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Bereavement Care最新文献

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On a White Horse: A memoir of love, loss and the healing power of art 在一匹白马上:一本关于爱、失去和艺术治愈力量的回忆录
Q3 Nursing Pub Date : 2018-09-02 DOI: 10.1080/02682621.2018.1541531
Elizabeth Rolls
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引用次数: 0
Cicely Saunders: A life and legacy Cicely Saunders:A life and legacy
Q3 Nursing Pub Date : 2018-09-02 DOI: 10.1080/02682621.2018.1535874
C. M. Parkes
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引用次数: 0
From a good death to a better bereavement? The impact of the end of life experience on bereavement adjustment, a thematic analysis 从一个好的死亡到一个更好的丧亲之痛?临终经历对丧亲适应的影响,一项主题分析
Q3 Nursing Pub Date : 2018-09-02 DOI: 10.1080/02682621.2018.1535878
Clare Wakenshaw, Elizabeth Sillence
Abstract To date, the majority of research into a good death has focused on the experience of the person who is dying. Taking the perspective of bereaved individuals, this qualitative study explores which elements of the end of life experience constitute a good death and how these elements influence the process of bereavement adjustment. Following interviews with ten bereaved adults four themes were identified which together define a good death: a lack of physical distress, emotional resolution, ‘naming death as death’ and death at ‘the right time’. The value of open communication prior to death is highlighted. For those working with bereaved individuals these results support an understanding of the impact of the manner of death on bereavement adjustment. For those in palliative care settings, potentially modifiable elements of the end of life experience which may support better bereavement are suggested.
摘要到目前为止,大多数关于善终的研究都集中在垂死者的经历上。这项定性研究从丧亲者的角度出发,探讨了生命终结经历的哪些因素构成了良好的死亡,以及这些因素如何影响丧亲适应过程。在对十名失去亲人的成年人进行采访后,确定了四个主题,这些主题共同定义了一个好的死亡:缺乏身体痛苦、情绪解决、“将死亡命名为死亡”和“在正确的时间”死亡。强调了生前公开交流的价值。对于那些与丧亲者合作的人来说,这些结果支持理解死亡方式对丧亲调整的影响。对于那些处于姑息治疗环境中的人,建议使用可能改变临终体验的因素,以支持更好的丧亲之痛。
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引用次数: 4
Editorial 社论
Q3 Nursing Pub Date : 2018-09-02 DOI: 10.1080/02682621.2018.1543449
A. Penny
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引用次数: 0
The bereavement experiences and support needs of bereaved family caregivers in the context of palliative care 姑息治疗背景下丧亲家庭护理人员的丧亲经历和支持需求
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1493638
J. Mowll
Palliative care services around the world are often mandated to provide support to bereaved family caregivers in the wake of a death in palliative care. At the same time there is increasing debate on the parameters and models of such support and about how and when to provide professional support. Research has focussed important attention on the minority of bereaved caregivers who experience a pathological reaction, most commonly equated with Complicated Grief (CG) or Prolonged Grief Disorder (PGD) (Hall, 2014). However, such a focus privileges a medical or psychiatric understanding of grief and does not always take into account the breadth and varied bereavement experiences and concomitant support needs of caregivers. The three articles discussed take a rigorous qualitative and interpretive research approach to provide further insights. The research contributes a deepened understanding of the experiences of bereaved caregivers in context of end of life (EOL) or palliative care and invites us to consider the multiple layers and complexities of bereavement support needs.
世界各地的姑息治疗服务往往被授权在姑息治疗死亡后向丧失亲人的家庭照护者提供支持。与此同时,关于这种支持的参数和模式以及如何和何时提供专业支持的辩论也越来越多。研究将重点放在少数经历病理反应的丧亲照顾者身上,最常见的是复杂悲伤(CG)或延长悲伤障碍(PGD) (Hall, 2014)。然而,这样的关注特权于对悲伤的医学或精神病学理解,并不总是考虑到广度和不同的丧亲经历以及照顾者伴随的支持需求。讨论的三篇文章采用严格的定性和解释性研究方法来提供进一步的见解。该研究有助于加深对临终关怀(EOL)或姑息治疗背景下丧亲照护者经验的理解,并邀请我们考虑丧亲支持需求的多层次和复杂性。
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引用次数: 0
Still Water 静止的水
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1493636
Jessica Mitchell
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引用次数: 0
Karuna Cards: creative ideas to transform grief and difficult life transitions 卡:创造性的想法,以改变悲伤和困难的生活过渡
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1493642
J. Dowling
This is an attractively illustrated book for very young children, three years and older, which deals with the painful and sensitive situation of the death of a baby brother or sister just after birth. There is very little literature available aimed specifically at young children who are bereaved in this way so in that respect it is a very welcome addition. As with all books for this age group, there are more pictures than words, and adults reading the book to small children need to be able to extrapolate and wonder with the child about what is going on based on visual or verbal clues; ‘ What’s happening here?’, ‘Do you remember when we were in the hospital?’ and so on. Although there is a short section at the back with edited extracts from a Sands (Stillbirth and Neonatal Death Charity) publication, I could imagine grieving parents, stunned by grief as they often are, might overlook that; it might have been better to put that information at the beginning. Quite a lot of space is devoted to the often misunderstood idea of ‘losing’ the baby and this is good. I think other unhelpful but commonly used expressions could have been incorporated however ‘going to sleep’ being the obvious example. Children at three or four cannot understand the permanency of death and this isn’t really addressed either which is a shame. I really liked the idea of a cot as a spaceship and the illustration is lovely; that seems an inspired choice. Equally good is the description of how Stewart wasn’t strong enough to live outside of Mummy’s tummy which avoids later worries the surviving sibling may have of being ill or catching something. Explaining death through the loss of senses is usually helpful for young children and this is done well, as is the message he will never be forgotten. The ‘d’ word is used once, which is helpful, but perhaps could have been used more often or in other forms ‘died’ and so on. The link to confusion about what happens is implied well (Why are all these cards arriving? Why are people bringing soup?’) but I feel could have been made more explicit. Indeed the most obvious absence is the lack of reference to any feelings, either from the parents or relatives or from the child’s point of view and I think this is a real drawback. The illustrations could really have been used well here to show the range of feelings but they are rather neutral or ambiguous. Small children really need to be helped with giving words to the feelings they will observe in others and feel in themselves. Neither is there a reference to a funeral or where his body is now. In that respect the book might need to be complemented with other publications. 
这是一本插图精美的书,适合三岁及以上的幼儿,讲述了婴儿兄弟姐妹刚出生就死亡的痛苦和敏感情况。很少有专门针对以这种方式失去亲人的幼儿的文献,因此在这方面,这是一个非常受欢迎的补充。与这个年龄段的所有书籍一样,图片多于文字,给小孩子读这本书的成年人需要能够根据视觉或语言线索推断并与孩子一起思考正在发生的事情;”这里发生了什么事你还记得我们在医院的时候吗?”尽管后面有一小段是Sands(死产和新生儿死亡慈善机构)出版物的编辑摘录,但我可以想象,悲伤的父母可能会忽视这一点,因为他们经常被悲伤惊呆;把这些信息放在一开始可能会更好。有相当多的篇幅用于“失去”婴儿这一经常被误解的想法,这很好。我认为其他无益但常用的表达方式也可以被纳入其中,但“入睡”是一个明显的例子。三四岁的孩子无法理解死亡的永恒性,而这一点也没有得到真正的解决,这是一种耻辱。我真的很喜欢把婴儿床当作宇宙飞船的想法,插图很可爱;这似乎是一个鼓舞人心的选择。同样好的是,斯图尔特的身体不够强壮,无法在妈妈的肚子之外生活,这避免了后来担心幸存的兄弟姐妹可能生病或感染了什么。通过失去感官来解释死亡通常对年幼的孩子很有帮助,这一点做得很好,这也是他永远不会被忘记的信息。“d”这个词用过一次,这很有帮助,但也许可以更频繁地使用,或者以其他形式使用“dead”等等。与对发生的事情感到困惑的联系隐含得很好(为什么所有这些卡片都到了?为什么人们带汤来?)但我觉得本可以更明确。事实上,最明显的缺失是没有提及任何感受,无论是来自父母或亲戚,还是从孩子的角度,我认为这是一个真正的缺点。这些插图本可以很好地用来展示情感的范围,但它们相当中性或模棱两可。小孩子真的需要帮助他们用语言表达他们在他人身上观察到的感受和在自己身上感受到的感受。既没有提到葬礼,也没有提到他的遗体现在在哪里。在这方面,这本书可能需要补充其他出版物。
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引用次数: 0
Stewart’s Tree 斯图尔特的树
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1493644
Judy Debenham
This is an attractively illustrated book for very young children, three years and older, which deals with the painful and sensitive situation of the death of a baby brother or sister just after birth. There is very little literature available aimed specifically at young children who are bereaved in this way so in that respect it is a very welcome addition. As with all books for this age group, there are more pictures than words, and adults reading the book to small children need to be able to extrapolate and wonder with the child about what is going on based on visual or verbal clues; ‘ What’s happening here?’, ‘Do you remember when we were in the hospital?’ and so on. Although there is a short section at the back with edited extracts from a Sands (Stillbirth and Neonatal Death Charity) publication, I could imagine grieving parents, stunned by grief as they often are, might overlook that; it might have been better to put that information at the beginning. Quite a lot of space is devoted to the often misunderstood idea of ‘losing’ the baby and this is good. I think other unhelpful but commonly used expressions could have been incorporated however ‘going to sleep’ being the obvious example. Children at three or four cannot understand the permanency of death and this isn’t really addressed either which is a shame. I really liked the idea of a cot as a spaceship and the illustration is lovely; that seems an inspired choice. Equally good is the description of how Stewart wasn’t strong enough to live outside of Mummy’s tummy which avoids later worries the surviving sibling may have of being ill or catching something. Explaining death through the loss of senses is usually helpful for young children and this is done well, as is the message he will never be forgotten. The ‘d’ word is used once, which is helpful, but perhaps could have been used more often or in other forms ‘died’ and so on. The link to confusion about what happens is implied well (Why are all these cards arriving? Why are people bringing soup?’) but I feel could have been made more explicit. Indeed the most obvious absence is the lack of reference to any feelings, either from the parents or relatives or from the child’s point of view and I think this is a real drawback. The illustrations could really have been used well here to show the range of feelings but they are rather neutral or ambiguous. Small children really need to be helped with giving words to the feelings they will observe in others and feel in themselves. Neither is there a reference to a funeral or where his body is now. In that respect the book might need to be complemented with other publications. 
这是一本插图精美的书,适合三岁及以上的幼儿,讲述了婴儿兄弟姐妹刚出生就死亡的痛苦和敏感情况。很少有专门针对以这种方式失去亲人的幼儿的文献,因此在这方面,这是一个非常受欢迎的补充。与这个年龄段的所有书籍一样,图片多于文字,给小孩子读这本书的成年人需要能够根据视觉或语言线索推断并与孩子一起思考正在发生的事情;”这里发生了什么事你还记得我们在医院的时候吗?”尽管后面有一小段是Sands(死产和新生儿死亡慈善机构)出版物的编辑摘录,但我可以想象,悲伤的父母可能会忽视这一点,因为他们经常被悲伤惊呆;把这些信息放在一开始可能会更好。有相当多的篇幅用于“失去”婴儿这一经常被误解的想法,这很好。我认为其他无益但常用的表达方式也可以被纳入其中,但“入睡”是一个明显的例子。三四岁的孩子无法理解死亡的永恒性,而这一点也没有得到真正的解决,这是一种耻辱。我真的很喜欢把婴儿床当作宇宙飞船的想法,插图很可爱;这似乎是一个鼓舞人心的选择。同样好的是,斯图尔特的身体不够强壮,无法在妈妈的肚子之外生活,这避免了后来担心幸存的兄弟姐妹可能生病或感染了什么。通过失去感官来解释死亡通常对年幼的孩子很有帮助,这一点做得很好,这也是他永远不会被忘记的信息。“d”这个词用过一次,这很有帮助,但也许可以更频繁地使用,或者以其他形式使用“dead”等等。与对发生的事情感到困惑的联系隐含得很好(为什么所有这些卡片都到了?为什么人们带汤来?)但我觉得本可以更明确。事实上,最明显的缺失是没有提及任何感受,无论是来自父母或亲戚,还是从孩子的角度,我认为这是一个真正的缺点。这些插图本可以很好地用来展示情感的范围,但它们相当中性或模棱两可。小孩子真的需要帮助他们用语言表达他们在他人身上观察到的感受和在自己身上感受到的感受。既没有提到葬礼,也没有提到他的遗体现在在哪里。在这方面,这本书可能需要补充其他出版物。
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引用次数: 0
Editorial 社论
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1494473
C. Murray Parkes
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引用次数: 0
Lived experiences of singing in a community hospice bereavement support music therapy group 在社区安宁疗护丧亲支持音乐治疗小组唱歌的生活经验
Q3 Nursing Pub Date : 2018-05-04 DOI: 10.1080/02682621.2018.1493646
Laurel Young, A. Pringle
Abstract Although singing is an inherent part of grieving in many cultures, relatively little research has been conducted on how singing is experienced by adults in bereavement support group contexts. The purpose of this study was to examine the singing experiences of seven female adults who participated in a postloss bereavement support music therapy group that took place in a community hospice. Individual interviews were conducted with all participants, who also had the option of submitting written feedback after each group singing session. This feedback, along with interview transcripts, was analysed using Interpretative Phenomenological Analysis (IPA). This resulted in seven narrative summary interpretations that represent explicit and implicit aspects of each individual’s lived experience of singing in this context. Cross case analysis revealed themes organised under five categories, supported with participant quotes. Potential implications for research and practice are presented.
虽然在许多文化中,歌唱是悲伤的固有部分,但关于成年人在丧亲支持团体背景下如何体验歌唱的研究相对较少。本研究的目的是观察7位女性成人的歌唱经验,她们参加了一个在社区临终关怀所进行的丧亲支持音乐治疗小组。对所有参与者进行了个人访谈,他们也可以选择在每次集体演唱会后提交书面反馈。使用解释现象学分析(IPA)对这些反馈以及访谈记录进行分析。这产生了七种叙事总结解释,代表了每个人在这种背景下唱歌的生活经验的显性和隐性方面。跨案例分析揭示了五个类别的主题,并附有参与者的语录。提出了对研究和实践的潜在影响。
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引用次数: 7
期刊
Bereavement Care
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