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Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic levels 3 & 4

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Authors:
Summary:

The experiences of whānau whose relatives died in an acute hospital setting during the 2020 level 3 & 4 lockdowns for COVID-19 have been explored in a qualitative study. Next of kin for 22 patients who died in Wellington Hospital, including 16 patients from General Medicine and 6 who identified as Māori, were interviewed by phone in August 2020. Thematic analysis revealed the main factors contributing to positive experiences for whānau were excellence in nursing and medical care. Hospital staff understanding of tikanga Māori as it relates to dying and death practices was of benefit to Māori whānau. Factors contributing to negative experiences for whānau included separation from loved ones at the time of death, not having time to say goodbye, and insufficient communication with medical personnel. The study authors recommended that pandemic policies prioritise the needs of whānau and hospitalised patients who are dying of any illness, by way of daily updates to whānau, use of a bereavement whānau coordinator, prioritisation of rapid COVID-19 testing, ensuring availability of Māori healthcare staff, and observing Māori tikanga around dying and death.

Comment:
Our whānau recently attempted to see a loved one in hospital who had sustained life-threatening injuries. We followed the hospital’s guidelines in making a request to visit, and were willing to undergo rapid antigen testing (knowing that COVID-19 transmission risk was very low as both patient and visitor were triple vaccinated and had recovered from COVID-19 three weeks prior). However, we were told that visits ‘were for the person recovering and not the whānau grieving’. As the authors suggest here, we can care for both when open to it.
Reference: NZ Med J. 2022;135(1552):16-26.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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