The Grief Support in Healthcare Scale: development and testing.
BACKGROUND
Social support is an important factor to consider in understanding the grief process. However, existing measures of social support fail to account adequately for the unique characteristics of grief experienced by healthcare workers in relation to the deaths of patients or nursing home residents.


OBJECTIVE
The purposes of this study were to develop and to test a grief support measure specific to the experiences of healthcare workers.


METHODS
Using a cross-sectional design, 380 nursing assistants completed self-administered surveys focusing on grief and loss in the nursing home setting. Exploratory factor analysis and regression analysis were conducted to test the psychometric properties of the Grief Support in Healthcare Scale (GSHCS) and to investigate the scale's relationships with grief outcomes.


RESULTS
Reflective of the theory of disenfranchised grief, the 15 items of the GSHCS were loaded onto three distinct factors: recognition of the relationship, acknowledgement of the loss, and inclusion of the griever. Reliability was acceptable to high across these factors (Cronbach's α of .89, .86, and .78, respectively). Regression analysis indicated that the three subscales of the GSHCS were related significantly to both distress from grief and growth from grief, yet these relationships were unique for each factor.


CONCLUSIONS
This research demonstrated that the GSHCS has acceptable reliability and face validity for understanding grief in healthcare workers and may aid in the development of interventions targeted at enfranchising grief in this population. Additional testing is needed to estimate the validity and the reliability of the scale with other groups of healthcare workers.
College of Social Work, The Ohio State University, Columbus, OH 43210-1162, USA. anderson.1630@osu.edu
Keith A
KA
Anderson
Heidi H
HH
Ewen
Elizabeth A
EA
Miles
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005260:Female; D006117:Grief; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009728:Nursing Assistants / Q000193:education / Q000523:psychology*; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D015404:Nursing Methodology Research; D009820:Ohio; D011582:Psychological Theory; D011594:Psychometrics; D012044:Regression Analysis; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D011795:Surveys and Questionnaires / Q000592:standards*