{"id":{"repo_id":"umkc","oai_identifier":"oai:mospace.umsystem.edu:10355/64170"},"canonical_url":"https://search.dev.ndltd.org/etd/umkc/oai:mospace.umsystem.edu:10355/64170","repository":{"repo_id":"umkc","name":"University of Missouri - Kansas City","base_url":"https://mospace.umsystem.edu/oai/request"},"display":{"title":"Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment","abstract":"Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive problem. When elevated or uncompensated, distress may contribute to deleterious consequences for the nurse, patient outcomes, the nursing profession, and society as a whole. Caregiver appraisal, or the cognitive process individuals use to mediate emotional reactions to any situation, may be positive, negative, or neutral. Associations between nurses’ distress and caregiver appraisal when withdrawing life-sustaining treatment (LST) is being considered. Internal appraisal factors and nurses’ distress are substantiated in multiple studies, and this information could ultimately contribute to interventions for nurses working with terminally ill patients. Guided by Cognitive Adaptation Theory, this study explores distress and caregiver appraisal patterns in nurses who provide LST in a Pediatric Intensive Care Unit (PICU) setting.","abstract_html":"Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive problem. When elevated or uncompensated, distress may contribute to deleterious consequences for the nurse, patient outcomes, the nursing profession, and society as a whole. Caregiver appraisal, or the cognitive process individuals use to mediate emotional reactions to any situation, may be positive, negative, or neutral. Associations between nurses’ distress and caregiver appraisal when withdrawing life-sustaining treatment (LST) is being considered. Internal appraisal factors and nurses’ distress are substantiated in multiple studies, and this information could ultimately contribute to interventions for nurses working with terminally ill patients. Guided by Cognitive Adaptation Theory, this study explores distress and caregiver appraisal patterns in nurses who provide LST in a Pediatric Intensive Care Unit (PICU) setting.","abstract_has_math":false,"creators":["Perry, Julie Ann"],"institution":"University of Missouri--Kansas City","degree_name":"Ph.D.","degree_level":"Doctoral","degree_discipline":"Nursing (UMKC)","degree_department":null,"school":null,"contributors":[],"advisors":["Lasiter, Sue"],"committee_chairs":[],"committee_members":[],"year":2018,"date_issued":"2018","date_published":"2018","updated_at":"2026-07-24T05:16:44Z","subjects":[],"languages":["en_US"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10355/64170","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Lasiter, Sue"]},{"key":"dc:creator","label":"Author","values":["Perry, Julie Ann"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-06-12T14:24:47Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2018-06-12T14:24:47Z"]},{"key":"dc:date.issued","label":"Date","values":["2018"]},{"key":"dc:publisher","label":"Institution","values":["University of Missouri--Kansas City"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing (UMKC)"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Missouri--Kansas City"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10355/64170"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Title from PDF of title page viewed June 14, 2018","Dissertation advisor: Sue Lasiter","Vita","Includes bibliographical references (pages 66-86)","Thesis (Ph.D.)--School of Nursing and Health Studies. University of Missouri--Kansas City, 2018"]},{"key":"dc:description.abstract","label":"Abstract","values":["Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive problem. When elevated or uncompensated, distress may contribute to deleterious consequences for the nurse, patient outcomes, the nursing profession, and society as a whole. Caregiver appraisal, or the cognitive process individuals use to mediate emotional reactions to any situation, may be positive, negative, or neutral. Associations between nurses’ distress and caregiver appraisal when withdrawing life-sustaining treatment (LST) is being considered. Internal appraisal factors and nurses’ distress are substantiated in multiple studies, and this information could ultimately contribute to interventions for nurses working with terminally ill patients. Guided by Cognitive Adaptation Theory, this study explores distress and caregiver appraisal patterns in nurses who provide LST in a Pediatric Intensive Care Unit (PICU) setting."]},{"key":"dc:title","label":"Title","values":["Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment"]}]}],"canonical_facts":{"dc:contributor.advisor":["Lasiter, Sue"],"dc:creator":["Perry, Julie Ann"],"dc:date.accessioned":["2018-06-12T14:24:47Z"],"dc:date.available":["2018-06-12T14:24:47Z"],"dc:date.issued":["2018"],"dc:description":["Title from PDF of title page viewed June 14, 2018","Dissertation advisor: Sue Lasiter","Vita","Includes bibliographical references (pages 66-86)","Thesis (Ph.D.)--School of Nursing and Health Studies. University of Missouri--Kansas City, 2018"],"dc:description.abstract":["Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive problem. When elevated or uncompensated, distress may contribute to deleterious consequences for the nurse, patient outcomes, the nursing profession, and society as a whole. Caregiver appraisal, or the cognitive process individuals use to mediate emotional reactions to any situation, may be positive, negative, or neutral. Associations between nurses’ distress and caregiver appraisal when withdrawing life-sustaining treatment (LST) is being considered. Internal appraisal factors and nurses’ distress are substantiated in multiple studies, and this information could ultimately contribute to interventions for nurses working with terminally ill patients. Guided by Cognitive Adaptation Theory, this study explores distress and caregiver appraisal patterns in nurses who provide LST in a Pediatric Intensive Care Unit (PICU) setting."],"dc:identifier.uri":["https://hdl.handle.net/10355/64170"],"dc:language.iso":["en_US"],"dc:publisher":["University of Missouri--Kansas City"],"dc:title":["Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment"],"dc:type":["Thesis"],"thesis:degree_discipline":["Nursing (UMKC)"],"thesis:degree_level":["Doctoral"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Missouri--Kansas City"]},"updated_at":"2026-07-24T05:16:44Z"}