The emotional state of nurses who provide end-of-life care in a geriatric setting

Abstract

As the demand for end-of-life care in geriatric settings continues to grow, nurses play a vital role in providing compassionate, patient-centred care while managing their own emotional well-being. This delicate balance between professional responsibilities and personal emotional investment often exposes nurses to significant emotional strain. Forming close relationships with patients and their families while witnessing patient deterioration and death can lead to profound emotional challenges. At the same time, the opportunity to offer comfort, dignity, and support at the end of life provides a deep sense of fulfilment, shaping the emotional experiences of nurses in complex and meaningful ways. This study adopts a qualitative approach to explore the emotional state of nurses who provide end-of-life care in long-term geriatric settings. It investigates how nurses navigate grief, maintain emotional boundaries, and cope with the pressures of their role. Additionally, it examines the impact of patient relationships on their emotional health and how they balance empathy with professional detachment. The study also considers the role of relationships and institutional support in promoting emotional resilience. Through in-depth semi-structured interviews, the research captures the nuanced emotional experiences of nurses working in this specialised field. It highlights both the challenges and rewards inherent in end-of-life care and identifies effective coping strategies employed by nurses. Finally, the study offers practical recommendations to enhance emotional support for nursing staff, improve workplace well-being, and strengthen the overall quality of end-of-life care in geriatric settings.