Conversations about death with those who experience it the most

Abstract

Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers (EHP; i.e., Emergency Room Nurses, Paramedics, Emergency Medical Technicians, etc.) frequent experience of witnessing death, the dying processes, and regular involvement at the end-of-life. Twenty interviews from across the United States offered accounts of witnessing the death of a patient, communicating with the patient’s families, coworkers, and personal networks. The first research question explored the population’s normalization of death and changed outlook of dying. This population sees death and dying in real-time and must disconnect at the moment from their emotions to do their jobs. The second research question focused on preparing patient families for death, coping with coworkers, and protecting personal networks. In communicating with patient families, EHP educates/answers questions, advocate for families to be present during life-saving procedures and offer verbal and nonverbal comfort. In talking with coworkers, EHP copes with reassuring skill competency and offering emotional social support. Lastly, in communicating with their networks, EHP struggle with discussing emotions and event details in a protective function. From these results, the benefits, and challenges of communicating about death regularly are offered through a CPM lens, and recommendations to help the general population deal with death are given.

Keywords:

• Communication
• CPM
• Emergency Healthcare Provider
• End-Of-Life
• Work/Life

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes

1. For a full explanation of CPM, see Petronio (2002).