Patient DemiseLeast chance of cure

Risk outweighs benefitsPatient comfort is a priority

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Photo credits: hamiltonhealth.ca

Photo credits: endoftheamericandream.com

120, 859 patient demise

How about the nurses?

Frontline of Care

Coping Problems

and

Patient DemiseThe Lived Experiences of Emergency Room Nurses

Authors: Santos, Vizmarc, et al. ; Co- author: Dr. Grace C. Arcamo

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Cardiac Standstill

ineff

ectiv

e

Conceptual Framework

Patient

Demise

Cognitive

Appraisal

Problem- Based

Coping Mechanisms

Emotion- Focused

Adapt

ive

Physiologic- PhysicalSelf- Concept

Role Function

Inte

rdep

ende

nce

Gravity of Impact

Ability to Resolve

The Problem

What were the lived experiences of

emergency room nurses on patient demise?

Design: Interpretive

PhenomenologyLocale:

Emergency Room of

Hospital (A)Informants:ER nurses of Hospital (A)

Method of Data

Gathering:Focus Group Discussion

Sampling Technique:Purposive Sampling

Data Analysis:Diekelmann and

Colleagues’Method

Methodology

ResultsCode of Chances

Call of Duty

Reminiscing Relations

Compensating Performances

Customary Practice

Through the Fire

Curtailed Gratification

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Customary Practice

Reminiscing Relations

Compensating Performances

Curtailed Gratification

Through the Fire

Call of Duty

Code of Chances

Results

Journeying through Experiential Resiliency Photo courtesy: ipadforums.net

Proposed Output

Compassion Threshold Enrichment Program

Description

A six- month program aiming to(1) empower, (2) educate, and (3) enhance the coping skills of ER

nurses, leading to the provision of quality, holistic nursing care to patients in the ER despite the

existence of stress.

♣Rationale

A need to augment the compassion threshold of ER nurses has been

identified

#Matrix

Assessment

Orientation

ImplementationEvaluation

Compassion Fatigue

Prioritization

Six Sessions

Activities

ConclusionIf the ER nurses have coped effectively with the odd effects of patient demise, then they would be able to manage themselves similarly in future encounters

involving the related phenomenon.

Recommendations

Replication Study

Grounded Theory

Prevalence of Compassion Fatigue

Adaptation of the Proposed Output

Research Findings

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Adelante!