Grief and loss in older people residing in nursing homes: (un)detected by nurses and care assistants?. Van Humbeeck, L., Dillen, L., Piers, R., & Van Den Noortgate, N. Journal of advanced nursing, 7, 2016.
abstract   bibtex   
AIM: To explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care. BACKGROUND: Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care. DESIGN: A qualitative research design with elements of constructivist grounded theory was used. METHODS: Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013 - March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10. FINDINGS: Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context. CONCLUSION: Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Further, the findings from this study point towards a need for education and training. This article is protected by copyright. All rights reserved.
@article{
 title = {Grief and loss in older people residing in nursing homes: (un)detected by nurses and care assistants?},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 keywords = {care-assistants,grief,loss,nurses,nursing,nursing home,older people},
 month = {7},
 day = {5},
 city = {Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.; Oncology Centre and Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.; Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.; D},
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 notes = {LR: 20160705; CI: This article is protected by copyright. All rights reserved.; JID: 7609811; OTO: NOTNLM; 2015/08/14 [received]; 2016/05/13 [revised]; 2016/06/02 [accepted]; aheadofprint},
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 abstract = {AIM: To explore how nurses and care-assistants (nursing staff) working in six Flemish nursing homes experience and describe their involvement in grief care. BACKGROUND: Although grief in older people is widely described in literature, less is known about how nursing staff in nursing homes offer and perceive grief care. DESIGN: A qualitative research design with elements of constructivist grounded theory was used. METHODS: Loosely structured face-to-face interviews were done with fourteen nurses and care-assistants. Data were collected from October 2013 - March 2014. Interview transcripts were analysed using the Qualitative Analysis Guide of Leuven (QUAGOL) method with support of NVivo 10. FINDINGS: Grief care in nursing homes is characterized by a complex tension between two care dimensions: (1) being involved while keeping an appropriate distance; and (2) being while doing. Nursing staff described key enablers and influencing factors for grief care at the level of both the individual and the organizational context. CONCLUSION: Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Further, the findings from this study point towards a need for education and training. This article is protected by copyright. All rights reserved.},
 bibtype = {article},
 author = {Van Humbeeck, L and Dillen, L and Piers, R and Van Den Noortgate, N},
 journal = {Journal of advanced nursing}
}

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