Bereavement risk screening: A pathway to psychosocial oncology care

Psychooncology. 2020 Dec;29(12):2041-2047. doi: 10.1002/pon.5526. Epub 2020 Oct 3.

Abstract

Objective: This qualitative study sought to obtain feedback from stakeholder cancer caregivers and bereaved family members on the implementation of bereavement risk screening in oncology.

Methods: Semi-structured interviews were conducted with 38 family members of patients with advanced cancer (n = 12) and bereaved family members (n = 26) on when and how to effectively implement bereavement risk screening. Data were analyzed using thematic analysis.

Results: Many participants indicated that they would be open to completing a self-report screening measure before and after the patient's death. Several suggested screening at multiple timepoints and the importance of follow-up. Participants viewed screening as an opportunity to connect to psychosocial support.

Conclusions: The findings suggest that family members appear supportive of sensitively approached bereavement risk screening before and after a patient's death as an important component of quality psychosocial care. To optimize implementation, bereavement risk screening would involve screening at multiple timepoints and include follow-up. Findings suggest standardized risk screening using a brief, validated self-report tool would be a pragmatic approach to increasing access to bereavement care.

Keywords: bereavement; family-centered care; grief; oncology; palliative; psycho-oncology; screening.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bereavement*
  • Caregivers / psychology*
  • Family / psychology*
  • Family Nursing
  • Female
  • Grief
  • Hospice Care*
  • Humans
  • Interviews as Topic
  • Male
  • Medical Oncology
  • Middle Aged
  • Neoplasms / mortality*
  • Neoplasms / psychology
  • Palliative Care*
  • Psychiatric Rehabilitation*
  • Psycho-Oncology
  • Qualitative Research
  • Surveys and Questionnaires