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Title: Parental bereavement – impact of death of neonates and children under 12 years on personhood of parents: a systematic scoping review
Authors: Vig, Prachi Simran
Lim, Jia Yin
Lee, Randal Wei Liang
Huang, Huixin
Tan, Xiu Hui
Lim, Wei Qiang
Lim, Marie Bernadette Xin Yi
Lee, Alexia Sze Inn
Chiam, Min
Lim, Crystal 
Baral, Vijayendra Ranjan 
Krishna, Lalit Kumar Radha 
Keywords: Bereavement
End of life
Palliative care
Ring theory of personhood
Issue Date: 4-Sep-2021
Publisher: BioMed Central Ltd
Citation: Vig, Prachi Simran, Lim, Jia Yin, Lee, Randal Wei Liang, Huang, Huixin, Tan, Xiu Hui, Lim, Wei Qiang, Lim, Marie Bernadette Xin Yi, Lee, Alexia Sze Inn, Chiam, Min, Lim, Crystal, Baral, Vijayendra Ranjan, Krishna, Lalit Kumar Radha (2021-09-04). Parental bereavement – impact of death of neonates and children under 12 years on personhood of parents: a systematic scoping review. BMC Palliative Care 20 (1) : 136. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Background: Losing a child tragically impacts the well-being and functioning of parents. With these effects extending beyond emotional, physical morbidity and compromising self-perceptions, appropriate, longitudinal, timely and personalised support is key to effective care of bereaved parents. However, in the absence of a comprehensive understanding of parental bereavement, effective support of bereaved parents remains suboptimal. To address this gap, we scrutinise prevailing data on the effects of a child’s death, aged 0–12 years, through the lens of the Ring Theory of Personhood (RToP). Methods: To study prevailing accounts of bereaved parents following the death of a child, we adopt Krishna’s Systematic Evidence Based Approach (SEBA) to structure our Systematic Scoping Review (SSR in SEBA). Results: Three thousand seventy-four abstracts were reviewed, 160 full text articles were evaluated, and 111 articles were included and analysed using thematic and content analysis. Four themes/categories were identified relating to the four rings of the RToP. Findings reveal that static concepts of protective and risk factors for grief are misplaced and that the support of healthcare professionals is key to assisting bereaved parents. Conclusion: In the absence of consistent support of bereaved parents, this study highlights the need for effective training of healthcare professionals, beginning with an appreciation that every aspect of an individual parent’s personhood is impacted by the loss of their child. Acknowledging grief as a complex, evolving and personalised process subjected to parental characteristics, settings, context and available support, this SSR in SEBA calls attention to effective nurturing of the relationship between parents and healthcare professionals, and suggests use of the RToP to assess and direct personalised, timely, specific support of parents in evolving conditions. We believe the findings of this review also call for further studies to support healthcare professionals as they journey with bereaved parents. © 2021, The Author(s).
Source Title: BMC Palliative Care
ISSN: 1472-684X
DOI: 10.1186/s12904-021-00831-1
Rights: Attribution 4.0 International
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