The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Bereavement Support on the Frontline of COVID-19: Recommendations for Hospital Clinicians
Open accessAbstract
Deaths due to COVID-19 are associated with risk factors which can lead to prolonged grief disorder, post-traumatic stress, and other poor bereavement outcomes among relatives, as well as moral injury and distress in frontline staff. Here we review relevant research evidence and provide evidence-based recommendations and resources for hospital clinicians to mitigate poor bereavement outcomes and support staff. For relatives, bereavement risk factors include dying in an intensive care unit, severe breathlessness, patient isolation or restricted access, significant patient and family emotional distress, and disruption to relatives' social support networks. Recommendations include advance care planning; proactive, sensitive, and regular communication with family members alongside accurate information provision; enabling family members to say goodbye in person where possible; supporting virtual communication; providing excellent symptom management and emotional and spiritual support; and providing and/or sign-posting to bereavement services. To mitigate effects of this emotionally challenging work on staff, we recommend an organizational and systemic approach which includes access to informal and professional support.
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“Since deaths due to COVID-19 occur suddenly, PTSD can be seen in loved ones who died in this process.[52]”
From Psychological Distress of Breast Cancer Survivors During the COVID-19 Pandemic and Related Factors: A Controlled Study. (2023) · cites this paper as [52]
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A communication strategy and brochure for relatives of patients dying in the ICU.
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“Family conferences informed by the ‘‘VALUE’’ mnemonic have been found to lessen bereavement burden.(10)”
Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis
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“Approximately one in ten bereaved adults develop Prolonged Grief Disorder (PGD) (1) , which involves intense symptoms of grief that endure for more than six months post-loss, separation distress, intrusive thoughts, and feelings of emptiness or meaninglessness.”
Grief during the COVID-19 pandemic: considerations for palliative care providers
Wallace, C. L., Wladkowski, S. P., Gibson, A., & White, P. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.04.012 · Cited by 635 · cited 2×
“general guidance for its mitigation.(2) Here, we review bereavement risk factors in COVID-19, provide evidence-based recommendations for how to support bereaved relatives (Table 1), and highlight additional resources (Table 2).”
Predictors of complicated grief: a systematic review of empirical studies
Lobb, E. A., Kristjanson, L. J., Aoun, S. M., Monterosso, L., Halkett, G. K. B., & Davies, A. (2010) · Death Studies · doi:10.1080/07481187.2010.496686 · Cited by 611 · cited 1×
“Poor bereavement outcomes are associated with being a female relative, a spouse, older age, trauma, and lower educational attainment, socioeconomic status and social support (28) (29) (30) .”
Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care
Chochinov, H. M. (2007) · BMJ · doi:10.1136/bmj.39244.650926.47 · Cited by 512
COVID-19 and experiences of moral injury in front-line key workers
Williamson, V., Murphy, D., & Greenberg, N. L. (2020) · Occupational Medicine · doi:10.1093/occmed/kqaa052 · Cited by 397
Occupational moral injury and mental health: systematic review and meta-analysis
Williamson, V., Stevelink, S. A. M., & Greenberg, N. L. (2018) · The British Journal of Psychiatry · doi:10.1192/bjp.2018.55 · Cited by 395
Complicated grief after death of a relative in the intensive care unit
Kentish-Barnes, N., Chaize, M., Seegers, V., Legriel, S., Cariou, A., Jaber, S., Lefrant, J.-Y., Floccard, B., Renault, A., Vinatier, I., et al. (2015) · European Respiratory Journal · doi:10.1183/09031936.00160014 · Cited by 347
Cited by
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Adaptation of evidence‐based suicide prevention strategies during and after the COVID ‐19 pandemic
Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020) · World Psychiatry · doi:10.1002/wps.20801 · Cited by 307
Bereavement in Times of COVID-19: A Review and Theoretical Framework
Stroebe, M., & Schut, H. A. W. (2020) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222820966928 · Cited by 265
Burrell, A., & Selman, L. E. (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222820941296 · Cited by 199
Self-citationTang, S., & Xiang, Z. (2021) · Globalization and Health · doi:10.1186/s12992-021-00669-5 · Cited by 156
Hofmeyer, A. T., & Taylor, R. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15520 · Cited by 162
Metadata
- Authors
- Selman, L. E., Chao, D., Sowden, R., Marshall, S., Chamberlain, C., & Koffman, J.
- Affiliations
- University of Bristol (GB)
- King's College London (GB)
- Corresponding author
- Selman, Lucy E.
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 60
- Issue
- 2
- Pages
- e81-e86
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC7196538
- OpenAlex
- W3020886392
- Cited by
- 261
- References
- 39
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 24 · 2023: 45 · 2022: 77 · 2021: 68 · 2020: 34
- FWCI
- 22.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Explore Bristol Research (acceptedVersion, cc-by-nc-nd)
- Funders
- National Institute for Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- COVID-19 pandemic, bereavement, prolonged grief disorder, post-traumatic stress, moral injury, advance care planning, family communication, ICU mortality, virtual communication, symptom management, spiritual support, bereavement services, staff support
- MeSH terms
- COVID-19, Bereavement, Communication, Family, Health Personnel, Humans, Palliative Care, Pneumonia, Viral, Social Isolation, Stress, Psychological, Coronavirus Infections, Disease Management, Advance Care Planning, Pandemics
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