The Nurse’s Role in Helping Patients Cope with Loss
Laurel Ellzey
Denver School of Nursing
Abstract
Death is a universal part of life. Everyone will eventually experience it. Nurses play an integral role with their patients when it comes to dealing with bereavement, grief, and mourning. Nurses provide bereavement care by listening to patients, helping them express their emotions, and involving them in the entire process. Nurses frequently tend to the emotional needs of their patients, but not their own, which can result in nurse burn-out. Nurses are expected to be resilient when it comes to death, but when they sweep their emotions under the rug to get on with the day and are not given the resources needed to grieve successfully, how can they achieve this?
The Nurse’s Role with Patients and Loss
Death is a part of life and eventually everyone on this earth will experience it. Nurses play an important role with bereaved patients. Not only by being there, but also because everyone grieves in their own way. However, for those experiencing disenfranchised grief, the process may be more difficult. Mourning the death of a loved one is a natural response to death and Worden’s four tasks allow those to progress through the tasks in any way. Bereavement, grief, and mourning are all affected by one’s culture, religion, and the relationship among deceased, their personality, and how the person died.
Bereavement Role
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
Nurses: Assist the patients and families to cope with the end-of-life process such as assessing and
Death is a part of life and eventually everyone on this earth will experience it. Nurses play an important role in death. Mourning the death of a loved one is something that almost everyone will experience in this lifetime because it is a natural response to death. Bereavement, grief and mourning are all effected by one’s culture, religion, the relationship with the deceased, personality, and how the person died.
Dying is a process that involves the entire family; that is to say, the family that is defined by the person. The nurse must be aware that this is not only an individual process but a family process. This involves recognizing family dynamics and communication patterns and facilitating healthy interactions.
Losing a loved one can be very painful, emotional and overwhelming. The difficult part after losing a loved one is learning how to cope with the loss. In order for nurses to help individuals cope with a loss of a loved one it is important for them to understand the grief process. This paper will define and explain the bereavement role, disenfranchised grief, four tasks of mourning and how nurses can help bereaved individuals with these processes.
Nurses are prone to deal with death, whether they would prefer it or not. Although, there is an increase of medical advances to slow the progression of death, it is inevitable that patients will die. When a patient dies, nurses must deal with the grief and emotions that encompasses death. Due to the nature of how often nurses deal with death, it leads to an increase awareness of how they will someday face their own death. The increase in emotions and grief leads to an overwhelming increase in stress for nurses. Continuous increase in stress can lead to burn out in nurses. Therefore, nurses must learn effective coping methods of death to reduce any devastating emotions and maintain professionalism.
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Disenfranchised grief can affect an individual experiencing loss that is not societally recognized. A term originally described by Kenneth Doka, disenfranchised grief is classically defined by four components, and one specific population subject to experiencing disenfranchised grief is nurses. This is due to the predominant cultural values found in the nursing profession as well as the parameters of the nurse-patient relationship. Knowing that nurses are potentially vulnerable to disenfranchised grief, it is important to discuss the mechanisms to minimize the factors contributing to its occurrence and the consequences of its effects. Awareness of how to help oneself can then be utilized to increase efficacy in the nurse’s position and in aiding patients who are duly experiencing disenfranchised grief.
Series of interaction amongst nurse-patient and researcher-participant stresses the importance of relationship in an interpersonal process. The nurse-patient and researcher-participant are characterized by their own professional relationship including their own unique features in accomplishing goals. In this paper, I will examine their differences and similarities within the context of interrelationship.
Nurses are the hospice team members who spend a lot of time with dying patients and their families. “The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraced a humanistic caring and holistic approach to patient care.” (Wu, Vilker, 2011).
In relation to the purpose of this study, the driving force behind the research are three questions. What are nurses experience following patient’s death? What are their actions and coping strategies following patient death? Would better learning opportunities and supportive practice environments be provided once there is an understanding of nurses’ grief and coping process, if yes, was it beneficial. The researchers proceeded with a broad question which allowed the focus to be sharpened and delineated later in the
The loss of a loved one is a very crucial time where an individual can experience depression, somatic symptoms, grief, and sadness. What will be discussed throughout this paper is what the bereavement role is and its duration, as well as the definition of disenfranchised grief and who experiences this type of grief. I will also touch upon the four tasks of mourning and how each bereaved individual must accomplish all four tasks before mourning can be finalized. Lastly, with each of these topics, nursing implications will be outlined on how to care for bereaved individuals and their families.
Key importance of the palliative care approach in nursing is for it to be responsive, rather than
The second question asks if the description given by the authors helps to understand the lived experience of the participants. They provide a background of the environment, emotion, and professional obligations that nurses share and experience when patients, families and loved ones are experiencing death. This emphasis captures the perception of the lived experience of the participants and establishes meaning in the research phenomenon.