Questionnaire to assess the psycho-emotional state of nurses after the death of a patient

 

                                                                                                                Dear respondent,

 

         Stress, negative emotions and adverse psycho-emotional changes associated with a patient's death are of global concern to all healthcare professionals. Marius Kalpokas, a fourth year student of the General Practice Nursing study programme at the Faculty of Biomedical Sciences of Panevėžys University, is conducting a study with the aim of assessing the psycho-emotional state of nurses after the death of a patient. Participation for this study is voluntary and you have the right to withdraw from it at any time. Your opinion is significant to us. The survey is anonymous. The collected data will be summarised and used in the preparation of the final thesis on the topic "Assessment of psychoemotional state of nurses after the death of a patient".

 

Instructions: Please read each question carefully and choose the answer option(s) that best suits you, or enter your own opinion if the question asks or allows.

 

Thank you in advance for your answers!

Questionnaire results are available only to the author

What is your age (in years)? ✪

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What is your sex? ✪

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Where did you finish your degree: ✪

If you do not see an option that works for you, please write it down
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Your country of residence? ✪

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Your marital status: ✪

If you do not see an option that works for you, please write it down
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What department do you work in: ✪

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What type of shift you usually work: ✪

If you do not see an option that works for you, please write it down
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What is your work experience (in years)? ✪

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How often do you encounter the death of a patient? ✪

If you chose "Never", please do not complete the survey further. Thank you for your time.
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What emotions do you feel when a patient passes away? ✪

You can choose several options and if there is a need you can write your own.
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Which of these emotions listed above are the most time-consuming for you to overcome after the patient's death? ✪

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Percieved Stress Scale, PSS-10, author Sheldon Cohen, 1983. ✪

The questions in this scale ask you about your feelings and thoughts during the last month. In each case, you will be asked to indicate how often you felt or thought a certain way.
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Never
Almost Never
Sometimes
Fairly Often
Very Often
In the last month, how often have you been upset because of something that happened unexpectedly?
In the last month, how often have you felt that you were unable to control the important things in your life?
In the last month, how often have you felt nervous and "stressed"?
In the last month, how often have you felt confident about your ability to handle your personal problems?
In the last month, how often have you felt that things were going your way?
In the last month, how often have you found that you could not cope with all the things that you had to do?
In the last month, how often have you been able to control irritations in your life?
In the last month, how often have you felt that you were on top of things?
In the last month, how often have you been angered because of things that were outside of your control?
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

Brief-COPE, author Charles S. Carver, 1997. ✪

The death of a patient induces stress. Each item says something about a particular way of coping. Don't answer on the basis of whether it seems to be working or not—just whether or not you're doing it.
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I haven't been doing this at all
I've been doing this a little bit
I've been doing this a medium amount
I've been doing this a lot
I've been turning to work or other activities to take my mind off things.
I've been concentrating my efforts on doing something about the situation I'm in.
I've been saying to myself "this isn't real.".
I've been using alcohol or other drugs to make myself feel better.
I've been getting emotional support from others.
I've been giving up trying to deal with it.
I've been taking action to try to make the situation better.
I've been refusing to believe that it has happened.
I've been saying things to let my unpleasant feelings escape.
I’ve been getting help and advice from other people.
I've been using alcohol or other drugs to help me get through it.
I've been trying to see it in a different light, to make it seem more positive.
I’ve been criticizing myself.
I've been trying to come up with a strategy about what to do.
I've been getting comfort and understanding from someone.
I've been giving up the attempt to cope.
I've been looking for something good in what is happening.
I've been making jokes about it.
I've been doing something to think about it less, such as going to movies, watching TV, reading, daydreaming, sleeping, or shopping.
I've been accepting the reality of the fact that it has happened.
I've been expressing my negative feelings.
I've been trying to find comfort in my religion or spiritual beliefs.
I’ve been trying to get advice or help from other people about what to do.
I've been learning to live with it.
I've been thinking hard about what steps to take.
I’ve been blaming myself for things that happened.
I've been praying or meditating.
I've been making fun of the situation.