Spotlight on Bereavement Care

Walker, Wendy; Trapani, Josef

doi:10.1111/nicc.12362

Cited by 2 publications

(4 citation statements)

References 23 publications

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“…However, evidence-informed bereavement care practices, including a family-support intervention that utilises meaningful, well-structured and timed communication between clinicians and the patient's family before death [53] and nurses' evaluation of the use of music during after death care [54] draw attention to support for grieving families' prior to and in the immediate after-math of patient death in the ICU. Walker and Trapani suggest a classification of care for grieving families in the contexts of 'EoL care prior to patient death' and 'bereavement care following patient death' in the ICU [21]. A clearer understanding of what constitutes bereavement support in the ICU is essential for future practice, policy, education and research.…”

Section: Discussionmentioning

confidence: 99%

“…Families of ICU decedents report that they would appreciate bereavement support [11,18], and the provision of support also extends to healthcare providers [19,20]. Several challenges surround the provision of bereavement care in the ICU [21], including reports that health professionals are not adequately prepared to address the needs of relatives following a death in ICU [11,22,23]. Hence, bereavement support has gained prominence in the literature as an essential element of end-of-life (EoL) care in ICU, and an identified clinical and research priority [21,24,25].…”

Section: Introductionmentioning

confidence: 99%

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The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Efstathiou

Walker

Metcalfe

et al. 2019

Journal of Critical Care

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Purpose: Despite advances in medical science, patient death and family bereavement are commonly encountered in adult intensive care units (ICUs). This is the first review to investigate the state of ICU bereavement support globally, and the availability and effectiveness of bereavement support interventions.Methods: A systematic review and narrative synthesis. Medline, CINAHL Plus, PsycINFO, Web of Science, EMBASE were searched and inclusion/exclusion criteria were applied. Included studies were appraised using relevant appraisal tools.Results: Fourteen papers formed the review; five of which were international surveys reporting variable bereavement practices and levels of support. A lack of training and resources were identified barriers. Nine papers reported the effectiveness of primarily discrete bereavement support interventions including: a personal memento, a handwritten condolence letter, a post-death meeting; storytelling, research participation, use of an ICU diary. One study evaluated a bereavement follow-up program. Generally, all identified interventions were well accepted by bereaved families.Conclusions: The reviewed evidence was weak, and findings were contextually bound. As such, it is difficult to make recommendations for the most acceptable and effective bereavement support intervention(s). Bereavement support in ICU needs further exploration and clinicians must be adequately trained and supported for the delivery of evidence-informed, culturally competent care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Efstathiou

Walker

Metcalfe

et al. 2019

Journal of Critical Care

Self Cite

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“…Families are reliant on nurses more than on any other health professional before and after a death in the NICU/PICU, and bereavement support is considered an inherent feature of nursing practice across intensive care unit settings . However, the evidence suggests that not all nurses are educationally prepared for this role .…”

Section: Introductionmentioning

confidence: 99%

“…However, the evidence suggests that not all nurses are educationally prepared for this role . A recent systematic review of culturally sensitive communication at the end of life in critical care found that clinicians lacked the knowledge to enable effective interactions with patients and families from culturally diverse backgrounds . Competing workload demands and limitations of the physical environment have also been cited as factors impacting nurses' ability to provide bereavement support to families .…”

Section: Introductionmentioning

confidence: 99%

Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

Mutair

Ammary

Brooks

et al. 2019

Nursing in Critical Care

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Background: The death of a child is regarded as one of the most devastating events for a family. Families are reliant on nurses to not only provide end-of-life care but also to support and care for grieving families in a way that is sensitive to their cultural and religious needs and preferences.Aims: The aim of this study was to explore the perceived impact and influence of cultural diversity on how neonatal and paediatric intensive care nurses care for Muslim families before and after the death of infants/children.Design: A qualitative descriptive approach was used in this study, conducted in Saudi Arabia.Methods: Semi-structured interviews were used to gather data from a convenience sample of registered nurses working in neonatal and paediatric intensive care, with experience in providing end-of-life care. Interviews were conducted between July and November, 2018. Interviews were audio-recorded and transcribed for analysis. Results: Thirteen registered nurses participated; all were born overseas, identified with various faiths and spoke English in the workplace. A respect for diversity and care of the family was prioritized yet impacted by communication challenges. Caring and respect was demonstrated by facilitating important cultural and religious practices important in the Muslim faith. Self-care was identified as important, transcending the culturally diverse nature of the nursing workforce.Conclusions: Significant challenges exist for a culturally diverse nursing workforce in providing care to a Saudi Muslim population of infants/children and families, before and after a death. Their overriding commitment to respect for others, and an openness to cultural diversity and difference, aided in overcoming the inherent challenges in providing culturally sensitive end-of-life care that meets the needs of Muslim families. These findings provide valuable insights for intensive care clinicians in other countries to address challenges associated with cultural diversity. K E Y W O R D S bereavement, cultural diversity and family needs in intensive care unit, end-of-life care, neonatal intensive care, paediatric intensive care

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Spotlight on Bereavement Care

Cited by 2 publications

References 23 publications

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

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