A Tale of Two Surveys: Life-Affirming Strategy of Mortuary Improves the Quality of Bereavement Care After Hospital Death

Abstract

Background The mortuary plays an important, under-recognized role in end-of-life care. A ‘ Life-affirming strategy’ was introduced in the mortuary of a university hospital to enhance respect for the deceased and next-of-kin (NOK). Design: NOK who collected bodies in the mortuary of a university hospital participated in a survey. The satisfaction scores, needs and expectations were compared with a similar survey from 2015. Results: The overall experience for NOK improved significantly compared with 2015. The greatest improvement was achieved in ‘mortuary environment’, ‘attitude of mortuary staff’ and ‘body viewing arrangement in the mortuary’. The perceived need for additional psychosocial support was significantly reduced. Conclusions: Results demonstrate success of the life-affirming strategy in enhancing end-of-life care for bereaved families. The person-centered approach modernizes and professionalizes mortuary services, with a positive impact on the deceased, NOK, mortuary staff, hospital administration and wider community.

The experience and support needs of adult family members who face a sudden adult death: A systematic review study

“…Additionally, recent research on mortuary practice in Hong Kong has found positive impacts on relatives when a 'life-affirming' strategy was adopted in the service. Improving the mortuary environment, providing facilities for farewell ceremonies, and developing the skills and knowledge of staff in relation to bereavement and support for relatives were aspects of this approach (Lau et al, 2023). Overall, being open and providing opportunities for people to be together and share their experiences is usually positive.…”