Care after death in children’s hospices: recommendations for moving and handling, and for managing physiological deterioration

Tatterton, Michael J; Honour, Alison; Billington, D. Rex; Kirkby, Lorna; Lyon, Judith Anne; Lyon, N.; Gaskin, J

doi:10.7748/ncyp.2022.e1412

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…5 The findings, together with those of this study, have led to the production of clinical guidelines relating to the care of children after death. 6…”

Section: Introductionmentioning

confidence: 99%

“…In addition to exploring moving and handing of children's bodies, we wanted to identify the sources of emotional challenge for practitioners delivering family-centered care after the death of a child, published separately 5 . The findings, together with those of this study, have led to the production of clinical guidelines relating to the care of children after death 6 …”

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confidence: 99%

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Moving and Handling Children After Death: An Inductive Thematic Analysis of the Factors That Influence Decision Making by Children's Hospice Staff

Tatterton

Honour

Kirkby

et al. 2021

J Hosp Palliat Nurs

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Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children in specially designed chilled bedrooms called “cool rooms.” In an effort to develop resources to support hospice practitioners to provide this specialist area of care, this study aimed to identify the factors that influence decision making when moving and handling children's bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by 1 children's hospice. A total of 94.9% of eligible staff responded (n = 56). An inductive approach to thematic analysis was undertaken, using a 6-phase methodological framework. Three core themes were identified that inform practitioners' perception of the appropriateness of moving and handling decisions: care of the body, stages of care, and method of handling. The complexity of decision making and variation in practice was identified. Practitioners relied on both analytical and initiative decision making, with more experienced practitioners using an intuitive approach. Evidence-based policy and training influence the perception of appropriateness and the decisions and behavior of practitioners. The development of a policy and education framework would support practitioners in caring for children's bodies after death, standardizing expectations and measures of competence in relation to moving and handling tasks.

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“…5 The findings, together with those of this study, have led to the production of clinical guidelines relating to the care of children after death. 6…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%