Cold bedrooms' and other cooling facilities in UK children's hospices, how they are used and why they are offered: A mixed methods study

Title

Cold bedrooms' and other cooling facilities in UK children's hospices, how they are used and why they are offered: A mixed methods study

Creator

Hackett J; Beresford B

Publisher

Palliative Medicine

Date

2021

Subject

grief; paediatric palliative care; bereavement; Cold bedrooms; cold cot; cooling blanket; cooling facilities

Description

BACKGROUND: The death of a child is acutely distressing. Evidence on the benefits and value to parents of spending time with their dead child have now been integrated into routine practice and is regarded as a bereavement support intervention. UK children's hospices have a tradition of using 'cooling facilities' (cold bedrooms, cooled blanket/mattress) to extend this period of time by slowing deterioration of the body. AIMS: To describe: (1) type and use of cooling facilities in UK children's hospices, policies and practices regarding their use, and any changes over time. (2) Director of care's views on the purpose of cooling facilities and the rationale for hospice-specific practices. METHODS: An explanatory mixed-methods design consisting two phases: a crosssectional survey of directors of care of UK children's hospices (n = 52) followed by semi-structured telephone interviews with a sub-sample of respondents. Survey data were analysed using descriptive statistics and interview data using directed content analysis. RESULTS: 41/52 hospices completed the survey and 13 directors of care were interviewed. All hospices had cooling facilities. Some offered use of portable cooling facilities at home, though take-up appears low. Hospices differed in approaches to managing care and duration of use. Views on whether parents should observe deterioration informed the latter. Directors of care believed they provide families with time to say 'goodbye' and process their loss. Challenges for staff were reported.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

March 2021 List

Collection

Citation

Hackett J; Beresford B, “Cold bedrooms' and other cooling facilities in UK children's hospices, how they are used and why they are offered: A mixed methods study,” Pediatric Palliative Care Library, accessed May 14, 2021, https://pedpalascnetlibrary.omeka.net/items/show/17479.

Social Bookmarking