152 results match your criteria Coping With the Death of a Child in the ED


Social acceptance of death and its implication for end-of-life care.

J Adv Nurs 2021 Mar 23. Epub 2021 Mar 23.

Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.

Aims: To understand how the social patterns about death influence end-of-life care from the perspective of healthcare professionals.

Design: A qualitative study according to the theory of Glaser and Strauss.

Methods: A purposeful sample of 47 participants with different roles (nurses, physicians and clinical psychologists) were involved in four focus groups and 17 interviews in 2017-2019. Read More

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Actual Solidarity through Virtual Support: A Pilot Descriptive Study of an Online Support Group for Bereaved Parents.

J Palliat Med 2021 Jan 6. Epub 2021 Jan 6.

Division of Pediatric Palliative Care, Department of Pediatrics, Children's Hospital and Medical Center, Omaha, Nebraska, USA.

Hospital-based support for bereaved parents is regarded as best practice. Little is known about parental perceptions or programmatic potential of online grief support. To learn from bereaved parent participants' experiences with an online support group to include perceptions of technology acceptance and group communication dynamics. Read More

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January 2021

The experience of divine struggle following child loss: The Case of Israeli bereaved Modern-Orthodox parents.

Death Stud 2020 Dec 1:1-15. Epub 2020 Dec 1.

Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Child loss may undermine one's faith. Whereas much is known about religion's role following loss, less is known about the experience of divine struggle-namely, struggling with complex God-related emotions/beliefs-particularly among diverse sociocultural samples. Employing a narrative approach, we interviewed 20 bereaved Modern-Orthodox parents. Read More

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December 2020

The Social Brain and Emotional Contagion: COVID-19 Effects.

Medicina (Kaunas) 2020 Nov 25;56(12). Epub 2020 Nov 25.

Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.

Background And Objectives: Coronavirus disease 2019 (COVID-19) is a highly contagious infectious disease, responsible for a global pandemic that began in January 2020. Human/COVID-19 interactions cause different outcomes ranging from minor health consequences to death. Since social interaction is the default mode by which individuals communicate with their surroundings, different modes of contagion can play a role in determining the long-term consequences for mental health and emotional well-being. Read More

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November 2020

Health Care Professionals' Experiences With Preloss Care in Pediatrics: Goals, Strategies, Obstacles, and Facilitators.

J Pain Symptom Manage 2020 Nov 10. Epub 2020 Nov 10.

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Context: Although parents experience grief when confronted with their child's deterioration and imminent death, most bereavement care is focused on supporting parents after child loss. Insight into intentions and strategies of the health care professionals (HCPs) in preloss care during the end of life is still lacking.

Objectives: To create a starting point for improvement of preloss care, this study explores HCPs' experiences with providing support aimed at parental feelings of grief during the child's end of life. Read More

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November 2020

[Experiences and coping strategies of nurses in the face of death in pediatric hematology: qualitative study].

Prof Inferm 2020 Jan-Mar;73(1):42-52

RN, BSN, MSN, Posizione Organizzativa Responsabile del settore EBM ed EBP e dello sviluppo professionale ed organizzativo, SC Direzione delle Professioni Sanitarie, IRCCS Burlo Garofolo, Trieste.

Introduction:  The death of a pediatric patient causes personal, social and work-related repercussions on nursing staff who have witnessed it. The objective of this qualitative study is to investigate the experiences and the coping strategies of nurses working in pediatric oncoematology before the deaths of assisted children/adolescents.

Method: It has been placed in the Pediatric Oncoematology Clinic - Padua Hospital. Read More

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When a child dies: a systematic review of well-defined parent-focused bereavement interventions and their alignment with grief- and loss theories.

BMC Palliat Care 2020 Mar 12;19(1):28. Epub 2020 Mar 12.

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.

Background: The availability of interventions for bereaved parents have increased. However, most are practice based. To enhance the implementation of bereavement care for parents, an overview of interventions which are replicable and evidence-based are needed. Read More

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The psychosocial wellbeing of orphans: The case of early school leavers in socially depressed environment in Mpumalanga Province, South Africa.

PLoS One 2020 26;15(2):e0229487. Epub 2020 Feb 26.

Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background: The emergence of a large population of orphaned youth in sub-Saharan Africa is due to the natural maturity of orphaned children. Research indicates that orphaned youth face more negative psychosocial challenges than their younger counterparts do. Furthermore, these challenges are intensified for early school leavers. Read More

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Perspectives of Chinese Cancer Patients Toward Disclosure of Cancer Diagnosis to Their Minor Children.

Cancer Nurs 2020 Jan/Feb;43(1):2-11

Author Affiliations: Department of Nursing, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China (Mss Wang, Shen, and Qiang); and School of Health Sciences, University of Surrey, Guildford, United Kingdom (Dr Arber).

Background: One of the issues that cancer patients with minor or adolescent children face is whether to inform children about their cancer diagnosis. Their perspectives toward this issue are underexplored in China.

Objective: The aim of this study was to explore Chinese cancer parents' perspectives toward informing children of their diseases. Read More

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November 2020

Thematic analysis of spousal interaction patterns among Asian parents of children with chronic life-threatening illness.

BMJ Open 2019 11 19;9(11):e032582. Epub 2019 Nov 19.

Club Rainbow, Singapore, Singapore.

Objective: This is the first known study which examines the evolutionary nature of spousal interaction patterns among Asian parents of children with chronic life-threatening illness, from the time of providing care to their child through bereavement. This study is informed by earlier findings that when a child is diagnosed with a chronic life-threatening illness, parents are faced with multiple stressors, leaving them with little time to invest in their spousal relationship.

Participants And Setting: A constructivist-phenomenological research paradigm was adopted and meaning-oriented interviews were conducted with 20 parental units (i. Read More

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November 2019

The Coping Assessment for Bereavement and Loss Experiences (CABLE): Development and initial validation.

Death Stud 2019 Oct 14:1-15. Epub 2019 Oct 14.

Department of Learning Sciences & Educational Research, College of Community Innovation and Education, University of Central Florida , Orlando , Florida , USA.

The authors present the development and validation of the (CABLE), the first instrument designed to assess a range of potentially constructive strategies for coping with grief following the death of a loved one. Exploratory and confirmatory factor analysis with an international sample of bereaved adults ( = 844) yielded a six-factor, 28-item structure. Use of this validated, clinically useful, self-report tool can inform clinicians and researchers in evaluating bereavement coping, and in developing interventions designed to increase the number and broaden the types of coping strategies used to facilitate healing following loss. Read More

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October 2019

The Parental Experience of Unexpectedly Losing a Child in the Pediatric Emergency Department.

Omega (Westport) 2019 Sep 23:30222819876477. Epub 2019 Sep 23.

College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Child loss is the most traumatic loss a parent can experience, increasing their risk of negative outcomes such as complicated grief. Unexpected loss in the unfamiliar environment of the Emergency Department (ED) significantly increases this risk. Despite this knowledge, research on child loss in the context of the ED is scarce. Read More

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September 2019

A qualitative exploratory study of UK first-time fathers' experiences, mental health and wellbeing needs during their transition to fatherhood.

BMJ Open 2019 09 13;9(9):e030792. Epub 2019 Sep 13.

Warwick Clinical Trials Unit, University of Warwick, and University Hospitals Coventry & Warwickshire, Warwick, UK.

Objectives: To develop an understanding of men's experiences of first-time fatherhood, their mental health and wellbeing needs.

Design: A qualitative study using semi-structured interviews. Data were analysed using framework analysis. Read More

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September 2019

Staff perceptions of the emergency department working environment: An international cross-sectional survey.

Emerg Med Australas 2019 12 3;31(6):1082-1091. Epub 2019 Jul 3.

Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.

Objectives: The aims of this study were to describe clinical staff perceptions of their ED working environment and to explore associations between staff demographics, coping styles and the work environment.

Methods: A cross-sectional study was conducted in one Swedish ED and two Australian EDs in 2015-2016. Descriptive statistics were used to explore stressors, coping styles and aspects of the working environment for the combined cohort and the cohort split by age, sex, professional role, years of employment in the ED and country. Read More

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December 2019

Youth living with HIV/AIDS in secondary schools: perspectives of peer educators and patron teachers in Western Uganda on stressors and supports.

SAHARA J 2019 12;16(1):51-61

i Department of Public Health , Mental Health and Wellbeing research group, Vrije Universteit Brussels , Brussels , Belgium.

As Youth Living With HIV/AIDS (YLWHA) continue to survive and live with HIV chronically due to effective Antiretroviral Therapy (ART), it is paramount to work toward maximising their psychosocial wellbeing. The school where these YLWHA are expected to spend most of their time is an excellent environment to investigate this. In this study, we explore perspectives of Peer Educators (PEs) in secondary schools of one district in Western Uganda on how YLWHA are perceived in school, on their daily stressors and their way of coping with their HIV-positive serostatus given the support of the schools. Read More

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December 2019

Stressors and coping strategies of emergency department nurses and doctors: A cross-sectional study.

Australas Emerg Care 2019 Sep 28;22(3):180-186. Epub 2019 May 28.

Menzies Health Institute Queensland, Griffith University, Qld, Australia; Department of Emergency Medicine, Gold Coast Health, 1 Hospital Blvd, Southport, Qld 4215, Australia.

Background: Emergency departments (EDs) are stressful workplaces. Limited research explores components ED staff find stressful and how they cope. The aim of this study is to describe ED staff perceptions of their working environment. Read More

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September 2019

Bereavement care in Japanese pediatrics: Pediatrician awareness in practice.

Pediatr Int 2019 Jul 9;61(7):658-663. Epub 2019 Jul 9.

Division of Nursing Science, Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: A child's death affects not only family members but also the health-care professionals involved in patient care. The education system for bereavement care in Japan, however, is not set up in a systematic way, and the care provided is based on the individual experience of the health-care professional. The aim of this study was to investigate pediatrician awareness of and actual circumstances involved in bereavement care in Japan. Read More

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Emergency clinician perceptions of occupational stressors and coping strategies: A multi-site study.

Int Emerg Nurs 2019 07 30;45:17-24. Epub 2019 Apr 30.

Department of Emergency Medicine, Gold Coast Hospital and Health Service, Menzies Health Institute Queensland, Griffith University, Southport, QLD 4215, Australia. Electronic address:

Background: Research exploring multi-disciplinary emergency department (ED) clinicians' perceptions of their working environment is limited, although exposure to occupational stressors is frequent. This study describes ED clinicians' perceptions of their working environment, occupational stressors and their use of coping strategies.

Methods: A cross-sectional descriptive study was conducted in 2017 at two Australian public hospital EDs. Read More

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Change in psychosocial factors connected to coping after inpatient treatment for substance use disorder: a systematic review.

Subst Abuse Treat Prev Policy 2019 05 3;14(1):16. Epub 2019 May 3.

Faculty of Social Sciences, Department of Social Work, Child Welfare and Social Policy, OsloMet - Oslo Metropolitan University, Pb 4, St. Olavs plass, 0130, Oslo, Norway.

Background: Among the adult population worldwide, about 0.5% has illicit drug use disorder (DUD) and about 5% has alcohol use disorder (AUD). Dependency on alcohol, medication or illicit drugs are recognised as risk factors for disabling disease and early death. Read More

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Infant Temperament: Repercussions of Superstorm Sandy-Related Maternal Stress.

Child Psychiatry Hum Dev 2019 02;50(1):150-162

Psychology, Queens College, CUNY, 65-30 Kissena Blvd, Flushing, 11367, NY, USA.

This study recruited a prospective cohort of 380 pregnant women before, during, or after Superstorm Sandy in 2012 to examine the association between disaster-related pre- and post-natal maternal stress and offspring temperament at 6 months-old. Mothers prospectively reported stressful experiences during the storm and rated their child's temperament 6 months postpartum. Results indicated that length of time without phone or electricity and financial loss was associated with offspring negative affect, whereas financial loss and threat of death or injury was associated with emotion dysregulation. Read More

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February 2019

Dealing With the Concepts of "Grief" and "Grieving" in the Classroom: Children's Perceptions, Emotions, and Behavior.

Omega (Westport) 2018 Aug 11;77(3):240-266. Epub 2016 Jan 11.

2 Open University of Cyprus, Nicosia, Cyprus.

This article presents an action research study that explores how a fifth-grade classroom of 10- to 11-year-old children in Cyprus perceive the concepts of grief and grieving, after an educational intervention provided space for discussing such issues. It also explores the impact that the intervention program had on children's emotions while exploring these concepts and illustrates how it affected their behavior. The findings suggest that the intervention had a constructive impact on children's understandings of grief and grieving along two important dimensions. Read More

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Prolonged grief and post-traumatic growth after loss: Latent class analysis.

Psychiatry Res 2018 09 6;267:221-227. Epub 2018 Jun 6.

Division of Psychopathology and Clinical Intervention, Department of Psychology, University of Zurich, Zurich, Switzerland.

Bereavement may trigger different psychological outcomes, such as prolonged grief disorder or post-traumatic growth. The relationship between these two outcomes and potential precipitators remain unknown. The current study aimed to identify classes of Chinese bereaved individuals based on prolonged grief symptoms and post-traumatic growth and to examine predictors for these classes. Read More

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September 2018

Morale, stress and coping strategies of staff working in the emergency department: A comparison of two different-sized departments.

Emerg Med Australas 2018 06 23;30(3):375-381. Epub 2018 Jan 23.

Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.

Objective: Clinical staff in EDs are subject to a range of stressors. The objective of this study was to describe and compare clinical staff perceptions of their ED's working environment across two different Australian EDs.

Methods: This was a cross-sectional, descriptive, research design that included distribution of three survey tools to clinical staff in two Australian EDs in 2016. Read More

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Ghosts, tigers and landmines in the nursery: Attachment narratives of loss in Tamil refugee children with dead or missing fathers.

Clin Child Psychol Psychiatry 2018 Apr 20;23(2):294-310. Epub 2017 Dec 20.

1 Psychiatry Research and Teaching Unit, Liverpool Hospital, Sydney, Australia.

Objective: To build an account of how bereaved Tamil refugee and asylum seeker children, resettled in Australia, had processed the loss of their dead or missing fathers.

Method: Phenomenological and discourse analysis was applied to attachment narratives of nine children (aged 11-17 years) and their surviving mothers in families that lost fathers in war-related circumstances. The narratives were analysed through the lens of Crittenden's Dynamic-Maturational Model of Attachment and Adaptation (DMM) and Klass' cross-cultural model of grief. Read More

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Stories of survival: Children's narratives of psychosocial well-being following paediatric critical illness or injury.

J Child Health Care 2017 Sep 30;21(3):236-252. Epub 2017 Jun 30.

4 Faculty of Health, Social Care and Education, Anglia Ruskin University, Cambridge, UK.

Survival from critical illness can expose children to an array of negative physical and psychological problems. While the perspective of parents and professionals have been well documented, there is limited understanding of how childhood critical care survivors make sense of their experiences in relation to psychosocial well-being. We aimed to explore long-term psychosocial well-being of childhood survivors of critical illness through their stories. Read More

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September 2017

Identifying the Types of Support Needed by Interprofessional Teams Providing Pediatric End-of-Life Care: A Thematic Analysis.

J Palliat Med 2018 Apr 13;21(4):422-427. Epub 2017 Oct 13.

3 Center for Bioethics and Social Sciences in Medicine , Michigan Medicine, Ann Arbor, Michigan.

Background: Despite the number of interprofessional team members caring for children at the end of life, little evidence exists on how institutions can support their staff in providing care in these situations.

Objective: We sought to evaluate which aspects of the hospital work environment were most helpful for multidisciplinary team members who care for patients at the end of life and identify areas for improvement to better address staff needs.

Design: Qualitative thematic analysis was completed of free-text comments from a survey distributed to interprofessional staff members involved in the care of a recently deceased pediatric patient. Read More

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Orphans' perspectives on grief and loss in Botswana.

AIDS Care 2018 04 4;30(4):506-510. Epub 2017 Oct 4.

c Department of Statistics , University of Botswana , Gaborone , Botswana.

This paper seeks to examine orphaned children's experiences on grief and loss in Botswana, and its impact on their well-being and make policy recommendations. A cross sectional design which utilized survey questionnaires was employed. Data were collected from 11 districts (3 urban and 8 rural) among orphan children aged 10-18 years. Read More

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The Unexpected Death of a Child and The Experience of Emergency Service Personnel.

J Emerg Nurs 2018 Jan 13;44(1):64-70. Epub 2017 Jul 13.

Flagstaff, AZ; Chicago, IL.

Introduction: In 2013, 55,000 infants and children, aged 0 to 14, died in the United States. Nearly 7,000 of those deaths were attributed to traumatic causes. A child's death significantly affects emergency service personnel (ESP) caring for children and families. Read More

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January 2018

Legacy Interventions With Patients with Co-Occurring Disorders: Legacy Definitions, Life Satisfaction, and Self-Efficacy.

Subst Use Misuse 2017 Dec 13;52(14):1840-1849. Epub 2017 Jul 13.

b LCSW, Director of Child & Family Innovative Research, and Principal Investigator of Child Welfare Education Project, at the Graduate College of Social Work , University of Houston , Texas , USA.

Background: Individuals with co-occurring disorders tend to avoid interaction with others. To instill hope, legacy intervention aims to highlight past experiences while managing life stressors for a positive outlook. Participants take part in legacy activities-crafting tangible projects and recording one's life events-in order to actualize a personal sense of legacy. Read More

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December 2017