Enfermera especialista en Pediatría, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Enfermero especialista en Pediatría, Unidad de Cuidados Intensivos Pediátricos, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain.
Enferm Intensiva (Engl Ed). 2021 Jul-Sep;32(3):117-124. doi: 10.1016/j.enfie.2020.03.006. Epub 2021 Jul 29.
To evaluate how nurses cope with the death of a paediatric patient, relate it to the different sociodemographic variables, and to describe personal coping strategies used by nurses in managing the process and accepting the death of the patient.
An observational, descriptive and cross-sectional study, carried out from January to June 2018 with nurses from the palliative care area, intensive care unit, neonatology and oncohaematology area of a tertiary paediatric hospital in Barcelona city. An ad hoc questionnaire was applied, divided into three parts: socio-demographic data, the Bugen Scale of coping with death and two open questions.
31.37% of the respondents faced the process of death of the paediatric patient adequately, while 33.33% did not cope well. The best coping was in paediatric palliative care, followed by paediatric oncohaematology, neonatology and, finally, the intensive care unit. In addition, the variables related to this coping are the work shift, the death of a loved one in less than 3 years and previous training. On the other hand, the age of the respondents, experience in the unit and having children are not related to coping. Moreover, the professionals surveyed demand more training to improve their coping in this area, as well as interdisciplinary sessions to discuss cases of deceased patients.
评估护士如何应对儿科患者死亡，将其与不同的社会人口统计学变量相关联，并描述护士在处理该过程和接受患者死亡时使用的个人应对策略。
这是一项观察性、描述性和横断面研究，于 2018 年 1 月至 6 月在巴塞罗那市一家三级儿科医院的姑息治疗、重症监护、新生儿科和肿瘤血液科的护士中进行。采用了一份专门的问卷，分为三部分：社会人口统计学数据、布根死亡应对量表和两个开放式问题。
31.37%的受访者能够适当应对儿科患者的死亡过程，而 33.33%的受访者则无法应对。在儿科姑息治疗中应对效果最好，其次是儿科肿瘤血液科、新生儿科，最后是重症监护室。此外，与这种应对相关的变量是轮班工作、3 年内亲人死亡和之前的培训。另一方面，受访者的年龄、科室工作经验和是否有子女与应对能力无关。此外，调查的专业人员要求更多的培训来提高他们在这一领域的应对能力，以及进行跨学科会议来讨论已故患者的病例。
