Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, China.
School of Psychology, Nanjing Normal University, Nanjing, China.
J Clin Nurs. 2024 Feb;33(2):630-641. doi: 10.1111/jocn.16900. Epub 2023 Oct 8.
Taking a dimensional view, this study aims to understand, among professional caregivers after patient deaths, the symptom distribution and development of the short-term bereavement reaction (SBR) network and the node-level links between the meaning of patient death (MPD) and the SBR network.
A cross-sectional secondary analysis was conducted with existing data from 220 Chinese urban hospital nurses and physicians who experienced the most recent patient death within a month. MPD was measured by the 10 formative items of the meaning of patient death model, and SBR was measured by the Short-term Bereavement Reactions Subscale of the Professional Bereavement Scale. Both Gaussian graphical network analysis and Bayesian network analysis were applied to the SBR network, and Gaussian graphical network analysis was used to estimate the MPD-SBR network.
Frustrated and guilty are central nodes in the regularized partial correlation SBR network. Meanwhile, a traumatic event and failure at work are important bridge nodes between the MPD network and the SBR network. In the Bayesian SBR network, moved by the family's understanding, moved by the family's gratitude and sad mainly drive other nodes.
After a patient death, nurses' and physicians' SBR networks feature professional-dimension symptoms at their core, while they follow 'personal to professional' and 'concrete to abstract' symptom development patterns. The personal meaning of a traumatic event and the professional meaning of a failure at work play key roles in bridging the MPD and SBR networks, and meanings of both the personal and the professional dimensions can link to professional-dimension reactions.
The manuscript followed the STROBE checklist for reporting cross-sectional studies.
No patient or public contribution.
从维度的角度出发，本研究旨在了解患者死亡后专业护理人员中短期丧亲反应（SBR）网络的症状分布和发展，以及患者死亡意义（MPD）与 SBR 网络之间的节点级联系。
对 220 名最近一个月内经历过患者死亡的中国城市医院护士和医生的现有数据进行了横断面二次分析。MPD 通过患者死亡意义模型的 10 个形成项目进行衡量，SBR 通过专业丧亲量表的短期丧亲反应子量表进行衡量。同时应用了高斯图形网络分析和贝叶斯网络分析来研究 SBR 网络，并且使用高斯图形网络分析来估计 MPD-SBR 网络。
沮丧和内疚是正则化偏相关 SBR 网络中的中心节点。同时，创伤性事件和工作失败是 MPD 网络和 SBR 网络之间的重要桥梁节点。在贝叶斯 SBR 网络中，被家庭的理解所感动、被家庭的感激和悲伤所感动主要驱动其他节点。
患者死亡后，护士和医生的 SBR 网络以专业维度的症状为核心，同时遵循“个人到专业”和“具体到抽象”的症状发展模式。创伤性事件的个人意义和工作失败的专业意义在连接 MPD 和 SBR 网络方面起着关键作用，个人和专业维度的意义都可以与专业维度的反应联系起来。
本手稿遵循报告横断面研究的 STROBE 清单。
无患者或公众贡献。
