Nurses' views of the coping and support mechanisms experienced in managing terminal XXXX .

@entity1 @entity548
INTRODUCTION: Although palliative care is a rewarding specialty, it presents emotive personal challenges for the health professionals working within it. Terminal @entity548 is arguably the most feared and distressing event in the palliative care setting, both for the @entity1 and for the health professionals looking after them. The aim of this study was to explore and reflect on the coping and support mechanisms that have helped nurses to manage these events. METHOD: Purposive sampling was used to recruit nurses from palliative care and oncology who had personal experience of managing terminal @entity548 . Semi-structured interviews were used to collect qualitative data that were then analysed using interpretative phenomenological analysis. Saturation of data was reached after 11 @entity1 had been interviewed. RESULTS: The @entity1 had a combined experience of managing 37 @entity1 with a terminal @entity548 . The key themes that emerged were the role of the 'autopilot', having a plan, education and training, the value of debriefing and peer support, and the importance of supporting the whole team. Education and training specifically about terminal @entity548 and structured debriefing after such events were both identified by the @entity1 as currently unmet needs. CONCLUSION: Professionals working in areas in which @entity1 are at particular risk of terminal @entity548 require adequate training and education prior to these events and a structure for formal debriefing and peer support afterwards.
