A nurse manager on a pediatric oncology unit is leading a discussion about personal coping strategies that nurses can use to remain effective when caring for dying children. What should be included in the discussion?

Question

A nurse manager on a pediatric oncology unit is leading a discussion about personal coping strategies that nurses can use to remain effective when caring for dying children.  What should be included in the discussion?

Quizplus · Accepted Answer

Nurses who care for dying children experience many of the same feelings that the child's family does, resulting in stress that may lead to compassion fatigue. To remain positive in the caring role, nurses must implement appropriate coping strategies to enhance self-care and grief resolution. Attending a memorial service can demonstrate care for the grieving family while also providing closure for the nurse. Other helpful strategies for coping include: taking time off from work if distancing is needed, utilizing personal and professional support systems (eg, spouse, employee assistance programs, experienced mentors), and maintaining good health through adequate rest, regular exercise, and proper nutrition. (Option B) The nurse should maintain a level of objectivity to make effective care decisions, but it is sometimes appropriate to share personal emotions of loss or sadness with the family of a dying child. Honesty and personal connection support the coping process for the nurse and the family. (Option C) Personal contact with the family of the deceased child for an extended period after their loss is helpful for the nurse and the family during the grieving process, particularly if a close relationship was established during hospitalization. (Option D) Although exercise is an important part of maintaining overall health, there is no evidence that increasing the length of daily exercise routines is an effective coping strategy. Educational objective: Nurses who care for dying children experience many of the same feelings that the family of the dying child does, resulting in stress that may lead to compassion fatigue. To remain effective in the care-giving role, nurses should utilize professional and personal support systems, share in end-of-life celebration rituals, and take time off from work when distancing is needed. The family and the nurse can gain support by remaining in contact during the grieving process.

A Nurse Manager on a Pediatric Oncology Unit Is Leading