Tatterton Michael J, Honour Alison, Kirkby Lorna, Billington David
J Hosp Palliat Nurs. 2022 Feb 1;24(1):95-103. doi: 10.1097/NJH.0000000000000823.
Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children in specially designed chilled bedrooms called "cool rooms." In an effort to develop resources to support hospice practitioners to provide this specialist area of care, this study aimed to identify the factors that influence decision making when moving and handling children's bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by 1 children's hospice. A total of 94.9% of eligible staff responded (n = 56). An inductive approach to thematic analysis was undertaken, using a 6-phase methodological framework. Three core themes were identified that inform practitioners' perception of the appropriateness of moving and handling decisions: care of the body, stages of care, and method of handling. The complexity of decision making and variation in practice was identified. Practitioners relied on both analytical and initiative decision making, with more experienced practitioners using an intuitive approach. Evidence-based policy and training influence the perception of appropriateness and the decisions and behavior of practitioners. The development of a policy and education framework would support practitioners in caring for children's bodies after death, standardizing expectations and measures of competence in relation to moving and handling tasks.
英国的儿童和青少年临终关怀机构在专门设计的称为“冷藏室”的低温卧室中为已故儿童的遗体提供护理。为了开发资源以支持临终关怀从业者提供这一专业护理领域，本研究旨在确定在临终关怀冷藏室中搬运和处理儿童遗体后影响决策的因素。向一家儿童临终关怀机构雇佣的所有从业者发送了基于互联网的调查问卷。共有94.9%的符合条件的工作人员做出了回应（n = 56）。采用归纳法进行主题分析，使用了一个六阶段的方法框架。确定了三个核心主题，这些主题为从业者对搬运和处理决策适当性的认知提供了依据：遗体护理、护理阶段和处理方法。确定了决策的复杂性和实践中的差异。从业者既依赖分析性决策，也依赖主动性决策，经验更丰富的从业者使用直观的方法。基于证据的政策和培训影响对适当性的认知以及从业者的决策和行为。制定政策和教育框架将支持从业者在儿童死后护理遗体，规范与搬运和处理任务相关的期望和能力标准。
