Dialogues of Care Jared Rubenstein MD Heather MorandReid DNP MSN RN Vivian Clark LCSWS Jared Rubenstein MD Pediatric Advanced Care Team PACT Palliative Care PSA Heather MorandReid ID: 771793
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Dialogues of Care Jared Rubenstein, MDHeather Morand-Reid, DNP, MSN, RNVivian Clark, LCSW-S
Jared Rubenstein, M.D. Pediatric Advanced Care Team (PACT)
Palliative Care PSA
Heather Morand-Reid , DNP, MSN, RN Impact of Disenfranchised Grief on the Care Giver
Definition of Grief
Definition of Disenfranchised Grief
In the literature: When there are unexpected NICU outcomes and loss, Mosher (2017) said these can have lasting effect on nurses, leading to post traumatic stress, depression, burnout, symptoms of pain and loss, and lifelong memories of the event. Nurses witness much pain, suffering, and distress, over time, multiple losses that are not well-supported could take their toll on the nurse.
Neimeyer & Anderson in 2002 described the death of an infant as an enduring and painful bereavement experience for parents. Nurses who provide end-of-life care for dying infants in the Neonatal Intensive Care Unit (NICU) are best situated to help parents cope with the loss of their infants in this time of grief (Lassen, 2016). However, NICU nurses have been shown to experience personal grief from the loss of their infant patients (Kain, 2013; Romesberg, 2004) despite not having a personal relationship with the infant patients themselves.
Vivian Clark, LCSW-S Support for Employees
Grief & Loss in the Workplace Compassion FatigueBurnout Syndrome Secondary Trauma Vicarious Traumatization
Pediatric Healthcare Providers Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It occurs when you feel overwhelmed, emotionally drained, and unable to meet constant demands.
Moral Distress Defined as distress that occurs when constraints make it nearly impossible to pursue the right course of action (Jameton, 1984).
Solution
Acknowledge the problem Seek support from othersDevelop appropriate coping skills Learn to manage stress on a daily basis Utilize available resources
Employee Assistance Program Tandem Support Team Stress Management Services
System-Wide Bereavement Committee Employee Support Sub-committee: “ Take 15” Policy Employee support badge backers Educational presentations
Questions? Comments? Thank You!