Physicians' Conceptualization of "Closure" as a Benefit of Physician-Parent Follow-up Meetings after a Child's Death in the Pediatric Intensive Care Unit
Physicians' Conceptualization of "Closure" as a Benefit of Physician-Parent Follow-up Meetings after a Child's Death in the Pediatric Intensive Care Unit
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DOI：
10.1177/082585971302900202
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发表时间：
2013-06-01
影响因子：
1.7
通讯作者：
Nicholson, Carol
中科院分区：
文献类型：
--
作者：
Eggly, Susan;Meert, Kathleen L.;Nicholson, Carol
我们研究了医生的概念关闭作为一个好处的后续会议与丧亲父母。使用的频率和“关闭”一词的含义进行了分析，在采访的成绩单与67名重症监护医生隶属于合作儿科重症监护研究网络。总共有38名医生（57%）至少使用过一次“闭合”这个词（中位数：2;范围：1 - 7），总共86次。医生指出，关闭是一个过程或轨迹，而不是一个可实现的目标。他们还表示，父母和医生可以通过更好地了解死亡的原因和情况，并通过重新联系或解决父母和卫生专业人员之间的关系来接近关闭。医生建议，进行后续会议的主要原因是，这样的会议为父母和医生提供了一个走向关闭的机会。未来的研究应该试图确定后续会议是否减少了丧亲之痛对父母和医生的负面影响。
We examined physicians' conceptualization of closure as a benefit of follow-up meetings with bereaved parents. The frequency of use and the meaning of the word "closure" were analyzed in transcripts of interviews with 67 critical care physicians affiliated with the Collaborative Pediatric Critical Care Research Network. In all, 38 physicians (57 percent) used the word "closure" at least once (median: 2; range: 1 to 7), for a total of 86 times. Physicians indicated that closure is a process or trajectory rather than an achievable goal. They also indicated that parents and physicians can move toward closure by gaining a better understanding of the causes and circumstances of the death and by reconnecting with, or resolving relationships between, parents and health professionals. Physicians suggested that a primary reason to conduct follow-up meetings is that such meetings offer parents and physicians an opportunity to move toward closure. Future research should attempt to determine whether followup meetings reduce the negative effects of bereavement for parents and physicians.