A Whole-Hospital Approach? Some Staff Views of a Hospital Bereavement Care Service

Walsh, Trish; Breslin, Gaye; Curry, Philip A.; Foreman, Maeve; McCormack, Martin

doi:10.1080/07481187.2012.673532

Cited by 11 publications

(13 citation statements)

References 27 publications

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“…This raises the question of how these staff members can be integrated into the multi-professional team. Walsh et al 4 advocate a “whole hospital approach” for the care of dying patients, whereby hospital staff who are not specifically responsible for such care “identify a role for themselves in supporting the bereaved while carrying out their daily tasks.” 4…”

Section: Introductionmentioning

confidence: 99%

Tidying rooms and tending hearts: An explorative, mixed-methods study of hospital cleaning staff’s experiences with seriously ill and dying patients

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Tidying rooms and tending hearts: An explorative, mixed-methods study of hospital cleaning staff’s experiences with seriously ill and dying patients

et al. 2016

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“…Walsh et al 51 undertook an evaluation of a whole-hospital approach bereavement services through secondary analysis of qualitative data from focus groups with bereaved people and staff (n=21). The approach they evaluated took place in one Irish hospital and included appointment of a dedicated bereavement coordinator, whose role included staff support and training across the institution.…”

Section: Resultsmentioning

confidence: 99%

End-of-life and immediate postdeath acute hospital interventions: scoping review

Green

Stewart-Lord

Baillie

2022

BMJ Support Palliat Care

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BackgroundHospital remains the most common place of death in the UK, but there are ongoing concerns about the quality of end-of-life care provision in this setting. Evaluation of interventions in the last days of life or after a bereavement is methodologically and ethically challenging.AimThe aim was to describe interventions at the very end of life and in the immediate bereavement period in acute hospitals, with a particular focus on how these are evaluated.MethodA scoping review was conducted. Studies were restricted to peer-reviewed original research or literature reviews, published between 2011 and 2021, and written in the English language. Databases searched were CINAHL, Medline and Psychinfo.ResultsFrom the search findings, 42 studies were reviewed, including quantitative (n=7), qualitative (n=14), mixed method (n=4) and literature reviews (n=17). Much of the current research about hospital-based bereavement care is derived from the intensive and critical care settings. Three themes were identified: (1) person-centred/family-centred care (memorialisation), (2) institutional approaches (quality of the environment, leadership, system-wide approaches and culture), (3) infrastructure and support systems (transdisciplinary working and staff support). There were limited studies on interventions to support staff.ConclusionCurrently, there are few comprehensive tools for evaluating complex service interventions in a way that provides meaningful transferable data. Quantitative studies do not capture the complexity inherent in this form of care. Further qualitative studies would offer important insights into the interventions.

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“…Hospital-wide leadership has been previously identified as important for implementing new bereavement and end-of-life care services. 28 However, the Stage 2 Trust had sometimes lacked this senior level support, which had affected delivery of the SWAN model.…”

Section: Discussionmentioning

confidence: 99%

Implementation and perceived impact of the SWAN model of end-of-life and bereavement care: a realist evaluation

et al. 2022

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ObjectivesTo evaluate the End-of-Life and Bereavement Care model (SWAN) from conception to current use.DesignA realist evaluation was conducted to understand what works for whom and in what circumstances. The programme theory, derived from a scoping review, comprised: person and family centred care, institutional approaches and infrastructure. Data were collected across three stages (May 2021 to December 2021): semi-structured, online interviews and analysis of routinely collected local and national data.SettingStage 1: Greater Manchester area of England where the SWAN model was developed and implemented. Stage 2: Midlands. Stage 3: National data.ParticipantsTwenty-three participants were interviewed: Trust SWAN leads, end-of-life care nurses, board members, bereavement services, faith leadership, quality improvement, medicine, nursing, patient transport, mortuary, police and coroners.ResultsResults from all three stages were integrated within themes, linked to the mechanisms, context and outcomes for the SWAN model. The mechanisms are: SWAN is a values-based model, promoting person/family-centred care and emphasising personhood after death. Key features are: memory-making, normalisation of death and ‘one chance’ to get things right. SWAN is an enablement and empowerment model for all involved. The branding is recognisable and raises the profile of end-of-life and bereavement care. The contextual factors for successful implementation and sustainability include leadership, organisational support, teamwork and integrated working, education and engagement and investment in resources and facilities. The outcomes are perceived to be: a consistent approach to end-of-life and bereavement care; a person/family-centred approach to care; empowered and creative staff; an organisational culture that prioritises end-of-life and bereavement care.ConclusionThe SWAN model is agile and has transferred to different settings and circumstances. This realist evaluation revealed the mechanisms of the SWAN model, the contextual factors supporting implementation and perceived outcomes for patients, families, staff and the organisation.

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A Whole-Hospital Approach? Some Staff Views of a Hospital Bereavement Care Service

Cited by 11 publications

References 27 publications

Tidying rooms and tending hearts: An explorative, mixed-methods study of hospital cleaning staff’s experiences with seriously ill and dying patients

Tidying rooms and tending hearts: An explorative, mixed-methods study of hospital cleaning staff’s experiences with seriously ill and dying patients

End-of-life and immediate postdeath acute hospital interventions: scoping review

Implementation and perceived impact of the SWAN model of end-of-life and bereavement care: a realist evaluation

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