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Meaning-Making and Managing Difficult Feelings

Providing Front-Line End-of-Life Care

Bibliographic Data

ID13627909
AuthorsLaura M Funk (0000-0003-0411-0410, University of Manitoba, corresponding author), Shelly Waskiewich (University of Victoria), Kelli Stajduhar (0000-0003-2381-4712, University of Victoria), K I Stajduhar (University of Victoria)
Year2013
Volume68
Issue1
Pages23-43
Publication date2013-11-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.2190/om.68.1.b
PMID24547663
OpenAlexW2133142657
LanguageEN
Citations received6
References cited41

Managing grief and difficult emotions related to end-of-life (EOL) care is an often under-recognized part of the work of resident care aides (RCAs). In this interpretive analysis we explore the shared and socially constructed ideas that 11 RCAs in 1 Canadian city employ to make sense of death and the provision of EOL care. RCAs spoke of personal challenges involved in witnessing death and experiencing loss, as well as helplessness and frustration when they could not provide quality EOL care. RCAs invoked "consoling refrains" to manage grief, including "such is life," "they are better off," and "they had a full life." To manage guilt and moral distress, RCAs reminded themselves "I did my best" and "I experience rewards." Though these ideas help RCAs, some may need to be reframed through coaching and mentorship, to prevent unintended negative effects on care or the reproduction of ageist beliefs more broadly

Aesthetics · End-of-life care · Feeling · Front line · Meaning (existential · Meaning-making · Palliative care · Psychoanalysis · Psychotherapist · Grief, Bereavement, and Mental Health · History · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Philosophy · Psychology · Social Psychology

  • Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

    Open Access•Jo-Ann Vis, Kimberley Ramsbottom et al.•SAGE Open•2016

  • The Changing Nature of Guilt in Family Caregivers

    Open Access•Kim Martz, Janice M Morse•Qualitative Health Research•2017

  • The Problems with Care

    Open Access•Janna Klostermann, Laura M Funk et al.•Societies•2022

  • Flowering out of the stones

    Xin Zhang, Bei Ju et al.•Death Studies•2025

  • Worker Experiences of the Work Health and Safety Impacts of Exposure to Dying and Death in Clinical Settings

    Open Access•Natalie Roche, Susan Darzins et al.•OMEGA - Journal of Death and Dying•2022

  • The Emotional Labor of Personal Grief in Palliative Care

    Open Access•Laura M Funk, Sheryl Peters et al.•Qualitative Health Research•2017

  • The Managed Heart

    Arlie Russell Hochschild•Managed Heart•2003

  • Meaning Reconstruction in the First Two Years of Bereavement

    Open Access•Jason M Holland, John Mcnab Currier et al.•OMEGA - Journal of Death and Dying•2006

  • Moral Imagination in Long-Term Care Workers

    Open Access•Helen K Black•OMEGA - Journal of Death and Dying•2004

  • The Grief Experiences of Certified Nursing Assistants

    Open Access•Keith A Anderson, Joseph E Gaugler•OMEGA - Journal of Death and Dying•2007

  • The Metaphor of "Family" in Staff Communication About Dying and Death

    Miriam S Moss, Sidney Z Moss et al.•The Journals of Gerontology…•2003

  • Direct Care Workers' Response to Dying and Death in the Nursing Home

    Open Access•Helen K Black, Robert L Rubinstein•The Journals of Gerontology…•2005

  • Bereaved informal cancer carers making sense of their palliative care experiences at home

    Open Access•W K Tim Wong, Jane M Ussher et al.•Health & Social Care in the…•2009

  • A discourse of silence

    Open Access•Jane Österlind, GÖREL HANSEBO et al.•Ageing and Society•2011

  • Making sense of loss and benefiting from the experience

    Christopher G Davis, Susan Nolen-Hoeksema et al.•Journal of Personality and Social…•1998

  • Interviewing Family Caregivers

    Open Access•Laura M Funk, Kelli Stajduhar et al.•Qualitative Health Research•2009

  • Nurse Assistant Mental Models, Sensemaking, Care Actions, and Consequences for Nursing Home Residents

    Open Access•Ruth A Anderson, Natalie Ammarell et al.•Qualitative Health Research•2005

  • Exposing failures, unsettling accommodations

    Open Access•Christina Sinding, Jane Aronson•Qualitative Research•2003

  • Finding dignity in dirty work

    Open Access•Clare L Stacey•Sociology of Health & Illness•2005

Unique citing works6
Citations per year0,6
Citation span2016 - 2025 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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