The Experiences of Bereaved Parents After the Loss of a Child to Cancer: A Qualitative Metasynthesis

The Experiences of Bereaved Parents After the Loss of a Child to Cancer: A Qualitative Metasynthesis

Polita N B; de Montigny F; Neris R R; Alvarenga W de A; Silva-Rodrigues F M; Leite A C A B; Nascimento L C

Journal of Pediatric Oncology Nursing

2020

Child; Bereavement; Human; Qualitative Studies; Parental Attitudes; Life Experiences; Meta Synthesis; Childhood Neoplasms – Mortality; Death – Psychosocial Factors – In Infancy and Childhood; Parents – Psychosocial Factors

This study aims to synthesize qualitative evidence about the bereavement experience of parents following the death of a child due to cancer. A qualitative metasynthesis was conducted from searching five databases. The search identified 650 articles that were independently assessed by two reviewers. Thirty-one articles were selected for full-text reading and assessed for eligibility; a total of 14 articles were included in the final sample and submitted to quality appraisal. The software NVivo® was used to organize the data and support the thematic analysis procedures. Two analytical themes were constructed: (1) losing a child and facing a rupture in identity and sense of life and (2) surviving grief and reengaging in life. The grief process was dynamic, continuous, and begun before the death of the child. Fathers and mothers reacted differently to the loss and experience of grief. The loss of a child definitively changed the parents' life and caused identity crisis and loss of life's purpose. During the process of survival, parents constructed new meanings that helped them cope with grief; they used strategies that allowed them to recover their sense of purpose in life. Synthesizing the experience of bereaved parents is essential to improve the support families of children with advanced cancer receive to better cope with their suffering and loss, before and after the child's death.

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