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‘It would be quite good if there was somewhere that just did everything’: perspectives on death administration following a bereavement “如果有什么地方能包揽一切,那就太好了”:对丧亲之痛后死亡管理的看法
Q3 Nursing Pub Date : 2023-10-23 DOI: 10.54210/bj.2023.1114
Laura Towers, Kate Reed, Anna Balazs
‘Death administration’ is a term used to describe the wide range of tasks which must be completed after a loved one has died, such as registering the death and obtaining a death certificate. This involves fulfilling a complex set of time-sensitive procedures during a period of often intense vulnerability, which further compounds the stress and upset felt when grieving. Using data from a qualitative study exploring people’s experiences of carrying out tasks related to death administration in the UK, this article seeks to demonstrate some of the problems inherent within the process. In doing so, it highlights some of the ways that the unavoidable challenge of completing death administration can be made less burdensome, both physically and emotionally, for those tasked with its undertaking. As such, this paper offers new insights into an aspect of being bereaved that is currently overlooked, but in much need of improvement.
“死亡管理”是一个术语,用来描述亲人去世后必须完成的一系列任务,例如登记死亡和获得死亡证明。这包括在极度脆弱的时期完成一套复杂的时间敏感程序,这进一步加剧了悲伤时的压力和不安感。使用数据从定性研究探索人们的经验,在英国开展与死亡管理相关的任务,这篇文章试图证明一些固有的过程中的问题。在这样做的过程中,它强调了完成死亡管理这一不可避免的挑战的一些方法,可以减轻那些承担这项任务的人在身体和情感上的负担。因此,本文提供了一个新的见解,丧失亲人的一个方面,目前被忽视,但在很大程度上需要改进。
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引用次数: 0
The experience and support needs of adult family members who face a sudden adult death: A systematic review study 面对成人猝死的成年家庭成员的经历和支持需求:一项系统回顾研究
Q3 Nursing Pub Date : 2023-09-06 DOI: 10.54210/bj.2023.1100
Audrey Stephen, Fiona Baguley
This systematic review explored the experiences of adult family members with support from professional service providers when faced a sudden death of an adult family. The reviewers used Joanna Briggs Institute methods, tools and software. Database searches were carried out, including in ASSIA, CINAHL, MEDLINE, PsychArticles. These were supplemented with searches of e-thesis databases, and specialist law sites. Studies were identified for inclusion if they were qualitative, written in English and published between 1990 and December 2021. The review identified family members received support at the time of a sudden death from a range of sources. However, there are differences in timing and content and for some relatives, barriers to access and unmet needs. Experiences of support from professionals were varied and some had more positive outcomes than others. A relationship between the family member and the professional perceived as supportive led to benefits in relation to processing grief. While informal support and information is essential for relatives, anticipation of needs and appropriate responses require regulated professionals and organisations who encounter the bereaved to be visible, accessible, skilled and able to respond. It is recommended this is formalised in standards or protocols for support in relation to sudden death situations.
本系统回顾探讨在专业服务提供者的支持下,成年家庭成员面对成年家庭成员猝死时的体验。 审稿人使用了乔安娜布里格斯研究所的方法、工具和软件。进行数据库检索,包括ASSIA, CINAHL, MEDLINE, PsychArticles。此外,还搜索了电子论文数据库和专业法律网站。如果研究是定性的,用英语撰写,并在1990年至2021年12月之间发表,则确定纳入研究。审查确定了在突然死亡时从各种来源获得支持的家庭成员。然而,在时间和内容上存在差异,对一些亲属来说,存在获取障碍和未满足的需求。专业人士的支持经历各不相同,有些人比其他人有更积极的结果。家庭成员和专业人员之间的关系被认为是支持性的,这对处理悲伤有好处。 虽然非正式的支持和信息对家属来说是必不可少的,但对需求的预期和适当的反应需要遇到丧亲者的受监管的专业人员和组织能够看到,可访问,熟练并能够作出反应。建议在与猝死情况有关的支持标准或协议中正式确定这一点。
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 The reviewers used Joanna Briggs Institute methods, tools and software. Database searches were carried out, including in ASSIA, CINAHL, MEDLINE, PsychArticles. These were supplemented with searches of e-thesis databases, and specialist law sites. Studies were identified for inclusion if they were qualitative, written in English and published between 1990 and December 2021.
 The review identified family members received support at the time of a sudden death from a range of sources. However, there are differences in timing and content and for some relatives, barriers to access and unmet needs. Experiences of support from professionals were varied and some had more positive outcomes than others. A relationship between the family member and the professional perceived as supportive led to benefits in relation to processing grief.
 While informal support and information is essential for relatives, anticipation of needs and appropriate responses require regulated professionals and organisations who encounter the bereaved to be visible, accessible, skilled and able to respond. It is recommended this is formalised in standards or protocols for support in relation to sudden death situations.","PeriodicalId":44115,"journal":{"name":"Bereavement Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135204846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of Covid-19 on bereavement care in Ireland: A national survey of bereavement care providers. Covid-19对爱尔兰丧亲护理的影响:一项对丧亲护理提供者的全国性调查。
Q3 Nursing Pub Date : 2023-09-06 DOI: 10.54210/bj.2023.1112
Amanda Roberts, Orla Keegan, Ingrid Holme, Maura Keeting
Objectives: To a) describe bereavement care providers' experience of demand and type of need for bereavement care during the first year of the pandemic; b) describe the self-assessed impact on care providers; c) identify service adaptations and challenges currently faced. Methods: Data was collected via an online survey of Irish bereavement service workers (n=199) during the 2021 level 5 restrictions enforced due to the COVID-19 pandemic. Results: 47% of respondents noted an increase in the demand for their service, with many reporting higher levels of distress and more complex needs among service users. 47% reported an increase in the emotional impact of the work. Many service providers altered their service provision and/or developed new services, in part, to meet the changing pattern of need. The positive changes and opportunities resulting from the pandemic were also noted, some of which they intended to continue post-pandemic. Conclusion: The pandemic and related restrictions shone a light on the way we die and grieve in Ireland. With the current focus on bereavement, now may be the time to develop a national policy for bereavement care, which should provide direction for service provision and pathways, alongside public education to meet bereavement needs.
目标:a)描述大流行第一年丧亲护理提供者的需求经验和丧亲护理需求类型;B)描述自我评估对护理提供者的影响;c)识别服务适应和当前面临的挑战。 方法:在2021年因COVID-19大流行而实施的5级限制期间,通过对爱尔兰丧亲服务工作者(n=199)的在线调查收集数据。结果:47%的受访者指出,对他们服务的需求有所增加,许多人报告说,服务使用者的痛苦程度更高,需求更复杂。47%的人表示,工作对情感的影响有所增加。许多服务提供者改变其服务提供和(或)开发新服务,部分是为了满足不断变化的需求模式。与会者还注意到大流行病带来的积极变化和机会,他们打算在大流行病后继续进行其中一些变化和机会。结论:大流行和相关限制为我们在爱尔兰死亡和悲伤的方式提供了启示。鉴于目前的重点是丧亲之痛,现在可能是制定丧亲护理国家政策的时候了,该政策应为服务提供和途径提供方向,同时开展公共教育,以满足丧亲之痛的需求。
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 Methods: Data was collected via an online survey of Irish bereavement service workers (n=199) during the 2021 level 5 restrictions enforced due to the COVID-19 pandemic.
 Results: 47% of respondents noted an increase in the demand for their service, with many reporting higher levels of distress and more complex needs among service users. 47% reported an increase in the emotional impact of the work. Many service providers altered their service provision and/or developed new services, in part, to meet the changing pattern of need. The positive changes and opportunities resulting from the pandemic were also noted, some of which they intended to continue post-pandemic.
 Conclusion: The pandemic and related restrictions shone a light on the way we die and grieve in Ireland. With the current focus on bereavement, now may be the time to develop a national policy for bereavement care, which should provide direction for service provision and pathways, alongside public education to meet bereavement needs.","PeriodicalId":44115,"journal":{"name":"Bereavement Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135204845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
wound that doesn't heal 无法愈合的伤口
Q3 Nursing Pub Date : 2023-06-06 DOI: 10.54210/bj.2023.1096
S. Daley
Even though people know that children die, often they do not know how to respond to the death of a child.  More specifically, people do not know how to respond to a bereaved parent after his or her child has died.  This is especially true in the United States where the death of an infant or child death is relatively uncommon.  This essay addresses the complex and often contradictory feelings that bereaved parents can feel particularly in response to the actions of those around them – family, friends and colleagues – who actually mean well.  Unfortunately, for a bereaved parent, even with the support and well wishes of others, things do not always get better with time; things can actually get worse.  For some bereaved parents, the loss of a child is too much; it is similar to a sore or wound that cannot heal and eats away at a person until nothing is left. 
尽管人们知道孩子会死,但他们往往不知道如何应对孩子的死亡。更具体地说,人们不知道在孩子去世后如何回应失去亲人的父母。这在婴儿或儿童死亡相对不常见的美国尤其如此。这篇文章阐述了失去亲人的父母在面对他们周围的人——家人、朋友和同事——的行为时所能感受到的复杂而又矛盾的感受,这些人其实是善意的。不幸的是,对于失去亲人的父母来说,即使有其他人的支持和祝福,事情并不总是随着时间的推移而变得更好;事情实际上可能会变得更糟。对一些失去亲人的父母来说,失去一个孩子太沉重了;它类似于一个无法愈合的疼痛或伤口,吞噬着一个人,直到一无所有。
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引用次数: 0
Reflections on some learning from the Covid-19 pandemic: 关于从2019冠状病毒病大流行中吸取教训的几点思考:
Q3 Nursing Pub Date : 2023-06-06 DOI: 10.54210/bj.2023.1106
Catriona Macpherson
The Covid-19 pandemic has highlighted the significance of pre-bereavement care for families and children, especially when faced with parental death. Holistic family care tailored to meet the needs of the particular crisis the family face is hugely challenging for practitioners to provide whilst also caring for patients. Parents need specific support which is appropriate to their children’s needs for information, expressing their opinions and sharing their emotional responses about what they are facing. Parental bereavement has wide reaching consequences for children’s’ lives and we know that the ability of the surviving parent to support them is crucial. Starting to support parents before death provides the opportunity to ensure children are included in ways that are appropriate for that family. If we agree that children have rights and that pre-bereavement support is a core health need, then we must find ways of providing it. A discrete service to provide this specialised support across all areas of care is needed.
2019冠状病毒病大流行凸显了丧前护理对家庭和儿童的重要性,尤其是在面临父母死亡的情况下。整体家庭护理量身定制,以满足家庭面临的特殊危机的需求,这对从业人员来说是巨大的挑战,同时也照顾病人。父母需要特定的支持,这是适合他们的孩子需要的信息,表达他们的意见和分享他们面对的情绪反应。父母丧亲之痛对孩子的生活有着广泛的影响,我们知道,幸存的父母支持他们的能力至关重要。在父母去世前开始支持他们,为确保儿童以适合该家庭的方式得到照顾提供了机会。如果我们同意儿童拥有权利,以及丧亲前支助是一项核心健康需求,那么我们就必须找到提供这种支助的方法。需要一种独立的服务,在所有护理领域提供这种专业支持。
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引用次数: 0
Support after stillbirth: Findings from the Parent Voices Initiative Global Registry Project 死产后的支持:来自父母之声倡议全球注册项目的调查结果
Q3 Nursing Pub Date : 2023-04-25 DOI: 10.54210/bj.2023.1084
Vicki Ponce Hardy, Alexandra Beedle, Sam Murphy, C. Storey, Neelam Aggarwal, R. Dandona, A. Dev, Patricia Doherty, A. Heazell, M. Kinney, S. Nam, P. Quigley, Sue E Steen, L. Vanotoo, S. Leisher, H. Blencowe
The need for respectful bereavement care following a stillbirth has been poorly recognised within global public health initiatives. To date, there has been no comprehensive cataloguing of providers that support parents after stillbirth, nor any review of the challenges they face. We aimed to identify providers (organisations and point persons) that support bereaved parents worldwide and to investigate the challenges they face. A systematic global online search was conducted to identify providers of support after stillbirth. Subsets of providers were surveyed and interviewed. These were purposively sampled to achieve diversity in geography, organisation size and point person role. Challenges in providing support in six key areas – stigma, funding, reach, policy, workforce, and advocacy – were analysed thematically. Overall, 621 providers from 75 countries were identified. No support providers were identified in 123 countries, and in the 6 countries that carry almost half of the global burden of stillbirths, only 8 support providers were found. Support providers faced challenges in accessing funding, reaching key populations, and training and retaining staff, while complex policies hampered bereavement care. Support providers were challenged by silence and stigma around stillbirth. Overcoming these challenges requires collaboration, effort, and political will at local and international scales.
在全球公共卫生倡议中,人们很少认识到死产后需要有礼貌的丧亲护理。迄今为止,还没有对死产后为父母提供支持的提供者进行全面的分类,也没有对他们面临的挑战进行任何审查。我们的目标是确定全球范围内支持丧亲父母的提供者(组织和定点人员),并调查他们面临的挑战。进行了系统的全球在线搜索,以确定死产后的支持提供者。对供应商的子集进行了调查和访谈。这些样本是有目的的,以实现地理、组织规模和关键人物角色的多样性。专题分析了在六个关键领域(耻辱、资金、覆盖范围、政策、劳动力和宣传)提供支持所面临的挑战。总体而言,确定了来自75个国家的621家供应商。123个国家没有确定支持提供者,而在承担全球死产负担近一半的6个国家中,仅发现了8个支持提供者。支助提供者在获得资金、接触关键人群以及培训和留住工作人员方面面临挑战,而复杂的政策阻碍了丧亲护理。在死产问题上,支持提供者受到沉默和耻辱的挑战。克服这些挑战需要地方和国际层面的合作、努力和政治意愿。
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引用次数: 1
The one thing guaranteed in life and yet they won’t teach you about it': 生活中有一件事是肯定的,但他们不会教你的:
Q3 Nursing Pub Date : 2023-04-12 DOI: 10.54210/bj.2023.1082
Lesel D Dawson, R. Hare, L. Selman, Tracey Boseley, A. Penny
Nearly all British children will be bereaved of someone close to them by the time they turn eighteen and, with the COVID-19 pandemic and world humanitarian crises across the news and social media, they are being exposed to more anxiety about death than ever before. There is a growing awareness that grief education needs to be embedded into the UK national curriculum to help school pupils think and talk about death and prepare them to manage grief or support others. As it stands, although excellent teaching resources exist, there is no requirement for schools to cover grief, death and loss and many pupils have no classes about these difficult topics.   This article provides a narrative review of research on grief education in schools. We examine six key questions, summarising: evidence that children benefit from talking about grief, death and loss; studies on when and how to integrate the topics into the curriculum; and ways to overcome the teacher training gap. Following the lead of child bereavement charities and educational and mental health research, we identify a need for a coordinated national approach to teaching children and young people about grief, death and loss and offer evidence-based recommendations for its implementation.
到18岁时,几乎所有的英国孩子都将失去亲近的人,随着COVID-19大流行和新闻和社交媒体上的世界人道主义危机,他们比以往任何时候都更加担心死亡。越来越多的人意识到,需要将悲伤教育纳入英国国家课程,帮助学生思考和谈论死亡,并为他们管理悲伤或支持他人做好准备。目前的情况是,虽然有优秀的教学资源,但没有要求学校涵盖悲伤、死亡和失去,许多学生没有关于这些困难话题的课程。本文对学校悲伤教育的研究进行了述评。我们研究了六个关键问题,总结如下:有证据表明,儿童可以从谈论悲伤、死亡和失去中受益;何时以及如何将主题融入课程的研究以及克服教师培训缺口的途径。在儿童丧亲慈善机构以及教育和心理健康研究的引领下,我们确定有必要采取协调一致的国家办法,向儿童和年轻人传授悲伤、死亡和损失的知识,并为实施这一办法提供循证建议。
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引用次数: 2
What difference does a year make? Looking back and ahead in Bereavement - Volume 2 一年有什么区别?回顾和展望丧亲之痛-第二卷
Q3 Nursing Pub Date : 2023-02-13 DOI: 10.54210/bj.2023.1116
E. Harrop
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引用次数: 1
Revisiting funeral recordings during and beyond the Covid-19 pandemic in the UK 回顾英国Covid-19大流行期间和之后的葬礼录音
Q3 Nursing Pub Date : 2023-02-13 DOI: 10.54210/bj.2023.1093
Jennifer Riley, V. Entwistle, A. Arnason, R. Crozier, L. Locock, P. Maccagno, A. Pattenden
Especially when travel and gatherings were restricted during the pandemic, filming and livestreaming enabled more people to connect with funerals than could attend in person. Filming has also created another less well considered possibility: of revisiting a funeral via a recording. This Viewpoint outlines a range of experiences and opinions about this practice. We suggest careful attention is needed to its development and its implications for bereavement care in diverse circumstances.
特别是在疫情期间旅行和聚会受到限制的情况下,拍摄和直播使更多的人能够与葬礼联系起来,而不是亲自参加。电影还创造了另一种不太被考虑的可能性:通过录音重新参观葬礼。本观点概述了关于这一实践的一系列经验和观点。我们建议仔细关注它的发展及其在不同情况下对丧亲护理的影响。
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引用次数: 2
Psychometric properties of the Persian version of the pandemic grief scale 波斯版大流行悲伤量表的心理测量特性
Q3 Nursing Pub Date : 2023-02-13 DOI: 10.54210/bj.2023.1087
Ebrahim Nasri, Shahab Yousefi, P. Mayeli, A. Ashouri
This study evaluated the Persian version of the Pandemic Grief Scale (PGS) psychometric properties in a sample of 473 people who have suffered the loss of a loved one due to the COVID-19 pandemic. The scale was internally consistent with a Cronbach’s alpha of 0.86. The PGS found a positive and significant correlation between the Patient Health Questionnaire-4 (PHQ-4) and Work and Social Adjustment Scale (WSAS). Furthermore, the unidimensional model had a good fit. Overall, the PGS showed good psychometric properties in the Iranian population.
本研究对473名因COVID-19大流行而失去亲人的人进行了波斯语版大流行悲伤量表(PGS)的心理测量特性评估。量表内部符合Cronbach 's alpha 0.86。PGS发现患者健康问卷-4 (PHQ-4)与工作与社会适应量表(WSAS)存在显著正相关。此外,一维模型具有较好的拟合性。总体而言,PGS在伊朗人群中显示出良好的心理测量特性。
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引用次数: 3
期刊
Bereavement Care
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