Exploring the bereavement support interventions, facilitators and barriers before and after the death of a resident in care home settings: a rapid mixed-methods review.
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引用次数: 0
Abstract
Purpose of review: Bereavement support in care homes is a critical aspect of end-of-life care that has gained increasing attention in recent years. The purpose of this rapid mixed-methods review is to synthesise evidence on pre- and post-bereavement support interventions as well as facilitators and barriers of bereavement for care home staff, residents, and bereaved family members in care homes.
Recent findings: Ten studies on pre- and post-bereavement support in care homes were identified. A conceptual model of bereavement support in care homes was developed and 11 measures to improve outcomes were identified: educating and training care home staff; facilitating acceptance of death; preparing for death and bereavement; building meaningful relationships; therapeutic communication; compassionate care; establishing a formal organisational culture; social support; advance care planning; and shared decision-making. The most important barriers affecting bereavement support are poor communication around death and being unprepared for death.
Summary: To facilitate higher quality person and family centred care, and to reduce the impact of negative bereavement outcomes for individuals in care homes, we recommend a formal organisational culture that prioritises preparedness for bereavement for care home staff, residents, and bereaved family members.
期刊介绍:
A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.