A child dying is difficult, especially when it occurs as a result of a tragic accident. Caring for critically ill children who are dying can be overwhelming for nurses. Grief responses may be triggered and might be more pronounced if the nurse has developed a close relationship with the child and their family. It is, however, well established that despite their own grief, nurses in pediatric intensive care units (PICUs) support families as they move forward with decisions for organ donation during devastating situations. Research suggests that nurses play critical roles in a grieving family’s decision regarding organ donation. Caregivers are more likely to consider organ donation if a nurse has developed a trusting relationship with them, has a positive attitude toward donation, and communicates in an effective, supportive manner the idea that something positive can come from their tragedy....

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