The management of bereavement on intensive care units
| Autor: | C. George, C. E. Granger, M. P. Shelly |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Health Knowledge Attitudes Practice Critical Care Staff support education Nursing Staff Hospital Critical Care and Intensive Care Medicine law.invention Nursing law Professional-Family Relations Anesthesiology Intensive care Surveys and Questionnaires Medical Staff Hospital Medicine Humans Response rate (survey) Staff Attitudes Health Services Needs and Demand business.industry Medical practice Intensive care unit United Kingdom Death Self-Help Groups business Staff training Bereavement |
| Zdroj: | Intensive care medicine. 21(5) |
| ISSN: | 0342-4642 |
| Popis: | To investigate the management of the bereaved on Intensive Care Units (ICU) throughout the United Kingdom, and to identify inadequacies that may exist either in the provision of staff training in dealing with bereavement or in the facilities or support available for the bereaved. Questionnaires were sent to the senior nurse and senior doctor in all general ICUs with more than four beds nationwide. The questions asked about nursing and medical practice around the time of a patient's death, as well as about staff attitudes towards, and training in, dealing with bereavement and the support they received for this role. We obtained a 68% (293/430) response rate. Most ICUs had facilities for relatives, but little for the specific needs of the bereaved. Only 6% of doctors and 21% of nurses had training in dealing with bereavement and grieving. A staff support group was available in 23% of ICUs, and 75% of the remainder thought it would be useful to have one. Lack of staff training and poor facilities for relatives were identified as the major concerns of ICU staff. Many doctors and nurses working in Intensive Care Units feel inadequately trained to deal confidently with the bereaved. A minority of ICUs have support mechanisms available for their staff, inspite of the perceived need for them. Furthermore, many ICU staff feel the facilities they are able to offer the bereaved are inadequate. We have identified the major inadequacies and the needs of ICU staff for improved training. Meeting these needs would play a significant role not only in reducing staff stress but also minimising the morbidity in surviving relatives. |
| Databáze: | OpenAIRE |
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