An oncology unit's initiation of a bereavement support program

To describe how a multidisciplinary task force on an oncology unit developed and implemented a program offering educational and emotional support for recently bereaved families.

Published books and articles and bereavement support models.

Program components included bereavement cards and a biannual survivor support program. One program held during the holidays offered formal presentations on grief and stressors and coping strategies. A second program held in the spring explored ways for survivors to experience personal growth. In addition to this program, a staff education component was developed.

Sending bereavement cards served as a nonthreatening way for staff members to begin establishing closure after a patient's death. Staff participation in planning a support program is crucial, and initial staff resistance can be overcome by educating them and including them in program planning. The support program was highly rated by participants, and their evaluations showed that they felt a bond with the nursing staff who had cared for their loved ones.

These types of programs bring survivors and staff members together. Interaction in the program can enhance survivors' coping skills, acknowledge the bond between caregivers and survivors, and ease staff members' stress caused by caring for dying patients.