title: Paediatric death and dying: exploring coping strategies of health professionals and perceptions of support provision.
abstract: Without question a child's death is a devastating event for parents and families. Health professionals working with the dying child and family draw upon their expertise and experience to engage with children, parents and families on this painful journey. This is a delicate and sensitive area of practice and has strong and penetrating effects on health professionals. They employ physical, emotional, spiritual and problem solving strategies to continue to perform this role effectively and to protect their continued sense of wellbeing.
  
  
  OBJECTIVE
  To explore health professionals' perceptions of bereavement support surrounding the loss of a child.
  
  
  METHODS
  The research was underpinned by social constructionism. Semi-structured interviews were held with 10 health professionals including doctors, nurses and social workers who were directly involved in the care of the dying child and family in 7 cases of paediatric death. Health professional narratives were analysed consistent with Charmarz's (2006) approach.
  
  
  RESULTS
  For health professionals, constructions around coping emerged as peer support, personal coping strategies, family support, physical impact of support and spiritual beliefs. Analysis of the narratives also revealed health professionals' perceptions of their support provision.
  
  
  CONCLUSIONS
  Health professionals involved in caring for dying children and their families use a variety of strategies to cope with the emotional and physical toll of providing support. They also engage in self-assessment to evaluate their support provision and this highlights the need for self-evaluation tools in paediatric palliative care.
authors.affiliation: Lecturer.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Forster
authors.affiliation: PhD Student, School of Nursing, Faculty of Health Queensland University of Technology, Brisbane, Australia.
authors.forename: Alaa
authors.initials: A
authors.lastname: Hafiz
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D003643:Death; D006282:Health Personnel / Q000523:psychology*; D006801:Humans
keywords: Coping; End-of-life care; Health professional; Paediatric palliative care