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Sources of Stress in Nursing Terminal Patients in a Hospice

Bibliographic Data

ID13628871
AuthorsPamela Gray-Toft (Methodist Hospital, corresponding author), Pamela A Gray-Toft (Methodist Hospital of Indiana, Inc., Indianapolis), James G Anderson (0000-0001-9690-6074, Purdue University and Methodist Hospital of Indiana, Inc., Indianapolis)
Year1987
Volume17
Issue1
Pages27-39
Publication date1987-08-01
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/t7f3-07bl-1qnr-8br4
OpenAlexW2095484669
LanguageEN
Citations received3
References cited13

A study was undertaken in the hospice unit at a large, midwestern community hospital to investigate the sources of stress experienced by hospice nurses. The case material reported in this article is based on observations, interviews with nurses, written stressful incident reports completed by nurses, and support group discussions. A number of sources of stress experienced by hospice nurses are identified. Physical characteristics of the unit as well as staffing policies designed to improve the quality of care resulted in conflict and feelings of alienation from other hospital personnel. Procedures followed in admitting patients to the hospice created stress when they were not fully supported by hospital administrators and physicians. Other policies related to the preparation of meals and open visitation increased the nurse's work load. At the same time, greater involvement with the patient and family during the dying process resulted in increased emotional demands on the nurse. Nurses experienced a sense of loss when a patient they had grown attached to died or was discharged to another institution. Stress also resulted from the nurse's exclusive involvement with terminally ill patients. Continual involvement with dying patients precipitated anxiety and superstitions concerning the nurse's own vulnerability and was particularly stressful when the nurse had experienced the death of someone close to her outside of the hospital

Anxiety · Family medicine · Feeling · Psychiatry · Staffing · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Religion, Spirituality, and Psychology

  • Occupational Stress, Burnout, and Professional Support in Nurses Working with Dying Patients

    Open Access•Anne Planté, Louise Bouchard•OMEGA - Journal of Death and Dying•1996

  • Nursing the Critically III and Dying

    Open Access•C L Cooper, Simon Mitchell•Human Relations•1990

  • Mutual Support among Nurses who Provide Care to Dying Children

    Open Access•Danai Papadatou, Irene Papazoglou et al.•Illness Crisis & Loss•1999

  • Stress among hospital nursing staff

    Open Access•Pamela Gray-Toft, James G Anderson•Social Science & Medicine Part A…•1981

  • The Relationship to Death as a Source of Stress for Nurses on a Coronary Care Unit

    Open Access•Trevor R Price, Bernard J Bergen•OMEGA - Journal of Death and Dying•1977

  • The U.S. hospice movement

    Marian Osterweis, D S Champagne et al.•American Journal of Public Health•1979

Unique citing works3
Citations per year0,08
Citation span1990 - 1999 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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