Author Affiliations: System Nursing Department, Advent Health, Orlando, Florida (Dr Farrow); and Department of Nursing Systems, College of Nursing, University of Central Florida, Orlando, Florida (Dr Felber Neff).
Nurs Adm Q. 2024;48(2):97-106. doi: 10.1097/NAQ.0000000000000634. Epub 2024 Mar 29.
When nurses care for dying patients, their compassion fatigue may increase and lead to burnout and feelings of professional bereavement. However, if a nurse perceives that the patient had a "good death," it may have a positive impact on them and reduce their emotional distress. The purpose of this project is to reduce nurses' feelings of professional bereavement by implementing a Bereavement Care Team (BCT) in the intensive care unit (ICU). This study is a pre-post quasi-experimental design. The Chen and Chow bereavement subscales Factor 1 and Factor 2 measured elements of a nurse's professional bereavement, and 5 items were statistically significant. Nurses felt a reduction in their exhaustion, frustration, and feeling fatigue in their job, reduced feelings about being nervous and worried about potential professional/patient conflicts, and nurses were moved by the patient's family's understanding of the patient's death. Implementing a BCT in the ICU provided an environment that created a "good death" for the patient and their loved ones. These findings supported the need for the BCT as they demonstrated an improvement in the ICU nurses' feelings of professional bereavement.
当护士照顾临终患者时，他们的同情疲劳可能会增加，并导致倦怠和职业丧亲感。然而，如果护士认为患者有一个“好的死亡”，这可能对他们产生积极影响，并减轻他们的情绪困扰。本项目的目的是通过在重症监护病房（ICU）实施丧亲关怀团队（BCT）来减少护士的职业丧亲感。这项研究是一项前后准实验设计。陈和周丧亲亚量表因子 1 和因子 2 测量了护士职业丧亲的要素，其中有 5 项具有统计学意义。护士感到疲惫、沮丧和工作疲劳感减轻，对潜在的专业/患者冲突的紧张和担忧感减少，护士被患者家属对患者死亡的理解所感动。在 ICU 实施 BCT 为患者及其亲人创造了一个“好的死亡”环境。这些发现支持了 BCT 的必要性，因为它们表明 ICU 护士的职业丧亲感得到了改善。
