Literature DB >> 1855027

Your child is dead.

I Finlay1, D Dallimore.   

Abstract

OBJECTIVE: To determine parent's views on how death of their children should have been handled.
DESIGN: Retrospective questionnaire survey of parents who had experienced death of their child.
SETTING: Charitable organisation of bereaved parents.
SUBJECTS: 150 bereaved parents, all members of the organisation, of whom 120 (80%) participated voluntarily in the study. MAIN OUTCOME MEASURES: Child's age; date and cause of death; details of person breaking the news and handling of the interview; time parents spent with dead child, their attitude to requests for organ donation, and follow up support received.
RESULTS: 122 children's deaths were described; the largest single group was due to road traffic accidents, 16 were suicides, and eight were murders. Twice as many interviews were rated as sympathetically or reasonably handled as badly or offensively handled (68 v 34). The interview ratings depended on the sensitivity and personal skills of the interviewers rather than on their previous contact or professional position; police were rated as more sympathetic than doctors and nurses. Of 109 respondents, 81 had seen their child's body, 44 of whom thought that sufficient time had been denied. Of the 28 parents who did not see the body, 17 subsequently stated their regret. In 82 parents organ donation had not been discussed. Only 16 parents recorded any follow up support from hospital staff and very few support at the time.
CONCLUSIONS: The consistency of the responses suggests a serious need to revise the in service training and education of the police and health professionals in their approach to informing of death; organ donation should be discussed sensitively and parents allowed time with their dead child with fewer restrictions.

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Mesh:

Year:  1991        PMID: 1855027      PMCID: PMC1670220          DOI: 10.1136/bmj.302.6791.1524

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  1 in total

1.  The complaints procedure.

Authors:  T Geffen
Journal:  Health Trends       Date:  1990
  1 in total
  11 in total

1.  Beyond breaking bad news: how to help patients who suffer.

Authors:  M W Rabow; S J McPhee
Journal:  West J Med       Date:  1999-10

Review 2.  Winning hearts and minds: using psychology to promote voluntary organ donation.

Authors:  T Farsides
Journal:  Health Care Anal       Date:  2000

3.  Caring for patients harmed by treatment.

Authors:  C Vincent
Journal:  Qual Health Care       Date:  1995-06

4.  Guidelines for health care professionals supporting families experiencing a perinatal loss.

Authors: 
Journal:  Paediatr Child Health       Date:  2001-09       Impact factor: 2.253

5.  A study of bereavement care after a sudden and unexpected death.

Authors:  A Dent; L Condon; P Blair; P Fleming
Journal:  Arch Dis Child       Date:  1996-06       Impact factor: 3.791

6.  A national model of care service for professionals dealing with sudden infant death.

Authors:  M McDonnell; A Cullen; B Kiberd; M Mehanni; T Matthews
Journal:  Ir J Med Sci       Date:  1999 Oct-Dec       Impact factor: 1.568

7.  The management of bereavement on intensive care units.

Authors:  C E Granger; C George; M P Shelly
Journal:  Intensive Care Med       Date:  1995-05       Impact factor: 17.440

8.  Organ donation in the accident and emergency department: a study of relatives' views.

Authors:  A Wellesley; E Glucksman; R Crouch
Journal:  J Accid Emerg Med       Date:  1997-01

9.  Perceptions of the parents of deceased children and of healthcare providers about end-of-life communication and breaking bad news at a tertiary care public hospital in India: A qualitative exploratory study.

Authors:  Manoja Kumar Das; Narendra Kumar Arora; Harish Kumar Chellani; Pradeep Kumar Debata; K R Meena; Reeta Rasaily; Gurkirat Kaur; Prikanksha Malik; Shipra Joshi; Manisha Kumari
Journal:  PLoS One       Date:  2021-03-18       Impact factor: 3.240

Review 10.  What do bereaved parents want from professionals after the sudden death of their child: a systematic review of the literature.

Authors:  Joanna Garstang; Frances Griffiths; Peter Sidebotham
Journal:  BMC Pediatr       Date:  2014-10-15       Impact factor: 2.125

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