Abstract

PEREZ VEGA, María Elena  and  CIBANAL, Luis Juan. PSYCHOSOCIAL IMPACT ON NURSES PROVIDING CARE IN TERMINAL PHASE. Rev Cuid [online]. 2016, vol.7, n.1, pp.1210-1218. ISSN 2216-0973.  https://doi.org/10.15649/cuidarte.v7i1.295.

Introduction: The experience and significance of the process of dying depend on sociocultural construction worldview of life, knowledge and personal experiences. In Mexico, as in other countries, death is something contradictory, feared and revered evaded. The nursing staff is immersed in this culture and from there his practice, aiming to contribute to the promotion, maintenance, recovery of health and hospice care. There are many research on performance and attitudes to death in nursing, but empty of emotional impact to the performance of care. Objective: To characterize qualitatively psychosocial impact on nurses who provide palliative care hospital patients in the end stage of life. Materials and Methods: A qualitative study, phenomenological method, in-depth interview technique, as informants four registered nurses, semiotic analysis focused on narratives. Results: Conceptualization: human, death, terminal phase, nurse-nursing; findings: self-perception as being split between the personal and the professional; significance of death as loss-gain; unfavorable hospital setting to die well; psychosocial impact and factors that intensify it; lack of training and support. Discussion: Conceptualization and significance of death reviewed in previous investigations, describing the psychosocial impact and its causes. Conclusions: Psychosocial impact related to multiple factors: address the social stigma of death, the divergence between taking professional vs. personal actions, what pertains to the hospital and a lack of a thanatological approach. Urgently develop a plan that accounts for these findings. This plan would result in less psychosocial impact on nurses and consequently improve hospital performance and improve quality of care and patient conditions.

Keywords : Psychosocial Impact; Hospice and Palliative Care Nursing; Qualitative Research.

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