Table 9 Challenges that prevent staff from providing effective bereavement care
System based challenges | Emotion based challenges | Knowledge based challenges |
|---|---|---|
Restricted time | Distress of parents | Answering parents questions |
Too much paperwork | Unexpectedness | Unknown cause of stillbirth |
Complexity and length of post-mortem consent form | Uncertainty | Lack of confidence |
Inadequacy | Lack of awareness of stillbirth rates | |
Level of support | Embarrassment | Lack of general understanding by staff |
Providing privacy | Lack of confidence | Social and cultural differences |
Labour ward floor plan | Personal opinions about investigations | |
Lack of specialist staff | Personal distress | |
Emotionally over-whelmed | ||
Trying to hold it together | ||
Need for coping strategies i.e. avoidance | ||
Difficulty concentrating | ||
Difficulty coming back to work |