학술논문

Effectiveness of bereavement interventions in neonatal intensive care: A review of the evidence
Document Type
Report
Source
Seminars in Fetal and Neonatal Medicine. Oct, 2008, Vol. 13 Issue 5, p341, 16 p.
Subject
Bereavement
Infants (Newborn)
Language
English
ISSN
1744-165X
Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.siny.2008.03.011 Byline: Sheila Harvey (a), Claire Snowdon (a)(b), Diana Elbourne (a) Abstract: The provision of bereavement care is an important part of neonatal intensive care. This systematic review of the effectiveness of interventions to support families and facilitate emotional adjustment following the death of a baby suggests that, while these are largely appreciated by parents who have participated in research, there has been little rigorous evaluation of their effectiveness. This review reflects on possible reasons for this; for example: NICU-led bereavement care is changing, the effectiveness of bereavement care is difficult to measure, concepts of effectiveness are not static, and ethical concerns complicate experimental research. Bereavement interventions are compassion-led and generally considered to be beneficial. New research questions and new methodological challenges are discussed with reference to two examples of evolving practice: bereavement photography and the use of ritual. Future research using innovative and sensitive RCTs and consensus amongst relevant stakeholders is suggested. Author Affiliation: (a) Medical Statistics Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK (b) Centre for Family Research, University of Cambridge, Free School Lane, Cambridge CB2 3RF, UK