ArticleBMC nursing2025
Resilience in the shadows of loss: a hermeneutic phenomenological study of neonatal intensive care nurses' coping after infant loss in Saudi Arabia.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Silence-embedded distress: a case report conceptualizing a culturally mediated trauma phenomenon in community-based mental health practice in Rwanda.Annals of medicine and surgery (2012) · 2026Article
- Silence-Embedded Distress: A Case Report Conceptualizing a Culturally Mediated Trauma Phenomenon in Community-Based Mental Health Practice in Rwanda.Clinical case reports · 2026Article
- Moral leadership in neonatal nursing: a qualitative narrative study of ethical decision-making in NICUs.BMC nursing · 2026Article
- Factors Influencing Occupational Grief Among Pediatric Emergency and Intensive Care Unit Nurses in South China: A Cross-Sectional Study.Journal of nursing management · 2026Article
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12 authors.
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Abstract
backgroundNeonatal intensive care unit (NICU) nurses face profound emotional distress due to frequent exposure to infant loss. This emotional burden, coupled with limited organizational support, can lead to significant psychological and professional challenges. Cultural and religious contexts uniquely shape resilience and coping mechanisms, particularly within Saudi Arabia, where these aspects remain understudied.
aimTo explore and describe the lived experience of resilience and coping strategies among neonatal intensive care nurses following infant loss in NICUs in northern Saudi Arabia.
methodsAn interpretive phenomenological design grounded in Heidegger's hermeneutic tradition was employed, with Lazarus and Folkman's stress and coping theory providing the theoretical framework for analysis. Eighteen registered nurses from four NICUs (three public, one private) participated in semi-structured interviews and completed reflective journals. Purposive sampling ensured diversity in professional experience, cultural backgrounds, and religious affiliations. Data were analyzed using thematic analysis with concurrent collection and interpretation.
resultsFour thematic domains characterized NICU nurses' experiences: (1) Emotional Processing of Loss (initial grief, disenfranchised professional grief, cultural-religious interpretations); (2) Adaptive Coping (faith-based practices, selective detachment, end-of-life ritualization, meaning-making through family support); (3) Resilience Development (career-stage evolution, professional identity integration, post-traumatic growth); and (4) Contextual Influences (institutional support disparities, multicultural team dynamics, resource constraints).
conclusionNICU nurses' experiences of infant loss profoundly impact their psychological and professional well-being. Despite emotional and organizational challenges, nurses actively employ diverse coping strategies that are deeply influenced by their cultural and religious beliefs. Over time, these strategies facilitate significant professional growth and sustained compassion. IMPLICATIONS FOR PRACTICE: Healthcare institutions should adopt structured, culturally sensitive interventions, including formal debriefing, psychological support services, and education programs that focus on resilience-building, to enhance the well-being and professional sustainability of NICU nurses. CLINICAL TRIAL NUMBER: Not Applicable.
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