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dc.contributor.authorEfstathiou, Nikolaos
dc.contributor.authorWalker, Wendy
dc.contributor.authorMetcalfe, Alison
dc.contributor.authorVanderspank-Wright, Brandi
dc.date.accessioned2019-02-20T15:15:39Z
dc.date.available2019-02-20T15:15:39Z
dc.date.issued2018-12-01
dc.identifier.citationEfstathiou, N. eta al (2019) The state of bereavement support in adult intensive care: A systematic review and narrative synthesis, Journal of Critical Care DOI 10.1016/j.jcrc.2018.11.026
dc.identifier.issn0883-9441
dc.identifier.doi10.1016/j.jcrc.2018.11.026
dc.identifier.urihttp://hdl.handle.net/2436/622105
dc.description.abstractPurpose Despite advances in medical science, patient death and family bereavement are commonly encountered in adult intensive care units (ICUs). This is the first review to investigate the state of ICU bereavement support globally, and the availability and effectiveness of bereavement support interventions. Methods A systematic review and narrative synthesis. Medline, CINAHL Plus, PsycINFO, Web of Science, EMBASE were searched and inclusion/exclusion criteria were applied. Included studies were appraised using relevant appraisal tools. Results Fourteen papers formed the review; five of which were international surveys reporting variable bereavement practices and levels of support. A lack of training and resources were identified barriers. Nine papers reported the effectiveness of primarily discrete bereavement support interventions including: a personal memento, a handwritten condolence letter, a post-death meeting; storytelling, research participation, use of an ICU diary. One study evaluated a bereavement follow-up program. Generally, all identified interventions were well accepted by bereaved families. Conclusions The reviewed evidence was weak, and findings were contextually bound. As such, it is difficult to make recommendations for the most acceptable and effective bereavement support intervention(s). Bereavement support in ICU needs further exploration and clinicians must be adequately trained and supported for the delivery of evidence-informed, culturally competent care.
dc.formatapplication/PDF
dc.language.isoen
dc.publisherElsevier
dc.relation.urlhttps://www.sciencedirect.com/science/article/pii/S0883944118314035?via%3Dihub
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectbereavement
dc.subjectintensive care units
dc.subjectnarrative synthesis
dc.subjectsystematic review
dc.titleThe state of bereavement support in adult intensive care: A systematic review and narrative synthesis
dc.typeJournal article
dc.identifier.journalJournal of Critical Care
dc.date.accepted2018-11-21
rioxxterms.funderUniversity of Wolverhampton
rioxxterms.identifier.projectUOW200919WW
rioxxterms.versionAM
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2019-02-20
dc.source.volume50
dc.source.issueApril
dc.source.beginpage177
dc.source.endpage187
refterms.dateFCD2019-02-20T15:15:39Z
refterms.versionFCDAM


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