Helping healthcare professionals cope with patient death
Written by Sarah Brooks
For doctors and nurses, the toughest part of their job is when they lose a patient. How do they deal?
Some internalize their emotions and become numb to the situation, some externalize the problem and talk about it to other staff members and others, even though this can be a bit morbid, use humor to avoid facing the actual emotions that they're feeling.
The best way doctors and nurses can help recover from the loss of a patient is by speaking with experienced doctors or senior nurses at the hospital.
Those who have been working at the hospital for years understand the grieving process and can sympathize to those going through it for the first time. Though losing a patient never gets easier, it does get easier to talk about it.
The way that doctors and nurses grieve also depends on what the relationship with the patient was like.
Length of Relationship Oftentimes Matters
Typically, it the relationship was long-standing and the doctor or nurse really got to know the patient on a personal level, the loss will be significantly greater than if the doctor or nurse had little to no relationship with the patient (though even that is difficult, too).
Unfortunately, most hospitals do not have a system in place that helps doctors or nurses when a patient is lost.
Some medical schools and hospitals train their students and staff on how to approach the grieving family, but there's very little advice or training on how they should help themselves.
Since each death is different and each situation is unique, hospitals and schools find it hard to provide any sort of formal training on the subject.
Also, since it's an emotional issue, there is no 'right or wrong' way to grieve - each individual must figure out what works for them.
It's important to realize, too, that most people who work in the medical field have a strong desire to help those around them and improve their quality of life.
Nurses are typically caring, compassionate, friendly and willing to go out of their way to help others.
Though logical, they have a big heart and can easily get emotional when dealing with the death of a patient. It's also perfectly fine for doctors and nurses to seek outside help in the form of a therapist or counselor to help sort through their emotions.
Answers Don’t Always Immediately Come
Nurses and doctors shouldn't expect to know or understand how they grieve right away.
It's a process that takes time, and while they can hope to handle the situations better with time, it's never going to get 'easier.'
Develop a support system within your hospital so you don't have to grieve alone. Be there for other staff members that may be grieving a loss and offer words of support and encouragement.
The hospital staff is a team and everyone should work together and develop a system to make sure everyone feels they can discuss their emotions freely.
About the Author
Sarah Brooks is a freelance writer living in Glendale, AZ. She covers options for dealing with ripoff report, personal finances, small bus
COVID-19 "causing mass trauma among world’s nurses"
Healthcare providers are facing ongoing nursing shortages, and hospitals are reporting high rates of staff turnover and burnout as a result of the COVID-19 pandemic. In June a report found that levels of burnout among staff in England had reached "emergency" levels.
Registered nurses Molly Rindt and Erika Haywood are nurse mentors on US recruitment platform Incredible Health. In this joint Q&A they tell Healthcare Global about their own experiences of burnout and what can be done to tackle it.
What does it mean to be suffering from burnout?
Some of the most common reasons for nurse burnout include long work hours, sleep deprivation, a high-stress work environment, lack of support, and emotional strain from patient care.
While every profession has its stressors, the nursing industry has some of the highest burnout rates. The massive influence on patients’ lives, the long hours, and many other factors put nurses at risk of severe burnout. And with the rise of COVID-19, many healthcare professionals feel the strain more than ever.
Burnout in nurses affects everyone — individual nurses suffer, patients are impacted, and employers struggle with enormous turnover. This is why it’s crucial for healthcare systems and management to watch for signs of nurse burnout and take steps to provide a healthier workplace. Employers should be careful to watch for burnout symptoms in their healthcare staff — and not ignore them.
Symptoms include constant tiredness, constant anxiety related to work, emotional detachment and unexplained sickness.
How widespread is this problem?
Unfortunately, burnout affects approximately 38% of nurses per year and even the WHO recently labelled burnout as an official medical diagnosis. To put this statistic into perspective, nearly 4 out of 10 nurses will drive to work dreading their shift. Burnout is a reason nurses leave their positions.
Other top reasons for leaving included a stressful work environment, lack of good management or leadership, inadequate staffing, and finding better pay or benefits elsewhere.
Even before the pandemic, demanding workloads and aspects of the work environment such as poor staffing ratios, lack of communication between physicians and nurses, and lack of organisational leadership were known to be associated with burnout in nurses.
Have either of you experienced burnout?
Rindt: I have experienced burnout as an RN. I was constantly fatigued, never felt like I was off work, and would frequently dream I was still at work taking care of patients. In my particular situation, I needed to take a step back and restructure my work schedule to allow for more time off. After doing this, I was able to reduce burnout by deciding to work two shifts back-to-back and then have 2-3 days off.
Haywood: I definitely experienced constant anxiety related to work - so much so it would impact the days I wasn’t at work. At one point, I was even on medication to help combat the anxiety and stress I was facing on the job.
I had heart palpitations, chest pain, and wouldn’t be able to sleep before working the next day, which slowly started to impact other aspects of my life. I knew I couldn’t continue to live this way, it wasn’t sustainable. Because of this, I began to focus on my needs and prioritising self-care, especially during the beginning of the pandemic. Putting my needs first and not feeling guilty were necessary for me to overcome burnout.
What impact is COVID-19 having on nurses' wellbeing?
Some nurses have suffered devastating health consequences. Many nurses have dealt with excessive on-the-job stress, fears of becoming infected, and grief over seeing patients succumb to COVID-19 while isolated from their families.
New evidence gathered by the International Council of Nurses (ICN) suggests COVID-19 is causing mass trauma among the world’s nurses. The number of confirmed nurse deaths now exceeds 2,200, and with high levels of infections in the nursing workforce continuing, overstretched staff are experiencing increasing psychological distress in the face of ever-increasing workloads, continued abuse and protests by anti-vaccinators.
However, other small silver linings that came from the pandemic include increased professional autonomy, leadership opportunities and career growth potential.
How much of the cause of burnout is due to the hospitals or healthcare providers, and what can they do to address it?
Nurse fatigue poses serious problems for healthcare organisations, and a recent survey from Kronos found 63% of nurses say their job has caused burnout. The survey also found that more than 4 out of 5 nurses think hospitals today are losing good staff because other employers offer a better work/life balance.
Nurse burnout not only contributes to staff turnover, but it can impact the facility’s quality of care, patient satisfaction, and even medical outcomes.
Strategies to address burnout include training improving nurse-to-patient ratios, include nurses in policy discussions, and prioritise fostering a healthy work culture in hospitals.
What does your role mentoring nurses on the Incredible Health platform involve?
Rindt: My role can vary based on the needs of the nurses. The nurses love knowing they have someone in their corner who can give interview preparation advice or provide suggestions on how to improve their resume. Knowing that there is someone who is well-versed in the job process and can help set expectations on what to anticipate, really helps to remove a layer of uncertainty.
Haywood: When screening nurses, it is customised to what their individual RN or nurse practitioner needs, and at a time that is most convenient for them. Nurses are busy and often aren’t thought of first. Being able to provide support from the very beginning of their career advancement journey helps tremendously. We also provide resources such as resume templates and tips that can help nurses be successful and feel supported.