Parents experience of using "cold" facilities at a children's hospice after the death of their baby: A qualitative study.

There is a growing movement in children's hospice care to offer families time with their baby after death through use of a "cold cot"; however, there is very limited research in this area. We interviewed seven parents (four mothers and three fathers). Our thematic analysis identified six themes: being able to care for my baby in a way that I never had, space and time to adjust to the loss, time as a family, having my baby close, creating memories, and awareness of societal perceptions. The authors conclude that these facilities provided memories, strengthened legacy, and were a valuable experience.

Meta-analysis found high rates of post-traumatic stress disorder and associated risk factors in parents following paediatric medical events.

AIM: This meta-analysis identified how prevalent parental post-traumatic stress disorder (PTSD) was after their children's medical events and evaluated the risk factors that increased the likelihood of PTSD. METHODS: The MEDLINE, PsycINFO and PTSDpubs databases were searched for papers published in English from 1980 to June 2018. The prevalence of parental PTSD was pooled across the studies and risk factors were extracted whether PTSD symptoms were correlated with other research variables or when the authors had conducted between group analyses of PTSD. We also explored the effects of the assessment method, parental gender and medical events and the risk of bias. RESULTS: The 54 studies that were identified had a pooled PTSD prevalence rate of 30.3% (95% confidence interval 25.3%-35.5%). Childhood cancer cases yielded the highest rates of parental PTSD. A total of 33 potential risk factors were identified. The risk factors with medium to large effects were: comorbid parental psychological responses and functioning, acute stress responses, child behavioural functioning, uncertainty about the child's illness and negative coping strategies. The findings are discussed within the context of high heterogeneity. CONCLUSION: The prevalence of parental PTSD after paediatric medical events was relatively high, and 33 risk factors were identified.

The Prevalence of Burnout and Secondary Traumatic Stress in Professionals and Volunteers Working With Forcibly Displaced People: A Systematic Review and Two Meta-Analyses.

Research suggests that professionals and volunteers who work with forcibly displaced people (FDP) experience burnout and secondary traumatic stress (STS) as a result of working with such a highly traumatized population. In the present systematic review and meta-analyses, we report the pooled prevalence rates of burnout and STS in individuals working both professionally and voluntarily with FDP. The CINAHL Complete, E-Journals, ERIC, MEDLINE Complete, OpenDissertations, PsycARTICLES, and PsycINFO databases were searched for articles published historically to September 2019. Studies (N = 15) were included and assessed for quality if (a) their sample comprised individuals working in a professional or voluntary capacity with refugees, asylum seekers, forced migrants, or displaced persons and (b) reported on an outcome of STS or burnout. Two meta-analyses were conducted using random-effects models to assess the prevalence of (a) burnout and (b) STS. The pooled prevalence of high-level burnout was 29.7%, 95% CI [13.8%, 45.6%], with considerable heterogeneity between studies, Q(5) = 112.42, p < .001, I2 = 95.6%. The pooled prevalence of moderate, high, and severe STS was 45.7%, 95% CI [26.1%, 65.2%] with considerable heterogeneity between studies, Q(12) = 1,079.37, p < .001, I2 = 98.9%. Significant differences were observed in reported prevalence depending on the measure administered. This review highlights the high prevalence of high-level burnout and moderate-to-severe STS reported by individuals working with FDP. The results have implications for future research, employment support for individuals working with FDP, and measure selection for assessing STS.