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Development and Evaluation of a Self-Reflection Program for Intensive Care Unit Nurses Who Have Experienced the Death of Pediatric Patients
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Hyun-Ju Kang, Kyung-Sook Bang
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J Korean Acad Nurs 2017;47(3):392-405. Published online January 15, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.3.392
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 Abstract
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- 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.
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Citations
Citations to this article as recorded by  - Interventions for Compassion Fatigue in Healthcare Providers—A Systematic Review of Randomised Controlled Trials
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Journal of Pain and Symptom Management.2020; 59(1): 105. CrossRef - Neonatal ICU Nurses’ Coping with Death of High Risk Newborn
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