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PSY W67 C78 2003 (COL)
Thesis
 
Working through grief : when nurses say goodbye to terminally-ill children
by Cruz, Angela
103 leaves ; 28 cm.

©2003 Published by The Authors
Added Authors:  Datu, Chiara Bianca; Felix, Janice; Gerlock, Alay
Thesis:  (Bachelor of Arts in Psychology) -- Miriam College, 2003.
ABSTRACT:  This is a qualitative study that described and aimed to understand the grieving processes and care giving behavior of nurses at the Philippine Children's Medical Center. We had seven nurses who participated in this study, four of which were female and three male. All of them had been working at PCMC for at least six months. We interviewed the nurses using an interview schedule purposely made for the study. Data was analyzed using Phenomenology to highlight each nurse's individual experience of grief and care giving and Social Constructivism was employed to help us see the whole picture of how nurses at PCMC grieve and how this affects their care giving behavior. Also included in the study are two sets of reflections, one after the data gathering which includes feelings before, during and after, our assumptions on how nurses at PCMC grieve. The second set of reflections tackles feelings, learning and insights during the time we were conducting the study. We found out that the nurses of PCMC have a different grieving process composed of 1) shock which manifested itself as being speechless and "out of this world," 2) engaging in silent grief wherein the nurses felt that they were not in the position to grieve so they do not share their feelings with other nurses and parents, 3) guilt that perhaps they had done something that contributed to the death or failed to do something that they should have done, 4) consoling one's self by turning to God and 5) diverting emotions towards work or others parents to forget the loss. We also included studies by Lindemann (1942) and Kübler-Ross (1969) on grieving, Worden's (1982) Four Tasks of Mourning. We found that Kübler-Ross' stages of grief do not quite capture the stages of grief nurses undergo. Her stages dealt more with the feelings of a dying child and his/her family in his/her impending death. We found that nurses underwent all three of Lindemann's phases of grief. Worden's Four Tasks of Mourning were not completed because nurses tended to avoid acceptance and instead diverted their attention and emotions towards work or other patients leaving them unable to process events as they happened. In terms of care giving, we found that with every loss the quality of care that nurses give their patients improves, this heightens their awareness of symptoms that accompany the illness and hope that this time the situation will not end in death. The time spent conducting the study, we feel was limited and perhaps if the study were to be repeated it could be conducted using patients who are adults, in another hospital or with other health care professionals to see if the grieving process is the same as the nurses of PCMC.
Book ID 1000079587
NURSES AND PATIENT
TERMINALLY ILL CHILDREN
CHILDREN -- DEATH
 
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