title: 'But I do believe you've got to accept that that's what life's about': older adults living in New Zealand talk about their experiences of loss and bereavement support.
abstract: This paper explores older people's views, experiences and sources of bereavement support following the death of a spouse, family member or other significant individual. Telephone interviews were conducted with 28 bereaved older adults recruited from the Brief Risk Identification Geriatric Health Tool trial participants in three geographically diverse District Health Boards in New Zealand. Analysis adhered to the principles of grounded theory and followed the National Centre for Social Research 'Framework' approach. Findings indicate that family and friends play a fundamental role supporting older bereaved adults, both emotionally and practically. Existing community-based organisations were identified as an important source of support following bereavement. Despite the emotional, financial and practical challenges associated with bereavement, the majority of participants questioned the role of, need for and value of formal bereavement support services. Instead, study participants cited a combination of being older and previous life experiences as factors that had enabled them to cope with these largely 'expected' events. Moreover, they demonstrated considerable resilience in managing the emotional and practical changes associated with loss and bereavement. This study poses a challenge to the argument that the growing secularisation of society has led to an increase in the use of professional bereavement services over more 'traditional' forms of support, such as family, friends and community and religious organisations. The paper highlights the value of adopting a public health-based approach as a way of optimising bereavement support via the use of existing community organisations previously known to older people. This is particularly important in those countries where the provision of bereavement support is limited due to resource constraints.
authors: School of Nursing, The University of Auckland, Auckland, New Zealand.
authors: Gary
authors: G
authors: Bellamy
authors: Merryn
authors: M
authors: Gott
authors: Susan
authors: S
authors: Waterworth
authors: Christine
authors: C
authors: McLean
authors: Ngaire
authors: N
authors: Kerse
mesh_terms: D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over / Q000523:psychology; D001601:Bereavement; D005260:Female; D006801:Humans; D008297:Male; D009520:New Zealand; D010166:Palliative Care; D055500:Resilience, Psychological; D012944:Social Support; D013727:Terminal Care
keywords: bereavement support; end-of-life care; health-promoting palliative care; older people; resilience