Dying babies and associated stress in NICU nurses.

Death is a reality in the neonatal intensive care setting. This adds to the job stress nurses experience. Although the literature is replete with topics on death and dying, few of these articles are empirically based. The purpose of this study was to determine the stress associated with taking care of babies who die in NICU settings. The responses/coping mechanisms of NICU nurses were also identified. Fifty-nine nurses in an upper mid-western state participated in this study. Nurses reported feelings of helplessness and intense sorrow when a baby dies. As a result, they experienced the physio-emotional responses of chronic fatigue, decreased interest in exercise, irritability, and being overcritical. The greatest help in coping with grieving came through discussion with coworkers, a chaplain, the patient's family, and the nurse's own family. For some, attending the funeral or memorial services also helped. Implications for practice include fostering planned discussion sessions and continued education to improve counseling skills related to bereavement.