Death in the Field: Teaching Paramedics to Deliver Effective Death Notifications Using the Educational Intervention “GRIEV_ING”

Abstract

This study demonstrated that educating paramedics to use a structured communication model based on the GRIEV_ING mnemonic improved confidence and competence of EMS personnel delivering death notification.

Which Physicians' Behaviors on Death Pronouncement Affect Family-Perceived Physician Compassion? A Randomized, Scripted, Video-Vignette Study

“…In our study, the majority of participants were bereaved family members. Previous studies recommended optimal methods of death pronouncement essentially based on anecdotal evidence, 2,9 interviews, 6 surveys, 11,18 and educational interventions to clinicians, 7,8,16 but empirical studies to explore the effects of death pronouncements on family perceptions were lacking. In particular, performing examination respectfully and reassuring the families that the patient did not experience pain led to the perception of higher levels of physician compassion.…”

Effect of a simulation-based workshop on breaking bad news for anesthesiology residents: an intervention study

“…The GRIEV_ING “G: Gather, R: Resources, I: Identify, E: Educate, V: Verify, I: Inquire, N: Nuts and Bolts and G: Give” assessment tool is a 27-item instrument that has been used to assess confidence in BBN of emergency medicine residents [14], senior medical students [15], paramedics [16], and pediatric residents [17]. …”

Family Centered Practice During Pediatric Death in an Out of Hospital Setting

“…21 A second study found enhanced confidence and competency after EMS staff were trained in the GRIEV ING method, using trained standardized survivors to improve EMS communication skills when working with grieving family members. 22 Another professional group called for EMS providers to grapple with ethical dilemmas common in their field, in order to sharpen ethical reasoning and enhance ethical practice with patients, including situations involving child abuse. 18 …”