Implementing a Bereavement Follow-up Program in a Hospital Emergency Department
Keywords:
emergency departments, death, family, bereavement, social work, hospitalAbstract
In recognition of the fact that traumatic or sudden deaths in the hospital emergency department can be a distressing experience for families, we piloted a follow-up bereavement service for relatives confronted with an unexpected death. Bereaved families were forwarded a personalised condolence card including the contact details of a social worker to allow them an opportunity to discuss any outstanding concerns about the death. Referral options were provided to relatives requiring ongoing support. Data were collected on the number and nature of follow-up calls, including requests for additional information about the death. Lessons learnt from the pilot were that assessments of each family’s situation and the circumstances of the death are crucial before initiating contact. Interpersonal violence and complex family dynamics are compounding factors that may contraindicate follow-up. Rather than adopt a standardised approach, bereavement follow-up in the emergency department needs to be tailored to the circumstances of each family.
References
Australian Association of Social Workers (AASW). (2020). Australian Association of Social Workers code of ethics 2020. https://aasw.asn.au
Australian Institute of Health and Welfare (AIHW). (2022). Emergency department care 2021–22. https://www.aihw.gov.au/reports-data/myhospitals/intersection/activity/ed
Bateman, V. L. (2015). Ethical decision maker or “champion” of the dying and bereaved?: The contribution of the hospital social worker to end-of-life and bereavement care. Grief Matters, 18(3), 58–63.
Bayuo, J., Anago, E. K., Agyei, F. B., Salifu, Y., Kyei Baffour, P., & Atta Poku, C. (2022). “Resuscitate and push”: End-of-life care
experiences of healthcare staff in the emergency department – A hermeneutic phenomenological study. Journal of Palliative Care,
(4), 494–502. https://doi.org/10.1177/08258597211050740
Berbís‐Morelló, C., Mora‐López, G., Berenguer‐Poblet, M., Raigal‐Aran, L., Montesó‐Curto, P., & Ferré‐Grau, C. (2019). Exploring
family members’ experiences during a death process in the emergency department: A grounded theory study. Journal of Clinical Nursing, 28(15-16), 2790–2800. https://doi.org/10.1111/jocn.14514
Boelen, P. A. (2020). Traumatic grief following traumatic loss: Nature, correlates, and treatment. Grief Matters, 23(1), 14–19.
https://doi.org/10.3316/informit.439421379808583
Boven, C., Dillen, L., Van den Block, L., Piers, R., Van Den Noortgate, N., & Van Humbeeck, L. (2022). In-hospital bereavement
services as an act of care and a challenge: An integrative review. Journal of Pain and Symptom Management, 63(3), e295–e316.
https://doi.org/10.1016/j.jpainsymman.2021.10.008
Cooper, J. J., Stock, R. C., & Wilson, S. J. (2020). Emergency department grief support: A multidisciplinary intervention to provide
bereavement support after death in the emergency department. The Journal of Emergency Medicine, 58(1), 141–147. https://doi.org/10.1016/j.jemermed.2019.09.034
Fox, M., McIlveen, J., & Murphy, E. (2021). Death, dying and bereavement care during COVID-19: Creativity in hospital social work
practice. Qualitative Social Work: Research and Practice, 20(1-2), 131–137. https://doi.org/10.1177/1473325020981074
Ito, Y., Tsubaki, M., & Kobayashi, M. (2022). Families’ experiences of grief and bereavement in the emergency department: A scoping
review. Japan Journal of Nursing Science , 19(1), e12451–n/a. https://doi.org/10.1111/jjns.12451
Jang, K., & Choe, K. (2019). Bereavement experiences after the unexpected death of an older family member in the emergency
department. International Emergency Nursing, 42, 7–11. https://doi.org/10.1016/j.ienj.2018.10.006
Koopmann-Holm, B., Bruchmann, K., Fuchs, M., & Pearson, M. (2021). What constitutes a compassionate response? The important
role of culture. Emotion, 21(8), 1610–1624. https://doi.org/10.1037/emo0001007
LeBrocq, P., Charles, A., Chan, T., & Buchanan, M. (2003). Establishing a bereavement program: Caring for bereaved families and
staff in the emergency department. Accident and Emergency Nursing, 11(2), 85–90. https://doi.org/10.1016/S0965-2302(02)00210-2
Merlevede, E., Spooren, D., Henderick, H., Portzky, G., Buylaert, W., Jannes, C., Calle, P., Van Staey, M., De Rock, C., Smeesters, L.,
Michem, N., & van Heeringen, K. (2004). Perceptions, needs and mourning reactions of bereaved relatives confronted with a sudden
unexpected death. Resuscitation, 61(3), 341–348. https://doi.org/10.1016/j.resuscitation.2004.01.024
Moon, F., & McDermott, F. (2021) Social work end-of-life care interventions for patients and their families in hospital, Australian Social Work, 74(3), 276–293. https://doi.org/10.1080/0312407X.2020.1717561
Parris, R. J., Schlosenberg, J., Stanley, C., Maurice, S., & Clarke, S. F. J. (2007). Emergency department follow-up of bereaved relatives:
An audit of one particular service. Emergency Medicine Journal: EMJ, 24(5), 339–342. https://doi.org/10.1136/emj.2006.042671
Silloway, C. J., Glover, T. L., Coleman, B. J., & Kittelson, S. (2018). Filling the void: Hospital palliative care and community hospice:
A collaborative approach to providing hospital bereavement support. Journal of Social Work in End-of-Life & Palliative Care, 14(2-3),
–161. https://doi.org/10.1080/15524256.2018.1493627
Williams, A. G., O’Brien, D. L., Laughton, K. J., & Jelinek, G. A. (2000). Improving services to bereaved relatives in the emergency
department: Making healthcare more human. Medical Journal of Australia, 173(9), 480–483. https://doi.org/10.5694/j.13265377.2000.tb139300.x
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