Faculty of Health Sciences
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Item The preparedness of emergency care providers to deal with death, dying and bereavement in the pre-hospital setting in Dubai(Paramedics Australasia, 2019-09-02) Conning, Reon; Naidoo, Raveen; Bhagwan, Raisuyah; Naidoo, R.; Bhagwan, R.; Mana Bin Ahmad, S.Introduction This study sought to investigate how prepared emergency care providers are to deal with death, dying and bereavement in the pre-hospital setting in Dubai, and to make recommendations related to such events. Methods A quantitative descriptive prospective design was utilised. Data was collected using an online self-report questionnaire sent to all operational emergency care providers in the Dubai Corporation of Ambulance Services. The data was analysed using the IBM Statistical Package for Social Sciences version 25.0. Results Nearly 65% of participants (n=316) reported that they had not received any formal education or training on death, dying and bereavement. Those that did, reported that the training was conducted mainly by nursing (25.9%; n=124) and paramedic (13.6%; n=65) instructors. One-quarter of participants (25.4%; n=126) reported experiencing intrusive symptoms such as sleep loss, nightmares and missing work as a result of a work-related death or dying incident, but only 4.1% (n=20) had received professional counselling. Conclusion This study found that emergency care providers are underprepared to deal with death, dying and bereavement. A comprehensive death education program encompassing the unique challenges that emergency and pre-hospital setting presents should be implemented to reduce emotional anxiety and help emergency care providers cope better with death, and decrease abnormal grief reactions of the bereft. Abnormal grief reactions can include restlessness, searching for the lost person and disrupted autonomic nervous system functions.Item Experiences of critical care nurses of death and dying in an intensive care unit : a phenomenological study(OMICS Publishing Group, 2014) Sibiya, Maureen Nokuthula; Naidoo, VasanthrieBackground: Working in the intensive care unit can be traumatic for nursing personnel. Critical care nurses are faced with repeated exposure to death and dying as they are involved in caring for patients who are actively dying, have a terminal illness or face impending death. These nurses relate in different ways to the phenomena of death and dying within their nursing profession and their scope of practice. Critical care nurses often have a difficult time coping with the stress that comes with caring for those who are dying or relating to loved ones of those that are dying. Aim of the study: The aim of the study was to explore the critical care nurse’s experiences of death and dying. Methods: A qualitative, descriptive phenomenological research approach was used to guide the study. Approval to conduct the study was obtained from Durban University of Technology Faculty Research Committee, the eThekwini District Health Research Unit, and the Nursing Service Manager of the participating hospital. The study population comprised of nurses working in the Critical care unit of the participating hospital. Results: Findings of this study revealed that issues such as communication, multicultural diversity, education and coping mechanisms relating to caring for the critically ill and dying patient are essential in nursing education and practice. Conclusions : Critical care nurses need to have support networks in place, not only to assist in providing care, but also for their own emotional support and well-being.Item Experiences of critical care nurses of death and dying in an intensive care unit : a phenomenological study(2011) Naidoo, Vasanthrie; Sibiya, Maureen NokuthulaBackground Working in the intensive care unit can be traumatic for nursing personnel. Critical care nurses are faced with repeated exposure to death and dying as they are involved in caring for patients who are actively dying or who have been told that they have a terminal illness and are faced with the possibility of impending death. Critical care nurses relate in different ways to the phenomena of death and dying within their nursing profession and their scope of practice. These nurses often have a difficult time coping with the stress that comes with caring for those who are dying or relating to loved ones of those that are dying. Aim of the study The aim of the study was to explore the critical care nurse’s experiences of death and dying. Methodology A qualitative, descriptive phenomenological approach was used to guide the study. Four nurses were recruited and rich descriptions of their experiences were gained through individual face-to-face interviews. One broad question was asked: ‘What are your experiences regarding death and dying of your patients in ICU?’ iii Results The findings of this study revealed that issues such as communication, multicultural diversity, education and coping mechanisms relating to caring for the critically ill and dying patient are essential in nursing education and practice. Critical care nurses need to have support networks in place, not only to assist in providing care, but also for their own emotional support