title: Next of kin's feelings of guilt and shame in end-of-life care.
abstract: In this study the aim was to explore and describe next of kin's feelings of guilt and shame in end-of-life care via secondary analysis of 47 qualitative interviews. In the analysis categories and subcategories emerged which conveyed how the next of kin experienced guilt; not having done or talked enough, being absent at important events or making errors of judgement. Categories conveying feelings of shame were situations where the next of kin felt inferior, was ashamed on behalf of the dying person and when family conflicts became apparent. Receiving help and support in order to make the remaining period as pleasant as possible can facilitate the next of kin's sense of having fulfilled their duties and responsibilities and therein reduce feelings of guilt and shame. It is apparent that these feelings should be taken into account and the next of kin should receive support to increase their well-being during the remaining time in end-of-life care and the grieving period.
authors.affiliation: School of Health and Medical Sciences, Orebro University, Orebro, Sweden.
authors.forename: Birgitta
authors.initials: B
authors.lastname: Andershed
authors.forename: Carina Werkander
authors.initials: CW
authors.lastname: Harstäde
mesh_terms: D005190:Family; D006801:Humans; D007398:Interpersonal Relations; D013727:Terminal Care / Q000523:psychology*