PubMed · 1997 · 97 citations · 0 references
NursingPalliative NursingPediatric NursingChild Health NursingPalliative CarePalliative Care NursingCommunication With PatientsDying EthicsEthical Issues In End-of-life CareGrief SupportPediatric Palliative CareGrounded Theory AnalysisGrounded Theory Interview AnalysisGrounded Theory InterviewingMoral Distress SupportPalliative Care For Children
Interviews with 25 nurses in this grounded theory study show that when nurses recognized that a child's death was inevitable, they struggled with both grief distress and moral distress. Their distress occurred within the context of the nurse-patient relationship. Nurses employed a range of strategies to manage their distress. Several conditions facilitated or constrained nurses' strategies, and resulted in far-reaching implications both professionally and personally.