Bereaved Families Views on the Death of Loved Ones Due to COVID 19: An Integrative Review

Abstract

Families encounter some issues after the death of their loved one due to COVID-19. Therefore, this study aimed to explore the family’s views on the death of their loved one due to COVID-19. This integrative review was conducted from May to Jan 2021. We searched PubMed, Google Scholar, Scopus, Web of Science, CINHAL, Magiran, and SID databases. Fifteen studies met the inclusion criteria. The results were classified into two categories, including before and after death. The issues raised before the death of the loved ones include no visit and absence at death time, fear of being infected with the COVID-19, death anxiety, failure to perform religious rites at death, and psychological problems. The after-death issues were related to funeral, burial, rituals, prolonged grieving, maladaptation, loneliness, and repeated mourning. Therefore, health policymakers should provide support before and after the death of loved ones for families.

Keywords

bereavement COVID-19 death dying family members grief

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References

Abdollahimohammad

Firouzkouhi

(2020). Future perspectives of nurses with COVID 19. Journal of Patient Experience, 7(5), 640–641.

Abdollahimohammad

Firouzkouhi

Amrollahimishvan

Alimohammadi

(2016). Nurses versus physicians’ knowledge, attitude, and performance on care for the family members of dying patients. Korean Journal of Medical Education, 28(1), 79–85.

Ahaddour

Branden

S. V.

Broeckaert

(2017). Purification of body and soul for the next journey. Practices surrounding death and dying among Muslim women. Omega—Journal of Death and Dying, 76(2), 169–200.

Bermejo

J. C.

(2020). Acompaniment in grief. Times of coronavirus. Frontiers in Psychology, 11, 2540.

Breen

L. J.

Aoun

S. M.

O'Connor

Howting

Halkett

G. K. B.

(2018). Family caregivers’ preparations for death: A qualitative analysis. Journal of Pain and Symptom Management, 55(6), 1473–1479.

Burrell

Selman

L. E.

(2020). How do funeral practices impact bereaved relatives’ mental health, grief and bereavement? A mixed methods review with implications for COVID-19. OMEGA-Journal of Death and Dying. https://doi.org/10.1177/0030222820941296

Cardoso

É. A. D. O.

Silva

B. C. D. A. D.

Santos

J. H. D.

Lotério

L. D. S.

Accoroni

A. G.

Santos

M. A. D.

(2020). The effect of suppressing funeral rituals during the COVID-19 pandemic on bereaved families. Revista Latino-Americana de Enfermagem, 28, e3361.

Carr

Boerner

Moorman

(2020). Bereavement in the time of coronavirus: Unprecedented challenges demand novel interventions. Journal of Aging & Social Policy, 32(4-5), 425–431.

Eisma

M. C.

Boelen

P. A.

Lenferink

L. I.

(2020). Prolonged grief disorder following the coronavirus (COVID-19) pandemic. Psychiatry Research, 288, 113031.

10.

Eisma

M. C.

Tamminga

Smid

G. E.

Boelen

P. A.

(2021). Acute grief after deaths due to COVID-19, natural causes and unnatural causes: An empirical comparison. Journal of Affective Disorders, 278, 54–56.

11.

Fernández

Ó.

González-González

(2020). The dead with no wake, grieving with no closure: Illness and death in the days of coronavirus in Spain. Journal of Religion and Health, 1–19. https://doi.org/10.1007/s10943-020-01078-5

12.

Firouzkouhi

Abdollahimohammad

(2021). Grief, heritage of COVID-19. Journal of Loss and Trauma, 1–3. (in press). https://doi.org/10.1080/15325024.2021.1932130

13.

Firouzkouhi

Alimohammadi

Kako

Abdollahimohammad

Bagheri

Nouraie

(2021). Ethical challenges of nurses related covid-19 pandemic in inpatient wards: An integrative review. Ethics, Medicine, and Public Health, 18, 100669.

14.

Fuller

J. A.

Hakim

Victory

K. R.

Date

Lynch

Dahl

Henao

, & CDC COVID-19 Response Team. (2021). Mitigation policies and COVID-19–associated mortality—37 European countries, January 23–June 30, 2020. Morbidity and Mortality Weekly Report, 70(2), 58–62.

15.

Goveas

J. S.

Shear

M. K.

(2020). Grief and the COVID-19 pandemic in older adults. The American Journal of Geriatric Psychiatry, 28(10), 1119–1125.

16.

Gruenwald

(2003). Cyber cemeteries and virtual memorials: Virtual living monuments as on-line outlets for real life mourning and a celebration of life. In Cox

G. R.

Bendiksen

Stevenson

R. J.

(Eds.), Making sense of death: Spiritual, pastoral, and personal aspects of death, dying, and bereavement. Baywood Publishing Company, pp. 113–117.

17.

Hamid

Jahangir

M. S.

(2020). Dying, death and mourning amid COVID-19 pandemic in Kashmir: A qualitative study. OMEGA-Journal of Death and Dying. https://doi.org/10.1177/0030222820953708

18.

Hasanpour

(2020). The concept of death, the mourning process and its challenges in the COVID 19 pandemic with an interprofessional approach. http://fnm.tums.ac.ir/userfiles/CORONA/Grief Webinar-Report-31.1.99, DrHasanpour.pdf

19.

Javadi

S. M. H.

Sajadian

(2020). Coronavirus pandemic a factor in delayed mourning in survivors: A letter to the editor. Journal of Arak University of Medical Sciences, 23(1), 2–7.

20.

Lai

C. C.

Shih

T. P.

W. C.

Tang

H. J.

Hsueh

P. R.

(2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International Journal of Antimicrobial Agents, 55(3), 105924.

21.

Mayland

C. R.

Harding

A. J.

Preston

Payne

(2020). Supporting adults bereaved through COVID-19: A rapid review of the impact of previous pandemics on grief and bereavement. Journal of Pain and Symptom Management, 60(2), e33–e39.

22.

McAfee

C. A.

Jordan

T. R.

Cegelka

Polavarapu

Wotring

Wagner-Greene

V. R.

Hamdan

(2020). COVID-19 brings a new urgency for advance care planning: Implications of death education. Death Studies, 1–6. https://doi.org/10.1080/07481187.2020.1821262

23.

Miech

E. J.

Rattray

N. A.

Flanagan

M. E.

Damschroder

Schmid

A. A.

Damush

T. M.

(2018). Inside help: An integrative review of champions in healthcare-related implementation. SAGE Open Medicine, 6, 2050312118773261.

24.

Morris

S. E.

Moment

Thomas

J. D.

(2020). Caring for bereaved family members during the COVID-19 pandemic: Before and after the death of a patient. Journal of Pain and Symptom Management, 60(2), e70–e74.

25.

Morris

S. E.

Nayak

M. M.

Block

S. D.

(2020). Insights from bereaved family members about end-of-life care and bereavement. Journal of Palliative Medicine, 23(8), 1030–1037.

26.

Mortazavi

S. S.

Assari

Alimohamadi

Rafiee

Shati

(2020). Fear, loss, social isolation, and incomplete grief due to COVID-19: A recipe for a psychiatric pandemic. Basic and Clinical Neuroscience, 11(2), 225–232.

27.

Otani

Yoshida

Morita

Aoyama

Kizawa

Shima

Tsuneto

Miyashita

(2017). Meaningful communication before death, but not present at the time of death itself, is associated with better outcomes on measures of depression and complicated grief among bereaved family members of cancer patients. Journal of Pain and Symptom Management, 54(3), 273–279.

28.

Romero

M. M.

Ott

C. H.

Kelber

S. T.

(2014). Predictors of grief in bereaved family caregivers of person’s with Alzheimer’s disease: A prospective study. Death Studies, 38(6), 395–403.

29.

Sadock

V. A.

Sussman

(2017). Kaplan & Sadock’s pocket handbook of psychiatric drug treatment. Lippincott Williams & Wilkins.

30.

Shore

J. C.

Gelber

M. W.

Koch

L. M.

Sower

(2016). Anticipatory grief: An evidence-based approach. Journal of Hospice & Palliative Nursing, 18(1), 15–19.

31.

Souza

M. T. D.

Silva

M. D. D.

Carvalho

R. D.

(2010). Integrative review: What is it? How to do it? Einstein (São Paulo), 8(1), 102–106.

32.

Strang

Bergström

Martinsson

Lundström

(2020). Dying from COVID-19: Loneliness, end-of-life discussions, and support for patients and their families in nursing homes and hospitals. A national register study. Journal of Pain and Symptom Management, 60(4), e2–e13.

33.

Stroebe

Schut

(2020). Bereavement in times of COVID-19: A review and theoretical framework. OMEGA-Journal of Death and Dying, 82(3), 500–522, 0030222820966928.

34.

Wakam

G. K.

Montgomery

J. R.

Biesterveld

B. E.

Brown

C. S.

(2020). Not dying alone—Modern compassionate care in the covid-19 pandemic. New England Journal of Medicine, 382, e88.

35.

Wallace

C. L.

Wladkowski

S. P.

Gibson

White

(2020). Grief during the COVID-19 pandemic: Considerations for palliative care providers. Journal of Pain and Symptom Management, 60(1), e70–e76.

36.

Whittemore

(2005). Combining evidence in nursing research: Methods and implications. Nursing Research, 54, 56–62.

37.

Whittemore

Knafl

(2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553.

38.

Worldmeter. (2021). COVID-19 coronavirus pandemic. https://www.worldometers.info/coronavirus/

39.

Yardley

Rolph

(2020). Death and dying during the pandemic. BMJ (Clinical Research ed.), 369, m1472.

40.

(2020). Accountability as mourning: Accounting for death in the time of COVID-19. Accounting, Organizations and Society, 90, 101198. https://doi.org/10.1016/j.aos.2020.101198