Worker experiences of the work health and safety impacts of exposure to dying and death in clinical settings: a qualitative scoping review
Abstract
Workers employed in clinical healthcare settings often encounter dying and death of patients as a part of their role. This scoping review aimed to explore the physical and psychosocial OHS impacts on health workers exposed to death within their occupational role and their inherent coping strategies. Six electronic databases PsycINFO (Ovid), Medline (Ovid), AMED (EBSCO), CINAHL (EBSCO), and Proquest Social Sciences were searched for peer reviewed research articles published between March 1971 and April 2022. PRISMA-ScR guidelines were followed. Three authors independently assessed articles for inclusion. Fifty-three studies with focus settings in hospitals, hospice, general practice and residential care were identified. Five main themes were developed and organized using and ergonomic systems approach: Cultural Environment, Workplace, Job Demands, Impacts and Coping. The findings demonstrate that caring for dying patients, the dead and their families in clinical settings impacts workers emotionally, physically, behaviorally and spiritually.
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Nurses have been reported as experiencing poor psychological outcomes; grief and guilt from exposure to death may be detrimental to their mental health.
“Nurses have been reported as experiencing poor psychological outcomes; facing death can be challenging, and the grief and guilt of exposure to death may be detrimental to their mental health (DesJardin, 2025; Roche et al., 2025).”
From Nurses' and midwives' experiences of supporting parents following perinatal bereavement: A qualitative systematic review (2026) · cites this paper as Roche et al., 2025
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- Authors
- Roche, N., Darzins, S., Oakman, J., & Stuckey, R.
- Affiliations
- La Trobe University (AU)
- Australian Catholic University (AU)
- Corresponding author
- Roche, Natalie
- Venue
- OMEGA - Journal of Death and Dying
- Publisher
- SAGE Publications
- Published
- 2022-12-08
- Volume
- 90
- Issue
- 3
- Pages
- 1193-1228
- ISSN
- 0030-2228 (ISSN-L)
- 1541-3764
- OpenAlex
- W4310957130
- Cited by
- 16
- References
- 92
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 4
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- OMEGA - Journal of Death and Dying (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- workplace health and safety, exposure to death, dying patients, healthcare workers, occupational stress, coping strategies, psychosocial impact, physical health impacts, spiritual impact, organizational culture, job demands, hospice care, hospital staff, residential care staff
- MeSH terms
- Adaptation, Psychological, Attitude to Death, Death, Health Personnel, Humans, Occupational Health, Workplace, Qualitative Research
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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