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Grief and loss in older people residing in nursing homes : (un)detected by nurses and care assistants?

Liesbeth Van Humbeeck (UGent) , Let Dillen (UGent) , Ruth Piers (UGent) and Nele Van Den Noortgate (UGent)
(2016) JOURNAL OF ADVANCED NURSING. 72(12). p.3125-3136
Author
Organization
Abstract
Aim: To explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care. Background: Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care. Design: A qualitative research design with elements of constructivist grounded theory was used. Methods: Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013 - March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10. Findings: Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context. Conclusion: Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Further, the findings from this study point towards a need for education and training.
Keywords
care-assistants, grief, loss, nurses, nursing, nursing home, older people, QUALITATIVE DATA-ANALYSIS, DEPRESSIVE SYMPTOMS, OF-LIFE, BEREAVEMENT, EXPERIENCES, RESIDENTS, COMMUNICATION, HEALTH, DEATH, WORK

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Citation

Please use this url to cite or link to this publication:

MLA
Van Humbeeck, Liesbeth, Let Dillen, Ruth Piers, et al. “Grief and Loss in Older People Residing in Nursing Homes : (un)detected by Nurses and Care Assistants?” JOURNAL OF ADVANCED NURSING 72.12 (2016): 3125–3136. Print.
APA
Van Humbeeck, Liesbeth, Dillen, L., Piers, R., & Van Den Noortgate, N. (2016). Grief and loss in older people residing in nursing homes : (un)detected by nurses and care assistants? JOURNAL OF ADVANCED NURSING, 72(12), 3125–3136.
Chicago author-date
Van Humbeeck, Liesbeth, Let Dillen, Ruth Piers, and Nele Van Den Noortgate. 2016. “Grief and Loss in Older People Residing in Nursing Homes : (un)detected by Nurses and Care Assistants?” Journal of Advanced Nursing 72 (12): 3125–3136.
Chicago author-date (all authors)
Van Humbeeck, Liesbeth, Let Dillen, Ruth Piers, and Nele Van Den Noortgate. 2016. “Grief and Loss in Older People Residing in Nursing Homes : (un)detected by Nurses and Care Assistants?” Journal of Advanced Nursing 72 (12): 3125–3136.
Vancouver
1.
Van Humbeeck L, Dillen L, Piers R, Van Den Noortgate N. Grief and loss in older people residing in nursing homes : (un)detected by nurses and care assistants? JOURNAL OF ADVANCED NURSING. 2016;72(12):3125–36.
IEEE
[1]
L. Van Humbeeck, L. Dillen, R. Piers, and N. Van Den Noortgate, “Grief and loss in older people residing in nursing homes : (un)detected by nurses and care assistants?,” JOURNAL OF ADVANCED NURSING, vol. 72, no. 12, pp. 3125–3136, 2016.
@article{8046510,
  abstract     = {Aim: To explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care.
Background: Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care.
Design: A qualitative research design with elements of constructivist grounded theory was used.
Methods: Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013 - March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10.
Findings: Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context.
Conclusion: Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Further, the findings from this study point towards a need for education and training.},
  author       = {Van Humbeeck, Liesbeth and Dillen, Let and Piers, Ruth and Van Den Noortgate, Nele},
  issn         = {0309-2402},
  journal      = {JOURNAL OF ADVANCED NURSING},
  keywords     = {care-assistants,grief,loss,nurses,nursing,nursing home,older people,QUALITATIVE DATA-ANALYSIS,DEPRESSIVE SYMPTOMS,OF-LIFE,BEREAVEMENT,EXPERIENCES,RESIDENTS,COMMUNICATION,HEALTH,DEATH,WORK},
  language     = {eng},
  number       = {12},
  pages        = {3125--3136},
  title        = {Grief and loss in older people residing in nursing homes : (un)detected by nurses and care assistants?},
  url          = {http://dx.doi.org/10.1111/jan.13063},
  volume       = {72},
  year         = {2016},
}

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