Our Lady of Fatima University DATE COMPLETED SIGNATURE OF THE

College of Nursing PROPONENTS

Valenzuela City
Philippines
RESEARCH PROPOSAL CAPSULE
AQUINO JONA FELISE DE SAGUN
DE LEON ANGELICA BORAL
ENCARNACION MATHEW AQUINO
Proponents HUFANA CJHELYN CALISAAN
ROBLES LOUISE KHAE INOVERO
RUBIO JAMIE JOY MANLUYONG
Last Name First Name Middle Name
Field of
Bachelor of Science in Nursing
Specialization
Research Approach Qualitative
Research Method Phenomenological
Research Research Technique In-depth Interview
Attributes Sampling Technique
Research Domain Coping mechanism
Delineated Factors NICU nurse-mom
Project Title A Qualitative Inquiry about Exploring Resilience Strategies among Maternal NICU Nurses
(as proposed by Confronting Infant Mortality in the Workplace
the candidates)
Project Title
(as redirected by
the Nursing
Research I
Professor
Project
Intellectualization
(Who, Where and
When)
ISI Journals Magintao, N. P. (2021, August 6). Exploring the Grieving Process and Coping Strategies of
Reviewed Meranao Mothers over their Children’s Death. https://papers.ssrn.com/sol3/papers.cfm?
(Follow the APA abstract_id=3900516
style)
Mateo, J. D., Carlos, M. A., Chua, W. R. V., Diza, K. B. M., Ponseca, J. S., Cajayon, S. B., &
Cambel, M. S. (2020). “You’ll get used to it”: A lived experience of Filipino nurses in
dealing with death and dying patients. Enfermería Clínica, 30, 107–112.
https://doi.org/10.1016/j.enfcli.2019.09.031

McKnight J, Nzinga J, Jepkosgei J, English M. (2019).Collective strategies to cope with work-

related stress among nurses in resource-constrained settings: An ethnography of neonatal
nursing in Kenya. Collective strategies to cope with work related stress among nurses in
resource constrained settings: An ethnography of neonatal nursing in Kenya -
ScienceDirect

Musto, G. (2021). Research regarding the stress and coping practices of neonatal Intensive care
unit nurses. DigitalCommons@Pace. Retrieved September 10, 2023, from
https://digitalcommons.pace.edu/honorscollege_theses/341

Proano, J. (2019) Addressing Burnout of Neonatal Nurses and Effective Coping Strategies: An
Integrategies: An Integrative Literature Review Addressing Burnout of Neonatal Nurses
and Effective Coping Strategies: An Integrative Literature Review (depaul.edu)

Ravaldi, C., Mosconi, L., Mannetti, L., Checconi, M., Bonaiuti, R., Ricca, V., Mosca, F., Dani, C.,
& Vannacci, A. (2023). Post-traumatic stress symptoms and burnout in healthcare
professionals working in neonatal intensive care units: Results from the STRONG study.
Frontiers in Psychiatry, 14, 1050236. https://doi.org/10.3389/fpsyt.2023.1050236

Villanueva, J. C. (2019). Biag Ikararuwa: Coping experiences of Filipino nurses in losing patients.
ResearchGate. https://doi.org/10.13140/RG.2.2.11821.92642
Conceptual Tags
Tally
Additional Tags
Tally
(as redirected by
the Nursing
Research I
Professor
Introduction 1.0 Introduction

The most vulnerable newborns are given specialized medical treatment in Neonatal
Intensive-Care Unit (NICU), such as premature birth, sick newborn babies, and critical-ill
neonates, and the nurses who work in this high-stress setting experience both triumph and
tragedy. In this high-stress setting, nurses are entrusted with the grave duty of caring for
critically ill infants, frequently having to face the profound reality of infant mortality. Ravaldi
et al. (2023) claimed that working in a high-stress environment causes them to undergo
secondary trauma stress because of wanting to help and save lives. The emotional impact of
neonatal deaths on healthcare professionals, including NICU nurses, has been widely
acknowledged. However, there is a distinct perspective when the nurse engaging with these
experiences is also a mother. These nurses are not just providers of care; they are mothers
themselves, intimately familiar with the joys and vulnerabilities of parenthood. As healthcare
providers and parents, they face a unique dual challenge: managing their professional
obligations while coping with the intense personal grief that follows.

There is a noticeable gap in local or Philippine literature regarding the coping

mechanisms used by mothers who work as NICU nurses and deal with the emotional
difficulties of infant loss at the same time. Exist studies (Mateo et al.,2020; Villanueva, 2019)
have primarily focused on the lived experiences of Filipino nurses in dealing with death and
dying patients and explored their perspectives, challenges, and coping mechanisms in such
situations. This research gap highlights the need to have a locally focused investigation
regarding the coping mechanisms, emotional well-being, and support systems of Filipino
mothers experiencing the complexities of infant loss while working in NICUs.

A significant research gap exists In global literature regarding understanding the

coping mechanisms employed by mothers who work as NICU nurses while navigating the
emotional challenges associated with loss. A study conducted by Musto, G. (2021)
concentrated on the stress experienced by NICU nurses in caring for critically ill infants and
how they cope with their mental health issues in providing quality care to patients. Also,
Proano, J. (2019) centered on addressing and suggesting effective coping strategies for
burnout in neonatal nurses, about how NICU nurses cope with burnout they face in NICU and
what factors contribute to it. Furthermore, McKnight J. et al. (2020) studied how neonatal
nurses in Kenya cope with work-related stress in resource-constrained settings. This research
gap statement highlights the need for further exploration in this specific area of study,
emphasizing the uniqueness of the experiences of mothers who are NICU nurses and parents,
 and how they cope with confronted infant death in NICU.

The primary research outcome of this study is to provide a comprehensive

understanding of the coping strategies employed by mothers who fulfill dual roles as NICU
nurses and parents, particularly when facing infant mortality. This investigation aims to
highlight the specific resilience strategies, emotional responses, and support systems that
these mothers depend on to navigate these complexities. Also, this research aims to bridge the
gap by investigating the coping strategies employed by mothers who work as NICU nurses to
maintain their well-being while continuing to provide exceptional care to their patients.

The goal of this research Is to investigate and understand the coping mechanisms
employed by mothers who work as NICU nurses when they experience the death of a baby.
First, we aim to identify the various coping strategies utilized by these mothers to navigate
the emotional challenges associated with such traumatic events. Secondly, we intend to
evaluate the effectiveness of these coping mechanisms in terms of promoting psychological
well-being and resilience in this specific population. Additionally, we seek to explore the
factors that influence the selection of coping strategies among these mothers, including
personal characteristics, professional support systems, and individual coping styles.
Furthermore, we aim to assess the long-term impact of these coping mechanisms on the
mental health and job satisfaction of these mothers. Finally, we aspire to provide practical
recommendations and interventions that can support NICU nurses who are also mothers in
effectively coping with the emotional demands and grief experienced when a baby dies in
their care.

Examining their strategies for emotional resilience contributes to a fuller

understanding of offering support and recommendations to mothers who navigate the
demanding roles of NICU nursing and parenthood. Promoting their emotional well-being as
explained by Magintao (2021) helps mothers to recognize their feelings and help them
become better mothers. Given that it could assist them in overcoming issues such as mixing
problems from home and work, as well as overall exhaustion. Hence, these revelations have
the potential to improve the care given to infants and their families as well as the nurses’
well-being.

2.0 Review of Related Literature

2.1 Theoretical Framework

 Review of
Literature
(Synoptic and
Argumentative)
Research
Questions

Significance of
the Proposed
Research

RECOMMENDIN APPROVAL REVIEWE BY APPROVE BY

G D D
Sharon B. Cajayon RN, MAN Maria Luisa T. Uayan, DHSc, MSN
Nursing Research 1 Professor Program Coordinator Dean of the College of Nursing