孩子去世后的沟通:悲伤的父母对GRIEV_ING框架的见解
Lena Baker1,2, Kahla Gagne-Loparo3, Noam Stern3
1Division of Pediatric Critical Care Medicine, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Journal of palliative medicine
|May 19, 2025
概括
丧亲的父母提供了重要的反,以加强儿童死亡通知的GRIEV_ING框架. 纳入他们的见解可以提高临床医生传递困难消息的沟通技巧.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 儿科急救医学 儿科急救医学
- 医学教育 医学教育
背景情况:
- 对临床医生来说,传达一个孩子的死亡是一个挑战.
- 现有的传递坏消息的框架缺乏丧亲家庭的观点.
- 关于死亡通知的悲伤框架需要改进.
研究的目的:
- 收集悲伤的父母对悲伤框架的反.
- 从父母的角度来看,识别GRIEV_ING框架中缺少的基本元素.
主要方法:
- 儿科研究员参加了模拟的死亡通知对话.
- 谈话被遗憾的父母志愿者录制和审查.
- 父母志愿者通过半结构面试提供了反,并对这些面试进行了定性分析.
主要成果:
- 从家长的反中出现了五个关键主题:放心,避免虚假的希望,为孩子的出现做好准备,神圣的空间和提供指导.
- 这些主题被确定为原始GRIEV_ING框架中缺少的重要元素.
- 父母的意见为现有框架增加了显著的细微差别.
结论:
- 纳入悲伤的家庭反对于开发有效的沟通课程至关重要.
- 通过整合五个已识别的家长主题,可以改进GRIEV_ING框架.
- 这项研究强调了医疗沟通培训中以家庭为中心的方法的重要性.
更多相关视频
相关概念视频
Bonanno's Theory of Grieving
60
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
60
Kubler Ross's Stages of Dying
59
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
59
Coping Strategies: Emotion Focused
37
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
37
Influence of Parents and Peers on Identity
35
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
35
Family Therapy
30
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
30
Parenting Styles
53
Diana Baumrind's four parenting styles — authoritarian, authoritative, neglectful, and permissive — each influence children's socio-emotional development differently.
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
53


