Bereavement support in the UK – a rapid evidence assessment

Hewison, Alistair; Zafar, Shazia; Efstathiou, Nikolaos

doi:10.1080/02682621.2020.1728086

Cited by 15 publications

(13 citation statements)

References 43 publications

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“…Importantly, these 12 studies emerged from eight overarching studies or programmes of research (for summaries, see Table 3). When we refreshed our searches in July 2022, another 67 abstracts were reviewed, but none were identified for inclusion (for an overview of this process, using the PRISMA framework [see Hewison et al, 2020], see Figure 1). As discussed later, this feels like a very small number of outputs/studies for such a crucial (and growing) policy and practice issue, and many of the individual studies are either very dated or provide only brief snapshots of the issues at stake.…”

Section: Resultsmentioning

confidence: 99%

What happens when care homes close? A review of the literature

Douglass

Zafar

Glasby

2024

International Journal of Care and Caring

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In a fraught fiscal and post-pandemic context, English adult social care is likely to see further care home closures. To make sure that closures minimise distress and potentially negative outcomes for residents, this article reports findings from an analytical narrative review of the existing research evidence about the process and outcome of such closures in the UK. Despite the importance of these issues, there is little underpinning research to draw on when establishing good practice, with particular gaps in terms of understanding outcomes for older people, the experience of care staff, economic evidence and the perspectives of social care leaders.

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Section: Resultsmentioning

confidence: 99%

What happens when care homes close? A review of the literature

Douglass

Zafar

Glasby

2024

International Journal of Care and Caring

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“…reviewed all full text review decisions before data extraction took place. Adapted REAL methodology has been reported in other studies including the use of single reviewers, absence of a Steering Committee, and absence of external validity assessment tools (Gratzke et al, 2019; Hewison et al, 2020; Varker et al, 2019). The first author (M.P.M.)…”

Section: Methodsmentioning

confidence: 99%

Patient screening for integrated behavioral health in adult primary care: A rapid review of effective procedures.

Martin¹,

McEntee²,

Mullin³

et al. 2022

Families, Systems, & Health

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Purpose: Although many primary care clinics screen for behavioral health (BH) conditions using validated tools, it is not clear whether adult BH screening leads to better patient outcomes. Our objective was to determine the evidence base by reviewing effectiveness research for multiple strategies of BH screening in adult primary care identified in the Practice Integration Profile. Method: We conducted five rapid reviews of effectiveness research supporting BH screening strategies cited in the Practice Integration Profile. Each rapid review was conducted using an adapted REAL (Rapid Evidence Assessment of the Literature) methodology and a standardized search tailored for each screening strategy to identify evidence related to BH screening in primary care. Results: The database search yielded 931 references. Following eligibility review and extraction, we evaluated data from 20 references examining five screening strategies. Results demonstrated limited support for all five strategies and high risk of bias within most studies. Outcomes associated with various BH screening strategies were rarely the focus of study. Conclusions: There is an absence of robust, well-structured evidence supporting many of the BH screening strategies advocated for in primary care. Stakeholders may wish to understand how to ensure value when developing a robust screening program that will improve patient health outcomes. Future research should advance the science of BH screen selection, timing, and implementation by answering new questions about screening strategies. Public Significance StatementPrimary care clinicians play an important role in screening patients for unmet health needs, including behavioral health concerns. Given the broad array of potential conditions that can be identified in primary care, the ability to focus on screening strategies with the greatest potential to improve patient-centered outcomes is a meaningful advance in care. The results of our rapid reviews suggest that although screening strategies were found to be important components in some studies, additional research is needed to identify evidence-based screening strategies.

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“…The programme theory formed the basis of our implications for practice. 13,14,17,19,20,21)  Further training such as a short course to help clinicians who may need support with their own experiences of bereavement when managing a patient ( CMOCs 13,17,19,20,21)…”

Section: Synthesizing the Evidence And Drawing Conclusionmentioning

confidence: 99%

“…National Health Service (NHS) policy recognises the importance of bereavement care (12) but nationally provision is varied (13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Supporting bereavement and complicated grief in primary care: a realist review

et al. 2021

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BackgroundBereavement can have significant impacts on physical and mental health, and a minority of people experience complicated and prolonged grief responses. Primary care is ideally situated to offer bereavement care, yet UK provision remains variable and practitioners feel uncertain how best to support bereaved patients.AimTo identify what works, how, and for whom, in the management of complicated grief in primary care.Design & settingA review of evidence on the management of complicated grief and bereavement in UK primary care settings.MethodA realist approach was taken which aims to provide causal explanations through the generation and articulation of contexts, mechanisms, and outcomes.ResultsForty-two articles were included. Evidence on the primary care management of complicated or prolonged grief was limited. GPs and nurses view bereavement support as part of their role, yet experience uncertainty over the appropriate extent of their involvement. Patients and clinicians often have differing views on the role of primary care in bereavement. Training in bereavement, local systems for reporting deaths, practitioner time and resources can assist or hinder bereavement care provision. Practitioners find bereavement care can be emotionally challenging. Understanding patients’ needs can encourage a proactive response and help identify appropriate support.ConclusionBereavement care in primary care remains variable and practitioners feel unprepared to provide appropriate bereavement care. Patients at higher risk of complicated or prolonged grief may fail to receive the support they need from primary care. Further research is required to address the potential unmet needs of bereaved patients.

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Bereavement support in the UK – a rapid evidence assessment

Cited by 15 publications

References 43 publications

What happens when care homes close? A review of the literature

What happens when care homes close? A review of the literature

Patient screening for integrated behavioral health in adult primary care: A rapid review of effective procedures.

Supporting bereavement and complicated grief in primary care: a realist review

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