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Death Notification in Italian Critical Care Unites and Emergency Services. A Qualitative Study with Physicians, Nurses and Relatives.
Testoni, Ines; Iacona, Erika; Palazzo, Lorenza; Barzizza, Beatrice; Baldrati, Beatrice; Mazzon, Davide; Navalesi, Paolo; Mistraletti, Giovanni; Leo, Diego De.
  • Testoni I; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Iacona E; Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Haifa 3498838, Israel.
  • Palazzo L; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Barzizza B; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Baldrati B; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Mazzon D; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Navalesi P; Department of Philosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), University of Padova, 35122 Padova, Italy.
  • Mistraletti G; Anesthesia and Intensive Care Unit, University Hospital of Padova, 35128 Padova, Italy.
  • Leo D; Department of Surgery and Medicine, University of Padua, 35128 Padova, Italy.
Int J Environ Res Public Health ; 18(24)2021 12 18.
Article in English | MEDLINE | ID: covidwho-1580727
ABSTRACT
This qualitative study was conducted in critical care units and emergency services and was aimed at considering the death notification (DN) phenomenology among physicians (notifiers), patient relatives (receivers) and those who work between them (nurses). Through the qualitative method, a systemic perspective was adopted to recognise three different categories of representation 23 clinicians, 13 nurses and 11 family members of COVID-19 victims were interviewed, totalling 47 people from all over Italy (25 females, mean age 46,36; SD 10,26). With respect to notifiers, the following themes emerged the changes in the relational dimension, protective factors and difficulties related to DN. With respect to receivers, the hospital was perceived as a prison, bereavement between DN, lost rituals and continuing bonds. Among nurses, changes in the relational dimension, protective factors and the impact of the death. Some common issues between physicians and nurses were relational difficulties in managing distancing and empathy and the support of relatives and colleagues. The perspective of receivers showed suffering related to loss and health care professionals' inefficacy in communication. Specifically, everyone considered DNs mismanaged because of the COVID-19 emergency. Some considerations inherent in death education for DN management among health professionals were presented.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / COVID-19 Type of study: Etiology study / Qualitative research Limits: Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182413338

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / COVID-19 Type of study: Etiology study / Qualitative research Limits: Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182413338