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Nurses' Experiences of Providing Bereavement Care: A Systematic Review and Synthesis of Qualitative Research

ABSTRACT

Aim

To identify and synthesise the available evidence of nurses' perceptions and experiences of providing bereavement care.

Design

Systematic literature review of qualitative studies with meta-synthesis of findings.

Data Sources

We searched six databases, PubMed, Web of Science, the Cochrane Library, Embase, CINAHL, and PsyINFO. Initial search in October 2023, and updated in December 2024.

Review Methods

The systematic review was conducted in accordance with the JBI methodology for systematic reviews of qualitative evidence. Two reviewers independently conducted study selection and data extraction, and quality appraisal was assessed using the Critical Appraisal Skills Program tool for qualitative research. Data synthesis was conducted using thematic analysis.

Results

A total of thirteen studies were included, revealing nine sub-themes and three descriptive themes: challenges in bereavement care, coping strategies, and multifaceted job requirements. Six sub-themes were graded as high confidence and the other three were moderate confidence.

Conclusion

Bereavement care is a personalised, long-term and complex process, presenting nurses with unique challenges and requirements that must be measured through the authentic experiences of this group. Educational and practice policies should focus on nurse-centred strategies. Through this meta-synthesis, we can demonstrate to healthcare administrators how to enhance nurses' bereavement care practice experiences and meet their needs, thereby advancing future palliative care development and fostering professional fulfilment.

Impact

This systematic review synthesises evidence concerning nurses' experiences of providing bereavement care, revealing the multidimensional challenges, coping strategies, and professional demands encountered in practice. The findings offer significant implications for nursing education, clinical practice, and health policy development. Currently, research on nurses delivering bereavement support remains insufficient; further investigation into this group could help bridge gaps between grief counselling theory and practice while highlighting the identified societal issues they face.

Patient or Public Contribution

Not applicable.

Trial Registration

PROSPERO: CRD42024590469

The Experiences and Needs of Patients With Malignant Fungating Wounds: A Meta‐Synthesis of Qualitative Studies

ABSTRACT

Aims

To synthesize existing qualitative research on the life experiences and needs of patients with malignant fungating wounds, and to provide a theoretical foundation for developing patient-centred wound care plans.

Design

A systematic review of qualitative studies.

Data Sources

A systematic search of PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, CNKI, WanFang, and VIP was conducted to identify relevant studies from database inception to August 2024.

Review Methods

This review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.

Results

A total of 12 qualitative studies were included. Five major themes were identified: physiological limitations, psychological alterations, social challenges, disease management needs, and support and care needs.

Conclusion

Patients with malignant fungating wounds face multidimensional challenges that profoundly compromise their quality of life. Comprehensive care for patients with malignant fungating wounds should be delivered through multidisciplinary collaboration, encompassing symptom management, psychological support, health education, and financial assistance.

Impact

This study synthesizes qualitative evidence on the complex experiences and needs of patients with malignant fungating wounds, highlighting the profound physical, psychological, and social challenges they encounter. The findings provide valuable insights to support oncology and wound care professionals in designing personalized, patient-centred care strategies.

Trial Registration

PROSPERO CRD42024578946

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