ASSESSING EMOTIONAL AND PSYCHOLOGICAL CHALLENGES FACED BY NURSES PROVIDING TERMINAL CARE TO THE BURN PATIENTS: A CROSS SECTIONAL QUANTITATIVE STUDY

Authors

  • Maria Saleem The University of Lahore, Lahore, Pakistan, Author
  • Madiha Mukhtar The University of Lahore, Lahore, Pakistan. Author
  • Hafiz Muhammad Awais Qadri The University of Lahore, Lahore, Pakistan. Author

DOI:

https://doi.org/10.71000/ge8hac19

Keywords:

emotional challenges, psychological challenges, questionnaire, , terminal, Burn

Abstract

Purpose: The purpose of this study is to assess the emotional and psychological challenges face by nurses while providing care to terminal ill burn patients in a tertiary care hospital.

Methodology: The data were collected by using the questionnaires adapted from the previous studies. Population of the study was the nurses. Sample size was 120 nurses. Finally, 120 valid questionnaires were used for data analysis.  

Results: Quantitative findings revealed high levels of emotional strain, with mean scores ranging from 4.08 to 4.71, reflecting persistent distress. Psychological challenges were equally severe, with all mean values above 4.0, indicating frequent encounters with stress, anxiety, and emotional exhaustion. The results suggest that compassion fatigue and burnout are common, particularly among nurses exposed to prolonged palliative care. Many respondents exhibited non-motivational behavior due to constant exposure to death and suffering.

Conclusion: From the results of the study, it is concluded that the emotional and psychological challenges exist and highly effect nurses while providing care to terminal ill burn patients.

Author Biographies

  • Maria Saleem, The University of Lahore, Lahore, Pakistan,

    BSN, Lahore School of Nursing, The University of Lahore, Lahore, Pakistan,

  • Madiha Mukhtar, The University of Lahore, Lahore, Pakistan.

    Associate Professor, Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.

  • Hafiz Muhammad Awais Qadri, The University of Lahore, Lahore, Pakistan.

    BSN, Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.

References

Ahn, J. S., & Lee, J. Y. (2017). The impact of palliative care education on the psychological health of nurses. Journal of Nursing Education and Practice, 7(6), 58–65.

Al Maqbali, M., Al Sinani, M., & Al Lawati, S. (2023). Emotional burden in pediatric palliative nursing in Oman. Oman Journal of Nursing, 20(2), 115–122.

Alahsa, A., Alrashidi, N., & Almalki, M. (2024). Long-term emotional effects on nurses in terminal care: A qualitative perspective. Saudi Journal of Nursing, 32(1), 55–64.

Andlib, S., Khan, M. A., & Rasheed, F. (2022). Burnout and emotional distress among nurses in public hospitals in Pakistan: A cross-sectional study. International Journal of Nursing Research, 11(4), 205–212.

Backer, L. C., & Traynor, M. (2018). Exploring the psychological impact of caring for burn patients in the ICU. Journal of Clinical Nursing, 27(15–16), 3033–3042.

Bartholomew, L. K., & Schiavo, R. (2016). Psychological interventions for palliative care nurses: A systematic review. Journal of Palliative Medicine, 19(12), 1271–1279.

Benner, P., & Wrubel, J. (2015). The primacy of caring: Stress and coping in health and illness (2nd ed.). Pearson Education.

Bilal, M., Hassan, R., & Noreen, A. (2022). Emotional challenges in end-of-life care: A study of nurses in Lahore hospitals. Pakistan Journal of Clinical Nursing, 5(3), 50–59.

Birhock, A., Ayele, M., & Tadesse, G. (2021). Psychological impact of patient mortality on nurses: A pilot study. Ethiopian Journal of Health Sciences, 31(1), 34–41.

Bodenheimer, T., & Mason, C. (2017). Palliative care for nurses: The psychological effects of providing end-of-life care. Journal of Palliative Care, 33(2), 96–102.

Bursch, B., & Matzi, M. (2021). The role of nursing interventions in the psychological recovery of burn patients. Journal of Burn Care & Research, 42(2), 305–314.

Choi, M., & Choi, J. (2020). Psychological distress among nurses working in palliative care settings. Nursing & Health Sciences, 22(2), 417–423.

Chong, E., Nasir, R., & Lim, J. (2024). Emotional imbalance and burnout in palliative care: Nurses' lived experiences. Journal of Advanced Nursing, 80(2), 100–112.

Coyle, N., & Johnston, D. (2017). Palliative care and the emotional toll on healthcare professionals: Strategies for emotional self-care. Journal of Palliative Medicine, 20(9), 1025–1032.

DeBourgh, G. A. (2019). Impact of palliative care nursing on the psychological well-being of family caregivers. Journal of Palliative Nursing, 25(3), 118–124.

Durrant, M. L., & Saheb, S. (2021). The psychological effects of burn injury on patients and nurses: A review of the literature. Journal of Burn Care & Research, 42(1), 88–94. https://doi.org/10.1093/jbcr/irab002

Faryad, A. H. (2021). Challenges in palliative nursing care in Pakistan: A review of multidimensional deficits. Pak Journal of Health & Nursing, 9(1), 34–40.

Faryad, A. H. (2022). Death anxiety and emotional trauma among palliative care nurses. International Journal of Mental Health Nursing, 11(2), 44–51.

Gabriel, R., & McIntosh, M. (2018). Burnout among nurses caring for dying patients: Examining strategies for coping and support. Journal of Hospice & Palliative Nursing, 20(5), 434–440.

Green, C., & Davis, R. (2020). The psychological impact of caring for burn patients: The role of social support. Journal of Burn Care & Research, 41(4), 1078–1083.

Hinton, J., & Whitehead, L. (2018). Burnout and emotional exhaustion in nurses working in palliative care settings: A review of the literature. Journal of Palliative Care, 34(2), 112–120.

Ibran, A. E., Rashid, H., & Khan, M. J. (2020). Mortality patterns and care burden in burn units: A study from Civil Hospital Karachi. Pakistan Journal of Surgery, 36(4), 215–220.

Illhan, E., Demir, B., & Ciftci, M. (2024). Burnout and staffing challenges in palliative wards in Turkey: A qualitative insight. Turkish Journal of Nursing, 29(1), 44–55.

Jackson, E., & Miller, J. (2020). Palliative nursing care: Psychological implications for healthcare providers in the care of terminally ill patients. Journal of Palliative Nursing, 26(4), 191–197.

Joycee, M., Thomas, R., & Ahmad, K. (2021). Emotional response and resilience among nurses exposed to end-of-life care. Journal of Clinical Healthcare, 13(3), 88–97.

Kostka, A., & Nowak, L. (2021). Chronic grief and stress in oncology nursing: A mixed-methods study from Mangalore, India. International Journal of Oncology Nursing, 8(4), 200–209.

Kwon, Y., & Byun, Y. (2024). Emotional trauma in terminal nursing care: A South Korean perspective. Asian Nursing Research, 18(1), 33–40.

McPherson, C. J., & Borreani, C. (2020). Psychological health outcomes for nurses working in palliative care settings: A systematic review. Palliative Medicine, 34(3), 558–570.

Nuwayfi, A., Al Balushi, H., & Al Rawahi, A. (2024). Empathic stress among burn care nurses in Saudi Arabia: A qualitative analysis. Middle East Journal of Nursing, 18(2), 76–85.

Paul, N., Dsouza, M., & Fernandes, P. (2023). Grief experiences of oncology nurses caring for terminal cancer patients: A mixed-method study. Journal of Hospice Care, 12(1), 34–41.

Sargilina, A., Iqbal, A., & Farid, M. (2022). Compassion fatigue among terminal care nurses: A comparative analysis. Journal of Nursing Stress & Burnout, 6(2), 120–128.

Salehi, H. S., Amiri, M., & Nazari, M. (2025). Burnout and anxiety among nurses working with terminal burn patients in Iran: A cross-sectional analysis. Iranian Journal of Nursing Research, 14(1), 11–20.

Thomas, S. H., & Johnson, D. (2019). Psychological health effects of providing end-of-life care: A qualitative study. Journal of Clinical Nursing, 28(7–8), 1507–1514.

Wallace, M., & Sanchez, D. (2021). Burn care and psychological outcomes: The impact of trauma on burn patients and healthcare providers. Journal of Trauma Nursing, 28(1), 17–23.

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Published

2025-08-20

How to Cite

1.
Saleem M, Madiha Mukhtar, Hafiz Muhammad Awais Qadri. ASSESSING EMOTIONAL AND PSYCHOLOGICAL CHALLENGES FACED BY NURSES PROVIDING TERMINAL CARE TO THE BURN PATIENTS: A CROSS SECTIONAL QUANTITATIVE STUDY. IJHR [Internet]. 2025 Aug. 20 [cited 2025 Aug. 28];3(4 (Health and Rehabilitation):688-97. Available from: https://insightsjhr.com/index.php/home/article/view/1257