title: The lived experience of losing a loved one to a sudden death in KwaZulu-Natal, South Africa.
abstract: OBJECTIVE
  The aim of this study was to describe the lived experiences of families in KwaZulu-Natal, South Africa, who had lost a loved one to a sudden death.
  
  
  BACKGROUND
  Sudden death implies a natural or unnatural death which is unexpected; occurs without warning; and in some cases, could have been prevented. It usually occurs out of hospital, in the emergency department, or shortly after handing the client over to either critical care or operating theatre personnel. A sudden death has the capacity to leave the bereaved emotionally damaged and may exaggerate the responses to grief.
  
  
  METHODS
  An interpretive hermeneutic phenomenological research approach was chosen for this study, as this allows the researcher to describe a phenomenon as experienced and to attempt to provide an understanding of the internal meanings of a person's experiences in the lived world.
  
  
  METHODS
  The sample included five bereaved family members who had lost a loved one to a sudden death and who were all members of a bereavement support group held in Durban, South Africa.
  
  
  RESULTS
  Bereaved families interviewed described five themes namely: 'cold reception' of the hospital staff, lack of closure, acknowledgement of loss, 'loneliness of grief' and helping others.
  
  
  CONCLUSIONS
  This qualitative study provides rich data regarding what bereaved family members view as important in their care during this time of crisis. The value of simple, small gestures by the health professional is enlightening. This information can be used to ensure that health professionals purposely direct their interventions and interactions with the bereaved family to ensure that they are managed in the most therapeutic way possible.
authors.affiliation: School of Nursing, University of KwaZulu-Natal, South Africa. brysiewiczp@ukzn.ac.za
authors.forename: Petra
authors.initials: P
authors.lastname: Brysiewicz
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel / Q000208:ethnology; D001293:Attitude to Death / Q000208:ethnology*; D001294:Attitude to Health / Q000208:ethnology; D002648:Child; D003645:Death, Sudden / Q000208:ethnology; D004636:Emergency Service, Hospital; D004645:Empathy; D005190:Family / Q000208:ethnology*; D005260:Female; D006117:Grief; D006301:Health Services Needs and Demand; D006379:Helping Behavior; D006801:Humans; D007407:Interviews as Topic; D008132:Loneliness / Q000523:psychology; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D011368:Professional-Family Relations; D036301:Qualitative Research; D012657:Self-Help Groups; D012944:Social Support; D013019:South Africa; D013997:Time Factors