Nurses play an important role in caring for dying patients. The ability to face a dying patient is a vital necessity and skill for nurses. Nurses’ experiences in dealing with dying patients help to identify the factors affecting nursing care. Therefore, this meta-synthesis explains nurses caring experiences for dying patients. In this meta-synthesis review, English qualitative articles related to nurses’ caring experiences with dying patients that were published in Google Scholar, PubMed, Web of Science, Scopus, and CINAHL databases were selected. The results presented in 4 themes and 4 sub-themes, including (i) dual parallel nursing care (patient care and family care), (ii) conflict between nurses’ beliefs and care duties, (iii) care reflections on the nurse (positive and negative care reflection, and (iv) coping strategies of nurses. This study shows that nurses provide diverse care to dying patients and their families, which has had positive and negative reflections on their personal and professional lives. Nurses sometimes had a conflict with their beliefs and treatment protocols, which hesitate to perform the treatment. Although nurses use various coping strategies when caring for dying patients and their families, they need more strategies to cope with multi-faceted physical, mental, spiritual, educational, and management issues.
AbdollahimohammadA.FirouzkouhiM.AmrollahimishvanF.AlimohammadiN. (2016 Mar). Nurses versus physicians’ knowledge, attitude, and performance on care for the family members of dying patients. Korean J Med Educ, 28(1), 79–85. https://doi.org/10.3946/kjme.2016.12
2.
AlsalamahT. S.AlsalamahY. S.AldreesB.AlslamahT.YousifS. M.FawazM. (2022). Barriers and facilitators of working with dying Patients among novice nurses in Saudi Arabia. Healthcare, 10(2259), 1–11. https://doi.org/10.3390/healthcare10112259
3.
AndersonE.SalickieneZ.RosengrenK. (2016). To be involved- A qualitative study of nurses’ experience of caring for dying patients. Nurse Education Today, 38(March), 144–149. https://doi.org/10.1016/j.nedt.2015.11.026
4.
BetrianaF.KongsuwanW. (2020). Grief reactions and coping strategies of Muslim nurses dealing with death. Nursing in Critical Care, 25(5), 277–283. https://doi.org/10.1111/nicc.12481
5.
BloomerM. J.RanseK.AdamsL.BrooksL.CoventryA. (2022). “Time and life is fragile”: An integrative review of nurses’ experiences after patient death in adult critical care. Australian Critical Care. Article In Press.
6.
BorhaniF.HosseiniS. H.AbbaszadehA. (2014). Commitment to care: A qualitative study of intensive care nurses’ perspectives of end‐of‐life care in an Islamic context. International Nursing Review, 61(1), 140–147. https://doi.org/10.1111/inr.12079
7.
ChenC.LaiX.ZhaoW.ChenM. (2022). A good death from the perspective of healthcare providers from the internal medicine department in Shanghai: A qualitative study. International Journal of Nursing Science, 9(2), 236–242. https://doi.org/10.1016/j.ijnss.2021.11.002
8.
ChewY. J.AngS. L. L.ShoreyS (2020). Experiences of new nurses dealing with death in a pediatric setting: A descriptive qualitative study. Journal of Advanced Nursing, 77(1), 1–12. https://doi.org/10.1111/jan.14602
9.
FaronbiJ. O.AkinyoolaO.FaronbiG. O.BelloC. B.KuteyiF.OlabisiI. O. (2021) Nurses’ attitude toward caring for dying patients in a Nigerian teaching hospital (Vol. 17, pp. 1–8). Sage Open Nursing.
10.
FirouzkouhiM.AbdollahimohammadA. (2022 Apr). Death, masked angels: Die to save someone. Infect Control Hosp Epidemiol, 43(4), 549–550. https://doi.org/10.1017/ice.2021.27
11.
FirouzkouhiM.AlimohammadiN.AbdollahimohammadA.BagheriG.FarziJ. (2021, Aug 16). Bereaved families views on the death of loved ones due to COVID19: An integrative review. Omega, 3022282110382. https://doi.org/10.1177/00302228211038206
12.
FunesM. M.MoraesM. W.CunhaM. L.AlmeidaF. D. (2020). Caring for cancer patients facing death: Nurse’s perception and experience. Revista Brasileira de Enfermagem, 73(5), Article e20190686. https://doi.org/10.1590/0034-7167-2019-0686
13.
GambalungaF.TaraborelliE.De DomenicoR.Di MuzioM.NotarnicolaI.LatinaR.IacorossiL. (2021). Nurses’ perception of the oncology patient’s death: A qualitative study. Professioni Infermieristiche, 74(3), 248–255. https://doi.org/10.7429/pi.2021.744248
14.
HolH.VatneS.StrømskagK. E.OrøyA.RokstadA. M. M. (2023). Norwegian nurses’ perceptions of assisted dying requests from terminally ill patients—a qualitative interview study. Nursing Inquiry, 30(1), Article e12517. https://doi.org/10.1111/nin.12517
15.
KannoY.KazukiS.ShimizuM.FunamizuY.AndohH.KishinoM.SenagaT.TakahashiT.MiyashitaM. (2019). Development and validity of the Nursing Care Scale and Nurse’s Difficulty Scale in caring for dying patients with cancer and their families in general hospitals in Japan. Journal of Hospice and Palliative Nursing, 21(2), 174–182. https://doi.org/10.1097/NJH.0000000000000482
16.
MateoJ. D.CarlosM. A.ChuaW. R.DizaK. B.PonsecaJ. S.CajayonS. B.CambelM. S. (2020). “You’ll get used to it”: A lived experience of Filipino nurses in dealing with death and dying patient. Enfermería Clínica, 30(1), 107–112. https://doi.org/10.1016/j.enfcli.2019.09.031
17.
PetersL.CantR.PayneS.O’ConnorM.McDermottF.HoodK.MorphetJ.ShimoinabaK. (2013). How death anxiety impacts nurses’ caring for patients at the end of life: A review of literature. The Open Nursing Journal, 7(1), 14–21. https://doi.org/10.2174/1874434601307010014
18.
Puente-FernándezD.Lozano‐RomeroM. M.Montoya‐JuárezR.Martí‐GarcíaC.Campos‐CalderónC.Hueso‐MontoroC. (2020). Nursing professionals’ attitudes, strategies, and care practices towards death: A systematic review of qualitative studies. Journal of Nursing Scholarship, 52(3), 301–310.
19.
TarbengA. S.HoleT.ThronaesM.KvangarsnesM.LandstadB. J. (2020). Nurses’ experiences of compassionate care in the palliative pathway. Journal of Clinical Nursing, 29(23–24), 4818–4826. https://doi.org/10.1111/jocn.15528
20.
TranterS.JoslandE.Turnerk. (2016). Nurses’ bereavement needs and attitudes toward patient death: A qualitative descriptive study of nurses in a dialysis unit. Journal of Renal Care, 42(2), 101–106. https://doi.org/10.1111/jorc.12147
21.
TuJ.ShenM.LiZ. (2022). When cultural values meet professional values: A qualitative study of Chinese nurses’ attitude and experiences concerning death. BMC Palliative Care, 21(181), 1–10. https://doi.org/10.1186/s12904-022-01067-3
22.
WalshD.DowneS. (2005 Apr). Meta-synthesis method for qualitative research: A literature review. Journal of Advanced Nursing, 50(2), 204–211. doi: https://doi.org/10.1111/j.1365-2648.2005.03380.x
23.
WangY. (2019). Nursing students’ experiences of caring for dying patients and their families: A systematic review and meta-synthesis. Frontiers of Nursing, 6(4), 261–272. https://doi.org/10.2478/fon-2019-0042
24.
WuT. W.OliffeJ. L.BungayV.JohnsonJ. L. (2015). Male ICU nurses’ experiences of taking care of dying patients and their families: A gender analysis. American Journal of Men’s Health, 9(1), 44–52. https://doi.org/10.1177/1557988314528236
25.
ZhangJ.YaoN.CaoY.SuM.ChengJ. (2022). The experiences of clinical nurses coping with patient death in the context of rising hospital deaths in China: A qualitative study. BMC Palliative Care, 21(1), 163. https://doi.org/10.1186/s12904-022-01054-8
26.
ZhengR.LeeS. F.BloomerM. J. (2016). How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis. International Journal of Nursing Studies, 53, 320–330. https://doi.org/10.1016/j.ijnurstu.2015.09.013
27.
ZhengR.-S.GuoQ.-H.DongF.-Q.OwensR. G. (2015). Chinese oncology nurses’ experience on caring for dying patients who are on their final days: A qualitative study. International Journal of Nursing Studies, 52(1), 288–296. https://doi.org/10.1016/j.ijnurstu.2014.09.009
28.
ZhouS.WeiL.HuaW.HeX.ChenJ.A qualitative study of the phenomenology of perspectives of student nurses: Experience of death in clinical practice. BMC Nursing. 2022;21(1):74. https://doi.org/10.1186/s12912-022-00846-w
