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‘Cold bedrooms’ and other cooling facilities in UK children’s hospices, how they are used and why they are offered: A mixed methods study
BACKGROUND: The death of a child is acutely distressing. Evidence on the benefits and value to parents of spending time with their dead child have now been integrated into routine practice and is regarded as a bereavement support intervention. UK children’s hospices have a tradition of using ‘coolin...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7975863/ https://www.ncbi.nlm.nih.gov/pubmed/33430711 http://dx.doi.org/10.1177/0269216320984335 |
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author | Hackett, Julia Beresford, Bryony |
author_facet | Hackett, Julia Beresford, Bryony |
author_sort | Hackett, Julia |
collection | PubMed |
description | BACKGROUND: The death of a child is acutely distressing. Evidence on the benefits and value to parents of spending time with their dead child have now been integrated into routine practice and is regarded as a bereavement support intervention. UK children’s hospices have a tradition of using ‘cooling facilities’ (cold bedrooms, cooled blanket/mattress) to extend this period of time by slowing deterioration of the body. AIMS: To describe: (1) type and use of cooling facilities in UK children’s hospices, policies and practices regarding their use, and any changes over time. (2) Director of care’s views on the purpose of cooling facilities and the rationale for hospice-specific practices. METHODS: An explanatory mixed-methods design consisting two phases: a crosssectional survey of directors of care of UK children’s hospices (n = 52) followed by semi-structured telephone interviews with a sub-sample of respondents. Survey data were analysed using descriptive statistics and interview data using directed content analysis. RESULTS: 41/52 hospices completed the survey and 13 directors of care were interviewed. All hospices had cooling facilities. Some offered use of portable cooling facilities at home, though take-up appears low. Hospices differed in approaches to managing care and duration of use. Views on whether parents should observe deterioration informed the latter. Directors of care believed they provide families with time to say ‘goodbye’ and process their loss. Challenges for staff were reported. |
format | Online Article Text |
id | pubmed-7975863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-79758632021-03-31 ‘Cold bedrooms’ and other cooling facilities in UK children’s hospices, how they are used and why they are offered: A mixed methods study Hackett, Julia Beresford, Bryony Palliat Med Original Article BACKGROUND: The death of a child is acutely distressing. Evidence on the benefits and value to parents of spending time with their dead child have now been integrated into routine practice and is regarded as a bereavement support intervention. UK children’s hospices have a tradition of using ‘cooling facilities’ (cold bedrooms, cooled blanket/mattress) to extend this period of time by slowing deterioration of the body. AIMS: To describe: (1) type and use of cooling facilities in UK children’s hospices, policies and practices regarding their use, and any changes over time. (2) Director of care’s views on the purpose of cooling facilities and the rationale for hospice-specific practices. METHODS: An explanatory mixed-methods design consisting two phases: a crosssectional survey of directors of care of UK children’s hospices (n = 52) followed by semi-structured telephone interviews with a sub-sample of respondents. Survey data were analysed using descriptive statistics and interview data using directed content analysis. RESULTS: 41/52 hospices completed the survey and 13 directors of care were interviewed. All hospices had cooling facilities. Some offered use of portable cooling facilities at home, though take-up appears low. Hospices differed in approaches to managing care and duration of use. Views on whether parents should observe deterioration informed the latter. Directors of care believed they provide families with time to say ‘goodbye’ and process their loss. Challenges for staff were reported. SAGE Publications 2021-01-11 2021-03 /pmc/articles/PMC7975863/ /pubmed/33430711 http://dx.doi.org/10.1177/0269216320984335 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Hackett, Julia Beresford, Bryony ‘Cold bedrooms’ and other cooling facilities in UK children’s hospices, how they are used and why they are offered: A mixed methods study |
title | ‘Cold bedrooms’ and other cooling facilities in UK children’s
hospices, how they are used and why they are offered: A mixed methods
study |
title_full | ‘Cold bedrooms’ and other cooling facilities in UK children’s
hospices, how they are used and why they are offered: A mixed methods
study |
title_fullStr | ‘Cold bedrooms’ and other cooling facilities in UK children’s
hospices, how they are used and why they are offered: A mixed methods
study |
title_full_unstemmed | ‘Cold bedrooms’ and other cooling facilities in UK children’s
hospices, how they are used and why they are offered: A mixed methods
study |
title_short | ‘Cold bedrooms’ and other cooling facilities in UK children’s
hospices, how they are used and why they are offered: A mixed methods
study |
title_sort | ‘cold bedrooms’ and other cooling facilities in uk children’s
hospices, how they are used and why they are offered: a mixed methods
study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7975863/ https://www.ncbi.nlm.nih.gov/pubmed/33430711 http://dx.doi.org/10.1177/0269216320984335 |
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