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feel more able to deal with the areas of work where they are exposed more frequently to death and dying.

NHS Ayrshire and Arran has adopted a model of staff care which includes Critical Incident Stress Management (CISM). It provides a comprehensive

staff support interventions

structure designed

and represents an to prevent potentially

integrated harmful

“system” of psychological

reactions often associated with traumatic incidents. An example of how it works is to facilitate a debrief at the end of particularly traumatic deaths in casualty.

26. High risk areas should be identified and prioritised for regular support and update training, adopting a staged approach to educating staff where it is impossible to educate all staff at once.

27. In areas where there are ongoing relationships between patients, their families and a specialist team, it can be helpful to staff to sign and send sympathy cards, develop a memory board and increase chaplaincy and educational support (Medland et al 2004)

28. By building up a network of support, with a structured model and with a recognised lead for Bereavement Care in each organisation, staff support should be increased.

“My was

boss was very supportive. I was told that allowed to withdraw from patient care until I

nothing can’t wait and I was ready.” Bereaved nurse

29. Managers need to be aware of the needs of staff who have experienced a personal bereavement and should adopt a more flexible approach to the work environment

Shaping Bereavement Care 41

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