J Korean Acad Nurs.  2017 Jun;47(3):392-405. 10.4040/jkan.2017.47.3.392.

Development and Evaluation of a Self-Reflection Program for Intensive Care Unit Nurses Who Have Experienced the Death of Pediatric Patients

• Kang HJ
• Bang KS

• KMID: 2426468
• DOI: http://doi.org/10.4040/jkan.2017.47.3.392

Abstract

PURPOSE
This study aims to develop a self-reflection program for nurses who have experienced the death of pediatric patients in the intensive care unit and to evaluate its effectiveness.
METHODS
The self-reflection program was developed by means of the following four steps: establishment of the goal through investigation of an initial request, drawing up the program, preliminary research, and implementation and improvement of the program. The study employed a methodological triangulation to evaluate the effectiveness of the program. Participants were 38 nurses who had experienced the death of pediatric patients (experimental group=15, control group=23); they were recruited using convenience sampling. The self-reflection program was provided over 6 weeks (6 sessions). Data were collected from April to August, 2014 and analyzed using t-tests and content analysis.
RESULTS
The quantitative results showed that changes in personal growth (t=-6.33, p<.001) and burnout scores (z=-2.76, p=.005) were better in the experimental group compared to the control group. The qualitative results exhibited two themes, namely "personal growth" and "professional growth", and ten sub-themes.
CONCLUSION
The self-reflection program developed by this study was effective in helping nurses who had experienced the death of pediatric patients to achieve personal growth through self-reflection, and it was confirmed that the program can be applied in a realistic clinical nursing setting. Furthermore, it can be recommended as an intervention program for clinical nurses.

Keyword

Death; Intensive care unit; Nurses; Program development

MeSH Terms

Adult
Burnout, Professional
Compassion Fatigue/psychology
*Death
Female
Humans
Intensive Care Units
Nursing Staff, Hospital/*psychology
*Program Development
*Program Evaluation
Self Efficacy

Reference

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