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.

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Çiğdem Fulya Dönmez, Bridget Johnston
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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.

探索丧亲支持干预措施,促进和障碍之前和之后的居民在养老院设置:快速混合方法审查。
回顾的目的:在疗养院的丧亲支持是临终关怀的一个重要方面,近年来已获得越来越多的关注。这项快速混合方法综述的目的是综合关于丧亲前后支持干预措施的证据,以及对养老院工作人员、居民和失去亲人的家庭成员来说,丧亲的促进因素和障碍。最近的发现:十项研究在疗养院前和丧亲后的支持被确定。研究人员开发了护理院丧亲支持的概念模型,并确定了11项改善结果的措施:教育和培训护理院工作人员;促进接受死亡;为死亡和丧亲做准备;建立有意义的关系;治疗性沟通;实施人文关怀;建立正式的组织文化;社会支持;预先护理计划;共同决策。影响丧亲支持的最重要障碍是关于死亡的沟通不畅和对死亡没有准备。摘要:为了提供更优质的以个人和家庭为中心的护理,并减少丧亲之痛对护理院个人的负面影响,我们建议建立一种正式的组织文化,优先为护理院员工、住客和丧亲之家成员做好丧亲之准备。
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来源期刊
Current Opinion in Supportive and Palliative Care
Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.70
自引率
0.00%
发文量
54
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.
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