Bereavement care in Japanese pediatrics: Pediatrician awareness in practice

Bereavement care in Japanese pediatrics: Pediatrician awareness in practice
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日本儿科的丧亲护理:儿科医生的实践意识

DOI:
10.1111/ped.13891
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发表时间:
2019
影响因子:
1.4
通讯作者:
Hamada Yuko
Hamada Yuko
中科院分区:
医学4区
文献类型:
--
作者:
Fujita Ayaka;Hamada Yuko

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儿童的死亡不仅影响家庭成员,而且影响参与患者护理的医疗保健专业人员。然而,日本的丧亲护理教育体系并不系统,提供的护理是基于医疗保健专业人员的个人经验。本研究的目的是调查儿科医生的认识和实际情况涉及丧亲care in Japanes.MethodsA定性描述性研究在日本的四个设施。收集的数据使用半结构化访谈的11名儿科医生进行了评估,使用归纳定性analysis.ResultsPediatrician承认的要素丧亲之痛的护理分类如下:(一)发展关系与家庭之前,一个孩子的死亡是重要的丧亲之痛的护理;(二)后,孩子去世,家庭参与是留给医生的自由裁量权;(iii)亲身经历处理儿童的死亡是必要的;(iv)处理儿童死亡的医生亦有精神上的负担;及(v)必须设立一个照顾家庭丧亲的制度。根据丧亲护理的实际情况,建立了两个类别:(i)必须注意谁失去了孩子的家庭的情绪;和(ii)医生参与丧亲家庭取决于医生的意识和专业知识。这需要通过改善丧亲护理相关教育来改善医疗保健专业人员对悲伤的自我护理。此外,必须培训卫生保健专业人员,必须建立国家级的提供系统,为失去孩子的家庭提供高质量的丧亲护理。
BackgroundA 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.MethodsA qualitative descriptive study was conducted at four facilities in Japan. Data collected using semi‐structured interviews of 11 pediatricians were assessed using inductive qualitative analysis.ResultsPediatrician recognition of the elements of bereavement care was categorized as follows: (i) developing relationships with families before a child's death is important in bereavement care; (ii) after the child dies, family involvement is left to the doctor's discretion; (iii) coping with a child's death myself through past experience is essential; (iv) doctors involved in a child's death also experience mental burden; and (v) a system for the family's bereavement care must be established. Two categories were established according to actual circumstances involved in bereavement care: (i) attention must be given to the emotions of the families who lost a child; and (ii) doctor involvement with bereaved families depends on doctor awareness and expertise.ConclusionJapanese pediatricians provided bereavement care to families who lost their children in a non‐systematic manner. This is necessitates improvement of the self‐care of health‐care professionals with regard to grief by improving bereavement care‐related education. Additionally, health‐care professionals must be trained, and a national‐level provision system must be established to provide high‐quality bereavement care to families who lose a child.
DOI: 10.1002/pon.1130
发表时间: 2007-08-01
期刊: PSYCHO-ONCOLOGY
影响因子: 3.6
作者:
Ablett, Janice R.;Jones, R. S. P.
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DOI: 10.1002/pon.4118
发表时间: 2017-07-01
期刊: PSYCHO-ONCOLOGY
影响因子: 3.6
作者:
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发表时间: 1980
期刊: OMEGA — Journal of Death and Dying
影响因子: --
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DOI: 10.1017/s1478951513000138
发表时间: 2013
影响因子: 2.2
作者:
S. Zambrano;A. Chur;G. Crawford
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DOI: 10.1016/j.aenj.2013.08.001
发表时间: 2013-11-01
期刊: AUSTRALASIAN EMERGENCY NURSING JOURNAL
影响因子: --
作者:
Peters, Louise;Cant, Robyn;Shimoinaba, Kaori
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