Nurses are confronted with the reality of death and dying as part of their profession and, often times, their daily work. The qualitative data in this article were compiled from unsolicited comments provided by respondents to a survey of Registered Nurses. Forty-eight nurses wrote notes to the researcher/author which, after analysis, were organized into two major themes. The first theme encompassed how patient deaths are remembered. The length of time since the death, details provided, and definitions of “good death” were identified as sub-themes. The second theme surrounded the effect that patient death experiences have on nurses. Implications of these data include the need to acknowledge patient death and the immense emotional toll it takes on nurses, as well as understanding that nurses are disenfranchised grievers.
AikenL. H.ClarkeS. P.SloaneD. M.SochalskiJ. A.BusseR.ClarkeH. (2001). Nurses' reports on hospital care in five countries. Health Affairs, May/June, 43–53.
2.
BackerB. A.HannonN., & RussellN. A. (Eds.). (1994). Death and dying: Understanding and care (2nd ed.). Albany, NY: Delmar.
3.
BennettL.MichieP., & KippaxS. (1991). Quantitative analysis of burnout and its associated factors in AIDS nursing. AIDS Care, 3(2), 181–192.
4.
BuerhausP. I.StaigerD. O., & AuerbachD. I. (2000). Policy responses to an aging registered nurse workforce. Nursing Economics, 18, 278–303.
5.
CatalanJ.BurgessA.PergamiA.HulmeN.GazzardB., & PhillipsR. (1996). The psychological impact on staff of caring for people with serious diseases: The case of HIV infection and oncology. Journal of Psychosomatic Research, 40, 425–435.
6.
CranswickK. (1997). Burnout: A study of level of burnout and factors responsible for burnout in rehabilitation workers. Journal of Rehabilitation Administration, 21, 119–134.
7.
DemmerC. (1999). Death-related experience and professional support among nursing staff in AIDS care facilities. Omega, 39, 123–132.
EmersonR. M.FretzR. I., & ShawL. L. (1995). Writing ethnographic fieldnotes.Chicago, IL: University of Chicago Press.
10.
FeeC. (2001). Change of shift: Death of a difficult patient. Annals of Emergency Medicine, 37, 354–355.
11.
FeldsteinM. A., & GemmaP. B. (1995). Oncology nurses and chronic compounded grief. Cancer Nursing, 18, 228–236.
12.
HalpernJ. (2001). From detached concern to empathy: Humanizing medical practice.New York: Oxford University Press.
13.
HindsP. S. (2000). Testing the stress-response sequence in pediatric oncology nursing series of studies. Journal of Pediatric Oncology Nursing, 17, 59–68.
14.
HochschildA. R. (1983). The managed heart: Commercialization of human feeling.Berkeley, CA: University of California Press.
15.
JonesA. (1991). Actors in an emotional drama: Inter-related grief in terminal care. Professional Nurse, 6, 598–600, 602–603.
16.
KaplanL. J. (2000). Toward a model of caregiver grief: Nurses' experiences of treating dying children. Omega, 41, 187–206.
17.
KramerB. J. (1998). Preparing social workers for the inevitable: A preliminary investigation of a course on grief, death, and loss. Journal of Social Work Education, 34, 211–127.
18.
LamersW.Jr. (1997). How patient death affect health professionals: A plea for more open communication. Journal of Pharmaceutical Care in Pain and Symptom Control, 5, 59–71.
19.
LapumJ. (2006). Until my time of death. Canadian Medical Association Journal, 174(2), 1749–1750.
20.
LazarusR. S. (1991). Emotion and adaptation.New York: Oxford University Press.
21.
LevE. (1989). A nurse's perspective on disenfranchised grief. In DokaK. (Ed.), Disenfranchised grief: Recognizing hidden sorrow (pp. 287–300). Boston, MA: Lexington Books.
22.
LoflandL. (1985). The shaping of emotion: The case of grief. Symbolic Interaction, 8, 71–190.
23.
MarinoP. A. (1998). The effects of cumulative grief in the nurse. Journal of Intravenous Nursing, 21, 101–104.
24.
McLaughlinV. (2001). Professionalism sometimes means shedding a tear. Nursing Update (South Africa), 25(4), 30–31.
25.
MossM. S.MossS. Z., & HanssonR. O. (2001). Bereavement and old age. In StroebeM. S.HanssonR. O.StroebeW., & SchutH. (Eds.), The handbook of bereavement research (pp. 241–260). Washington, DC: American Psychological Association.
26.
PayneN. (2001). Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing, 33, 396–405.
27.
RandoT. A. (1984). Grief, dying, and death: Clinical interventions for caregivers.Champaign, IL: Research Press.
28.
RashotteJ.Fothergill-BourbonnaisF., & ChamberlinM. (1997). Pediatric intensive care nurses and their grief experiences: A phenomenological study. Heart and Lung, 26(5), 372–386.
29.
RedinbaughE. M.ScheurgerJ. M.WeissL. L.BrufskyA., & ArnoldR. (2001). Health care professionals' grief: A model based on occupational style and coping. Psycho-Oncology, 10, 187–198.
30.
SavettL. (2000). Keeping nursing human. Creative Nursing: A Journal of Values, Issues, Experience and Collaboration, 6, 4–9.
31.
StephanyT. (1989). Caregiver grief. Home Healthcare Nurse, 7, 43–44.
32.
StowersS. J. (1983). Nurses cry too … How do we deal with our own grief?Nursing Management, 14, 63–64.
33.
ThiedkeC. C. (2000). Balancing act: Grieving the death of a patient. Family Practice Management, 7, 73–74, 78.
34.
UfemaJ. (2000). Dose of straight talk. Nursing, 30, 72–73.
35.
WarrenW. G. (1988). Death education and research: Critical perspectives. Gerontology & Geriatrics Education, 9, 212.
36.
WhippenD. A., & CanellosG. P. (1991). Burnout syndrome in the practice of oncology: Results of a random survey of 1000 oncologists. Journal of Clinical Oncology, 2, 1916–1920.
37.
ZurlindenJ. (2000). How we nurses grieve. Nursing Spectrum, 10, 9.
