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Bereavement Practices Among Head and Neck Cancer Surgeons.
Solis, Roberto N; Farber, Nicole I; Fairman, Nathan; Yang, Nuen T; Taylor, Sandra L; Abouyared, Marianne; Bewley, Arnaud F; Farwell, D Gregory; Birkeland, Andrew C.
Afiliación
  • Solis RN; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
  • Farber NI; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
  • Fairman N; Department of Psychiatry, University of California, Davis, Sacramento, California, U.S.A.
  • Yang NT; Division of Biostatistics, School of Medicine, University of California, Davis, Sacramento, California, U.S.A.
  • Taylor SL; Division of Biostatistics, School of Medicine, University of California, Davis, Sacramento, California, U.S.A.
  • Abouyared M; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
  • Bewley AF; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
  • Farwell DG; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
  • Birkeland AC; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.
Laryngoscope ; 132(10): 1971-1975, 2022 10.
Article en En | MEDLINE | ID: mdl-35092314
OBJECTIVES: Head and neck cancer surgeons frequently interact with dying patients with advanced disease and their families, but little is known about their bereavement practices after a patient's death. The aim of this study is to elucidate the frequency of common bereavement practices, cited barriers to bereavement, and predictive physician factors that lead to an increase in bereavement practices among head and neck cancer surgeons. METHODS: A 20-item survey was sent to 827 active surgeons of the American Head and Neck Society. Approval was obtained and the survey was distributed through the American Head and Neck Society. Demographics, frequency of common bereavement practices, empathy, and barriers were assessed. Multiple linear regression was performed to determine physician factors associated with more frequent bereavement follow-up. RESULTS: There were 156 respondents (18.9% response rate). Overall, surgeons were more likely to usually/always call (48.5%) or send a letter (42.4%) compared with other practices such as attending funerals (0%), offering family meetings (18.6%), or referring family members to counseling (7.7%). Many barriers were cited as being at least somewhat important: being unaware about a patient's death (67.3%) was the most cited, whereas 51.3% cited a lack of mentorship/training in this area. Scoring higher on empathy questions (P ≤ .001) was associated with more frequent surgeon bereavement follow-up with the family of deceased patients. CONCLUSION: There is substantial practice variation among surgeons suggesting a lack of consensus on their roles in bereavement follow-up. Having higher empathy was predictive of higher engagement. LEVEL OF EVIDENCE: NA Laryngoscope, 132:1971-1975, 2022.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aflicción / Cirujanos / Neoplasias de Cabeza y Cuello Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aflicción / Cirujanos / Neoplasias de Cabeza y Cuello Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos