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Sudden death in paediatrics as a traumatic experience for critical care nurses

dc.contributor.authorLima, Ligia
dc.contributor.authorGonçalves, Sandra
dc.contributor.authorPinto, Cândida
dc.date.accessioned2019-12-09T13:09:39Z
dc.date.available2019-12-09T13:09:39Z
dc.date.issued2018
dc.description.abstractBackground: Research shows that nurses working in critical care units and in particular, paediatric units, are at risk of developing symptoms of secondary traumatic stress (STS). However, little attention has been given to this phenomenon when associated with situations of sudden death in paediatrics. Aim: This study aimed to examine the impact of sudden death in paediatrics on nurses working in paediatrics critical care units and to explore nurses’ experiences of this event. Methods: This study used a mixed-methods design. The Impact of Event Scale – Revised was used for investigating the presence of STS symptoms. In addition, an interview was conducted with six nurses. Results: Fifty-seven percent of nurses responded to the surveys and six nurses were interviewed. The results showed that the sudden death of children and adolescents is an event that elicits symptoms of STS in nurses. The quantitative assessment, revealed that 19⋅4% presented total scores indicating high impact. The participants interviewed described experiences of subjective distress, such as intrusive thoughts, avoidance and hyperarousal. Other factors were also reported as influencing the experience of the sudden death of a child/adolescent, namely, the child’s age, the cause of death and the family’s reaction to the loss. According to the participants, the emotional impact was also determined by parenthood, previous training and professional experience. Conclusions: Sudden death in paediatric critical care units is one of the most difficult situations in nursing practice and elicits STS symptoms, which may severely impact the physical and psychological health of nurses and ultimately affect the quality of the provided care. Relevance for clinical practice: This study emphasizes the need for promoting better conditions for professional practice, namely, with regard to emotional support, as well as training programmes for skills development in the area of management of traumatic situations and of communication with clients.pt_PT
dc.description.sponsorshipUID/IC/4255/2013
dc.description.sponsorshipPOCI‐01‐0145‐FEDER‐007746
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.description.versionhttps://onlinelibrary.wiley.com/doi/abs/10.1111/nicc.12326
dc.identifier.doi10.1111/nicc.12326pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/30410
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectIntensive Care Units, Pediatricpt_PT
dc.subjectInterviews as Topicpt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNursing Staff, Hospitalpt_PT
dc.subjectQualitative Researchpt_PT
dc.subjectStress, Psychologicalpt_PT
dc.subjectSurveys and Questionnairespt_PT
dc.subjectCritical Care Nursingpt_PT
dc.subjectDeath, Suddenpt_PT
dc.subjectEmotionspt_PT
dc.subjectPediatricspt_PT
dc.titleSudden death in paediatrics as a traumatic experience for critical care nursespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage47pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage42pt_PT
oaire.citation.titleNursing in Critical Carept_PT
oaire.citation.volume23pt_PT
person.familyNameLima
person.familyNamePinto
person.givenNameLigia
person.givenNameCândida
person.identifier.ciencia-idFD10-26FF-19A1
person.identifier.ciencia-idC217-244B-A5C2
person.identifier.orcid0000-0003-4556-0485
person.identifier.orcid0000-0003-4874-6728
person.identifier.ridO-1347-2015
person.identifier.scopus-author-id55152017300
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationacaf408a-a2bb-4a23-8afa-c6a8b9306f9d
relation.isAuthorOfPublicationef5acd0f-aeb2-48d4-83a9-93930a7dcddd
relation.isAuthorOfPublication.latestForDiscoveryacaf408a-a2bb-4a23-8afa-c6a8b9306f9d

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