title: A pilot study on nurses' attitudes toward perinatal bereavement support: a cluster analysis.
abstract: OBJECTIVE
  Nurses' attitudes towards perinatal bereavement care are explored by identifying profiles of nurses working in a Hong Kong Obstetrics and Gynaecology (OAG) unit. Relationships between nurses' attitudes towards bereavement support, need for bereavement training and hospital policy are explored.
  
  
  METHODS
  110 nurses recruited from the OAG unit of a large Hong Kong public hospital completed a structured questionnaire.
  
  
  METHODS
  Attitudes towards perinatal bereavement support; required support and training needs for nurses on bereavement care.
  
  
  RESULTS
  Two-step cluster analysis yielded two clusters. Cluster A consisted of 55.5% (n = 49) and cluster B consisted of 44.5% (n = 61) of nurses. Cluster A nurses were younger, had less OAG experience, more junior ranking and less education than cluster B nurses. Cluster B nurses had additional midwifery and bereavement care training, personal grieving experiences and experience handling grieving clients. The majority held positive bereavement care attitudes. Significant differences towards perinatal bereavement support were found. Only 25.5% (n = 28) had bereavement related training. Attitudes towards bereavement care were positively correlated with training needs (rs = 0.59) and hospital policy support (rs = 0.60).
  
  
  CONCLUSIONS
  Hong Kong nurses emphasized need for increased bereavement care knowledge and experience, improved communication skills, and greater hospital and team members' support. Findings may be used to improve support of nurses, to ensure sensitive bereavement care in perinatal settings, and to enhance nursing curricula.
authors.affiliation: School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China. hsmfchan@inet.polyu.edu.hk
authors.forename: Moon Fai
authors.initials: MF
authors.lastname: Chan
authors.forename: Suk Hing
authors.initials: SH
authors.lastname: Chan
authors.forename: Mary Christine
authors.initials: MC
authors.lastname: Day
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001601:Bereavement; D016000:Cluster Analysis; D005260:Female; D006302:Health Services Research / Q000379:methods; D006723:Hong Kong; D006779:Hospitals, Public; D006801:Humans; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D009775:Obstetrics and Gynecology Department, Hospital; D010865:Pilot Projects; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000523:psychology*; D015203:Reproducibility of Results; D012944:Social Support; D000078329:Workforce