title: Care of the suddenly bereaved in cardiac care units: a review of the literature.
abstract: This paper considers the experiences emerging from relatives whose loved ones die suddenly in a Cardiac Care Unit (CCU). It examines how best to address their needs and how to facilitate the normal grieving process during their brief yet traumatic hospital encounter. There appears to be no primary research relating specifically to sudden bereavement in a CCU. Several authors assume that findings can be applied between specialties but there is no empirical evidence to support this assumption. The research which does exist is predominantly in the areas of bereavement generally and in Accident and Emergency (A&E) in particular. This paper contains a critical examination of this literature and consideration of the extent to which findings from these fields can be relied upon to lead practice in the CCUs. It is concluded that recommendations for practice arising from such literature, e.g. those supporting the allocation of an advocate nurse to accompany relatives and allowing observation of resuscitation, may not be readily applicable to CCUs. The paper concludes with a consideration of future cardio-specific research needs.
authors.affiliation: Cardiac Care Unit, Battle Hospital, Reading, West Berks, UK.
authors.forename: L
authors.initials: L
authors.lastname: Edwards
authors.forename: D G
authors.initials: DG
authors.lastname: Shaw
mesh_terms: D001601:Bereavement; D003325:Coronary Care Units; D003422:Critical Care / Q000523:psychology*; D005190:Family / Q000523:psychology*; D006801:Humans; D020380:Needs Assessment; D011368:Professional-Family Relations; D012944:Social Support; D013727:Terminal Care / Q000523:psychology*