Grief and loss in older people residing in nursing homes: (un)detected by nurses and care-assistants?
Identifieur interne : 000E97 ( Main/Exploration ); précédent : 000E96; suivant : 000E98Grief and loss in older people residing in nursing homes: (un)detected by nurses and care-assistants?
Auteurs : Liesbeth Van Humbeeck [Belgique] ; Let Dillen [Belgique] ; Ruth Piers [Belgique] ; Nele Van Den Noortgate [Belgique]Source :
- Journal of advanced nursing [ 1365-2648 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Personnel infirmier.
- Adulte, Adulte d'âge moyen, Aidants, Autosoins, Chagrin, Femelle, Humains, Maisons de repos, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- psychology : Nursing Staff.
- Adult, Aged, Aged, 80 and over, Caregivers, Female, Grief, Humans, Male, Middle Aged, Nursing Homes, Self Care.
Abstract
AIM
The aim of this study was to explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care.
BACKGROUND
Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care.
DESIGN
A qualitative research design with elements of constructivist grounded theory was used.
METHODS
Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013-March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10.
FINDINGS
Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context.
CONCLUSION
Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Furthermore, the findings from this study point towards a need for education and training.
DOI: 10.1111/jan.13063
PubMed: 27377839
Affiliations:
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Liesbeth" uniqKey="Van Humbeeck L" first="Liesbeth" last="Van Humbeeck">Liesbeth Van Humbeeck</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatric Medicine, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Dillen, Let" sort="Dillen, Let" uniqKey="Dillen L" first="Let" last="Dillen">Let Dillen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatric Medicine, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Piers, Ruth" sort="Piers, Ruth" uniqKey="Piers R" first="Ruth" last="Piers">Ruth Piers</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatric Medicine, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Van Den Noortgate, Nele" sort="Van Den Noortgate, Nele" uniqKey="Van Den Noortgate N" first="Nele" last="Van Den Noortgate">Nele Van Den Noortgate</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatric Medicine, Ghent University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of advanced nursing</title><idno type="eISSN">1365-2648</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Caregivers (MeSH)</term><term>Female (MeSH)</term><term>Grief (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nursing Homes (MeSH)</term><term>Nursing Staff (psychology)</term><term>Self Care (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Aidants (MeSH)</term><term>Autosoins (MeSH)</term><term>Chagrin (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maisons de repos (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel infirmier (psychologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel infirmier</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nursing Staff</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Caregivers</term><term>Female</term><term>Grief</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Nursing Homes</term><term>Self Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aidants</term><term>Autosoins</term><term>Chagrin</term><term>Femelle</term><term>Humains</term><term>Maisons de repos</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>The aim of this study was to explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A qualitative research design with elements of constructivist grounded theory was used.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013-March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10.</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Furthermore, the findings from this study point towards a need for education and training.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27377839</PMID><DateCompleted><Year>2018</Year><Month>03</Month><Day>22</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2648</ISSN><JournalIssue CitedMedium="Internet"><Volume>72</Volume><Issue>12</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of advanced nursing</Title><ISOAbbreviation>J Adv Nurs</ISOAbbreviation></Journal><ArticleTitle>Grief and loss in older people residing in nursing homes: (un)detected by nurses and care-assistants?</ArticleTitle><Pagination><MedlinePgn>3125-3136</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jan.13063</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this study was to explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A qualitative research design with elements of constructivist grounded theory was used.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013-March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Furthermore, the findings from this study point towards a need for education and training.</AbstractText><CopyrightInformation>© 2016 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Van Humbeeck</LastName><ForeName>Liesbeth</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dillen</LastName><ForeName>Let</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piers</LastName><ForeName>Ruth</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Den Noortgate</LastName><ForeName>Nele</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Adv Nurs</MedlineTA><NlmUniqueID>7609811</NlmUniqueID><ISSNLinking>0309-2402</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006117" MajorTopicYN="Y">Grief</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="Y">Nursing Homes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009740" MajorTopicYN="N">Nursing Staff</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">care-assistants</Keyword><Keyword MajorTopicYN="N">grief</Keyword><Keyword MajorTopicYN="N">loss</Keyword><Keyword MajorTopicYN="N">nurses</Keyword><Keyword MajorTopicYN="N">nursing</Keyword><Keyword MajorTopicYN="N">nursing home</Keyword><Keyword MajorTopicYN="N">older people</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27377839</ArticleId><ArticleId IdType="doi">10.1111/jan.13063</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Van Humbeeck, Liesbeth" sort="Van Humbeeck, Liesbeth" uniqKey="Van Humbeeck L" first="Liesbeth" last="Van Humbeeck">Liesbeth Van Humbeeck</name></noRegion><name sortKey="Dillen, Let" sort="Dillen, Let" uniqKey="Dillen L" first="Let" last="Dillen">Let Dillen</name><name sortKey="Piers, Ruth" sort="Piers, Ruth" uniqKey="Piers R" first="Ruth" last="Piers">Ruth Piers</name><name sortKey="Van Den Noortgate, Nele" sort="Van Den Noortgate, Nele" uniqKey="Van Den Noortgate N" first="Nele" last="Van Den Noortgate">Nele Van Den Noortgate</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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