）内儿童的死亡令人痛心，这种损失会引发悲伤和痛苦的情绪；本研究突出了护士用以应对这种情况并找到在生命末期提供护理的力量的不同应对策略。
探究PICU护士应对死亡所采用的策略。
于10月、11月和12月在哥伦比亚马尼萨莱斯市开展研究。采用质性、诠释现象学方法。通过立意抽样法选取在PICU工作的参与护士（n = 10），进行深度访谈以构建信息，并依据科恩、卡恩和斯特eves提出的程序对数据进行分析。
护士采用聚焦于情绪的应对策略：他们抑制对患者及其家人的情感；他们与患者进行沟通和祈祷，并陪伴患者以减轻其家人的痛苦。
PICU护士利用精神资源以及与需要持续支持的家庭进行沟通，反思死亡并陪伴儿童走向超越，从而制定临终护理的应对策略。
