Abstract

A patient's death can pose significant stress on the family and the treating anaesthetist. Anaesthetists' attitudes about the benefits of and barriers to attending a patient's funeral are unknown. Therefore, we performed a prospective, cross-sectional study to ascertain the frequency of anaesthetists' attendance at a patient's funeral and their perceptions about the benefits and barriers. The primary aim was to investigate the attitudes of anaesthetists towards attending the funeral of a patient. The secondary aims were to examine the perceived benefits of and barriers to attending the funeral and to explore the rate of bonds being formed between anaesthetists, patients and families. Of the 424 anaesthetists who completed the survey (response rate 21.2%), 25 (5.9%) had attended a patient's funeral. Of the participants, 364 (85.9%) rarely formed special bonds with patients or their families; 233 (55%) believed that forming a special bond would increase the likelihood of their attendance. Showing respect to patients or their families was the most commonly perceived benefit of attending a funeral. Participants found expression of personal grief and caring for the patient at the end-of-life and beyond beneficial to themselves and the family. Fear of their attendance being misinterpreted or perceived as not warranted by the family as well as time restraints were barriers for their attendance. Most anaesthetists had never attended a patient's funeral. Few anaesthetists form close relationships with patients or their families. Respect, expression of grief and caring beyond life were perceived benefits of attendance. Families misinterpreting the purpose of attendance or not expecting their attendance and time restraints were commonly perceived barriers. Trial registration: ACTRN 12618000503224.

Highlights

  • A patient’s death can impose significant stress on both the family and the treating team [1, 2]

  • Participants in our survey were broadly representative of Fellows registered with the ANZCA, apart from an over-representation of Fellows in VIC (41.5%) and New Zealand (NZ) (22.6%) and an under-representation of those in NSW (16.7%) and QLD (11.1%)

  • Males comprised 63.2% of the participants, which is consistent with data obtained from the ANZCA (68.7%)

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Summary

Introduction

A patient’s death can impose significant stress on both the family and the treating team [1, 2]. When faced with such a stressful event, clinicians frequently develop strategies to minimise the impact of the event to both themselves and the family. Objective data about medical practitioners’ attitudes towards attending a patient’s funeral and the frequency, reason and outcome of attendance are only available for a limited number of specialties, namely palliative care [3, 20, 21], oncology [3, 20,21,22,23] and paediatrics [2, 24,25,26,27]

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