Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study
Abstract Background When a patient is approaching death in the intensive care unit (ICU), patients’ relatives must make a rapid transition from focusing on their beloved one’s recovery to preparation for their unavoidable death. Bereaved relatives may develop complicated grief as a consequence of th...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12904-020-00636-8 |
| _version_ | 1818850445037142016 |
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| author | Margo M. C. van Mol Sebastian Wagener Jos M. Latour Paul A. Boelen Peter E. Spronk Corstiaan A. den Uil Judith A. C. Rietjens |
| author_facet | Margo M. C. van Mol Sebastian Wagener Jos M. Latour Paul A. Boelen Peter E. Spronk Corstiaan A. den Uil Judith A. C. Rietjens |
| author_sort | Margo M. C. van Mol |
| collection | DOAJ |
| description | Abstract Background When a patient is approaching death in the intensive care unit (ICU), patients’ relatives must make a rapid transition from focusing on their beloved one’s recovery to preparation for their unavoidable death. Bereaved relatives may develop complicated grief as a consequence of this burdensome situation; however, little is known about appropriate options in quality care supporting bereaved relatives and the prevalence and predictors of complicated grief in bereaved relatives of deceased ICU patients in the Netherlands. The aim of this study is to develop and implement a multicomponent bereavement support intervention for relatives of deceased ICU patients and to evaluate the effectiveness of this intervention on complicated grief, anxiety, depression and posttraumatic stress in bereaved relatives. Methods The study will use a cross-sectional pre-post design in a 38-bed ICU in a university hospital in the Netherlands. Cohort 1 includes all reported first and second contact persons of patients who died in the ICU in 2018, which will serve as a pre-intervention baseline measurement. Based on existing policies, facilities and evidence-based practices, a nurse-led intervention will be developed and implemented during the study period. This intervention is expected to use 1) communication strategies, 2) materials to make a keepsake, and 3) a nurse-led follow-up service. Cohort 2, including all bereaved relatives in the ICU from October 2019 until March 2020, will serve as a post-intervention follow-up measurement. Both cohorts will be performed in study samples of 200 relatives per group, all participants will be invited to complete questionnaires measuring complicated grief, anxiety, depression and posttraumatic stress. Differences between the baseline and follow-up measurements will be calculated and adjusted using regression analyses. Exploratory subgroup analyses (e.g., gender, ethnicity, risk profiles, relationship with patient, length of stay) and exploratory dose response analyses will be conducted. Discussion The newly developed intervention has the potential to improve the bereavement process of the relatives of deceased ICU patients. Therefore, symptoms of grief and mental health problems such as depression, anxiety and posttraumatic stress, might decrease. Trial registration Netherlands Trial Register Registered on 27/07/2019 as NL 7875, www.trialregister.nl |
| first_indexed | 2024-12-19T06:49:14Z |
| format | Article |
| id | doaj.art-8e92378ef3c3452093a0bc37cdd26fd7 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-19T06:49:14Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-8e92378ef3c3452093a0bc37cdd26fd72022-12-21T20:31:49ZengBMCBMC Palliative Care1472-684X2020-08-0119111010.1186/s12904-020-00636-8Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention studyMargo M. C. van Mol0Sebastian Wagener1Jos M. Latour2Paul A. Boelen3Peter E. Spronk4Corstiaan A. den Uil5Judith A. C. Rietjens6Department of Intensive Care Adults, Erasmus MC University Medical CenterDepartment of Intensive Care Adults, Erasmus MC University Medical CenterSchool of Nursing and Midwifery, Faculty of Health: Medicine, Dentistry and Human Sciences, University of PlymouthClinical Psychology Faculty Social Sciences, Arq Psychotrauma Expert Groep, University UtrechtDepartment of Intensive Care Medicine, ExpIRA - Expertise Center for Intensive Care Rehabilitation Apeldoorn, Gelre Hospitals ApeldoornDepartment of Cardiology, Erasmus MC University Medical CenterDepartment of Public Health, Erasmus MC University Medical CenterAbstract Background When a patient is approaching death in the intensive care unit (ICU), patients’ relatives must make a rapid transition from focusing on their beloved one’s recovery to preparation for their unavoidable death. Bereaved relatives may develop complicated grief as a consequence of this burdensome situation; however, little is known about appropriate options in quality care supporting bereaved relatives and the prevalence and predictors of complicated grief in bereaved relatives of deceased ICU patients in the Netherlands. The aim of this study is to develop and implement a multicomponent bereavement support intervention for relatives of deceased ICU patients and to evaluate the effectiveness of this intervention on complicated grief, anxiety, depression and posttraumatic stress in bereaved relatives. Methods The study will use a cross-sectional pre-post design in a 38-bed ICU in a university hospital in the Netherlands. Cohort 1 includes all reported first and second contact persons of patients who died in the ICU in 2018, which will serve as a pre-intervention baseline measurement. Based on existing policies, facilities and evidence-based practices, a nurse-led intervention will be developed and implemented during the study period. This intervention is expected to use 1) communication strategies, 2) materials to make a keepsake, and 3) a nurse-led follow-up service. Cohort 2, including all bereaved relatives in the ICU from October 2019 until March 2020, will serve as a post-intervention follow-up measurement. Both cohorts will be performed in study samples of 200 relatives per group, all participants will be invited to complete questionnaires measuring complicated grief, anxiety, depression and posttraumatic stress. Differences between the baseline and follow-up measurements will be calculated and adjusted using regression analyses. Exploratory subgroup analyses (e.g., gender, ethnicity, risk profiles, relationship with patient, length of stay) and exploratory dose response analyses will be conducted. Discussion The newly developed intervention has the potential to improve the bereavement process of the relatives of deceased ICU patients. Therefore, symptoms of grief and mental health problems such as depression, anxiety and posttraumatic stress, might decrease. Trial registration Netherlands Trial Register Registered on 27/07/2019 as NL 7875, www.trialregister.nlhttp://link.springer.com/article/10.1186/s12904-020-00636-8Bereaved relativesComplicated griefIntensive care unitNurse-ledPalliative careStudy protocol |
| spellingShingle | Margo M. C. van Mol Sebastian Wagener Jos M. Latour Paul A. Boelen Peter E. Spronk Corstiaan A. den Uil Judith A. C. Rietjens Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study BMC Palliative Care Bereaved relatives Complicated grief Intensive care unit Nurse-led Palliative care Study protocol |
| title | Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study |
| title_full | Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study |
| title_fullStr | Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study |
| title_full_unstemmed | Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study |
| title_short | Developing and testing a nurse-led intervention to support bereavement in relatives in the intensive care (BRIC study): a protocol of a pre-post intervention study |
| title_sort | developing and testing a nurse led intervention to support bereavement in relatives in the intensive care bric study a protocol of a pre post intervention study |
| topic | Bereaved relatives Complicated grief Intensive care unit Nurse-led Palliative care Study protocol |
| url | http://link.springer.com/article/10.1186/s12904-020-00636-8 |
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