Exploring perspectives of supporting the process of dying, death and bereavement among critical care staff: A multidisciplinary, qualitative approach
2025

Supporting Dying, Death, and Bereavement in Critical Care

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): Joyce Elsa, Guerin Suzanne, Synman Lindi, Ryberg Melanie

Primary Institution: University College Dublin

Hypothesis

What are the perspectives of critical care staff on dying, death, and bereavement?

Conclusion

Critical care staff face unique challenges in supporting patients and families during the dying process, highlighting the need for better psychological and infrastructural support.

Supporting Evidence

  • Staff want to provide a 'nice death' to patients and their families.
  • Environmental and organizational barriers hinder staff from providing the care they believe patients deserve.
  • Staff experience burnout and moral injury due to the challenges of providing end-of-life care.
  • Better bereavement support and training for staff could improve care for families.

Takeaway

This study talks about how hospital staff want to help families and patients have a peaceful goodbye, but they often struggle because of the busy hospital environment.

Methodology

Descriptive exploratory qualitative design using semi-structured interviews and reflexive thematic analysis.

Potential Biases

Potential bias due to the lead researcher's lack of prior interaction with critical care staff.

Limitations

The sample had an uneven gender split and lacked cultural diversity, which may not reflect the wider critical care staff population in Ireland.

Participant Demographics

Majority female (73.3%), with participants from nursing, anaesthesiology, dietetics, medicine, and physiotherapy.

Digital Object Identifier (DOI)

10.1177/17511437241308672

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