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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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A Systems Approach to Improving Care for All Bereaved Families.

Mimi Jenko1, Nancy M Short

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Summary

Bereavement care gaps exist when hospice is absent. This project developed a downloadable booklet to support families of deceased patients, improving care across all settings.

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Area of Science:

  • Palliative Care
  • Quality Improvement
  • Systems Thinking

Background:

  • Bereavement services are standard in hospice and palliative care.
  • Patients die in acute and long-term care settings without hospice involvement, creating care gaps.
  • Families require support regardless of the care setting.

Purpose of the Study:

  • To improve bereavement care for all families of deceased patients.
  • To address the gap in bereavement support when hospice is not involved.
  • To develop and implement a replicable bereavement resource.

Main Methods:

  • A palliative care clinical nurse specialist led a quality improvement team.
  • A systems thinking approach was used for development and implementation.
  • A downloadable bereavement booklet for families was created.

Main Results:

  • Implementation of a downloadable bereavement booklet.
  • Discussion of expected and unexpected outcomes.
  • Demonstration of a replicable project.

Conclusions:

  • The project successfully addressed a gap in bereavement care.
  • The downloadable booklet offers a replicable solution for supporting grieving families.
  • Improved care for all families of deceased patients is achievable across settings.