Lord, Ailsa and Field, Stephen John and Smith, Ian Craig (2017) The Experiences of Staff Who Support People with Intellectual Disability on Issues About Death, Dying, and Bereavement : a metasynthesis. Journal of Applied Research in Intellectual Disabilities, 30 (6). pp. 1007-1021. ISSN 1360-2322
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Abstract
Background: Historically, people with intellectual disabilities have tended to be excluded from knowing about death, dying, and bereavement. Staff in intellectual disability services can play a valuable role in improving understanding of these issues in those they support. This qualitative metasynthesis aimed to understand the experiences of staff supporting adults with intellectual disabilities with issues of death, dying, and bereavement. Method: Thirteen papers were identified following a systematic review of six databases. Results: Three themes were developed following a lines-of-argument synthesis: (1) Talking about death is hard: Negotiating the uncertainty in death, dying, and bereavement; (2) The commitment to promoting a “good death”; and (3) The grief behind the professional mask. “A cautious silence: The taboo of death,” was an overarching theme. Conclusions: A more open culture around issues of death, dying, and bereavement in intellectual disability settings is essential and could be promoted through staff training and support.