Although death is part of life, it does not leave of be a hum that transits the daily hospital turning in something that we intend to avoid because it faces to us the flavor of failure.

Nursing have an important participation at the end of the life as in the direct and constant care of the patient dying and the family, and this demands professional internalized in their emotions and strengths.

 

To observe what relationship exists in the health team and processes arising in the field of action, allows to know how repeated griefs are experience repeated in the “no time” to do everyday, where professional ethics, empathy and personal culture dance and distinguishe us as individuals.Trained in providing welfare and care, outstanding communication and compassion with the patient and the family, nursing faces the situation of rethinking its own existence and finitude, feeling in some circumstances, with empty hands to accompany the tears of those who lost their loved one.

 
Stress plays a major role in the care of these patients and threatens, together with anguish, anxiety, uncertainty, frustration, fear and sadness are the most popular emotions for nurses, because of the permanent proximity we play in our work.In a survey in Argentina to 50 nurses from different hospitals both public and private, it could be observed that 90% were willing to receive more training on the care of dying patients.
25% of respondents felt prepared emotionally and professionally for the challenge of open visitation policies having been prepared for it the 21% of the participants. Previous training in palliative care for the 37, 5% and 58% affirms that they talk about the end of life with their patients.Respondents feel that family members perceive nursing as Indiferentes 29%, 42% empathetic and a 29% feel not to be perceived.

While society has the process of dying institutionalised in hospitals, 87% of nurses prefer to die at home. During their vocational training, only 8% had received tools to face the end of life.

To the question of whether there is or is provided a space for help against concerns that may arise, only 6% of the population surveyed gave an affirmative answer.

The mode of resolution of personal griefs prints a undisputed seal in the experiences of the day by day. So, it is important to dive in emotional experience individual and in group, in order to avoid denials and not therapeutic distancing.

Knowing us vulnerable is not a point of weakness, but rather extends the self-knowledge and promotes the self-realization of greater achievements, reducing the odds of suffering from Burnout.

An active listening on the impact produced by the events of the end of life, more training in palliative care and a space of recognition where nursing can channel the needs of expression of creative and therapeutic, can be the beginning of management of care toward nurses that will be reflected in a healthier and quality care.

Laura Caccianini
ICU nurse at Hospital General de Agudos Dr. Ignacio Pirovano, Buenos Aires. Argentina