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The purpose of this thesis project is to analyze the impact that patient death has on long-term care providers. This study draws upon my own experience working as a licensed nursing assistant in a long-term care facility and also uses a qualitative analysis of six semi-structured interviews with other nursing assistants and hospice volunteers. With patient death being an unavoidable part of working in this area of healthcare, I explore how these care providers cope with losing their patients and the effectiveness of these coping mechanisms. Some strategies found that aided in coping with grief included staying detached from patients, being distracted by other aspects of the job, receiving support from co-workers, family members and/or supervisors, and having a religious outlook on what happens following death. In addition to these, I argue that care providers also utilize the unconscious defense mechanism of repression to avoid their feelings of grief and guilt. Repressing the grief and emotions that come along with patient death can protect the individual from additional pain in order for them to continue to do their difficult jobs. Being distracted by other patients also aids in the repression process by avoiding personal feelings temporarily. I also look into factors that have been found to affect the level of grief including the caregiver’s closeness to the patient, level of preparedness for the death, and first experience of losing a patient. Ultimately, I show that the common feelings accompanied by patient death (sadness, anger and stress) and the occurrence of burnout are harmful symptoms of the repression taking place.
ContributorsMasterson, Kaitlin (Author) / Loebenberg, Abby (Thesis director) / Mack, Robert (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05