{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:29:51Z","timestamp":1790872191303,"version":"4.1.0"},"reference-count":105,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To synthesise evidence on the impact of pre\u2010 and post\u2010loss family support interventions on bereavement outcomes and families' perceptions of their usefulness and benefits in specialist palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A rapid mixed\u2010methods systematic review drawing on JBI and Cochrane guidance. Study quality was appraised using the Mixed\u2010Methods Appraisal Tool. Qualitative and quantitative data were analysed using a meta\u2010aggregation and narrative analysis approach combined with narrative synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Source<\/jats:title>\n                    <jats:p>We searched Medline, CINAHL, PsycINFO, Embase and Cochrane Library and included articles published between 2004 and 2024 that evaluated pre\u2010 and post\u2010loss family support in specialist adult palliative care and assessed bereavement outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The search yielded 3682 records. We included thirty\u2010nine mostly moderate to high\u2010quality studies (57% quantitative). Results suggest that pre\u2010loss support, like family\u2010focused interventions and communication during dying, may mitigate post\u2010loss anxiety, depression and grief. Individual and group post\u2010loss support interventions may reduce anxiety, distress and grief while improving well\u2010being. Families desire individualised and comprehensive pre\u2010 and post\u2010loss support, with few not needing or accepting it. Stigma associated with bereavement, support and barriers can hinder access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Included studies demonstrated mixed effects of pre\u2010 and post\u2010loss family support interventions, suggesting they are beneficial when accessible and tailored to family needs. High\u2010quality intervention research assessing a broader range of family bereavement outcomes is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Palliative care nurses and other health professionals should tailor their care to family needs, start family support before patient death and ensure equitable access to bereavement services. Our results may guide palliative care professionals in designing effective, personalised and accessible services and policymakers in allocating resources for bereavement care. Findings highlight research needs, including investigating barriers to care and accessibility of services. High\u2010quality research is needed to understand who benefits the most from health\u2010promoting bereavement support and why.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>We adhered to the PRISMA guideline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Contribution<\/jats:title>\n                    <jats:p>No Patient and Public Contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Protocol Registration<\/jats:title>\n                    <jats:p>\n                      Open Science Framework\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/osf.io\/36jeu\">https:\/\/osf.io\/36jeu<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70193","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T05:14:03Z","timestamp":1757135643000},"page":"4682-4713","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Family Bereavement Support Interventions in Specialist Adult Palliative Care: A Rapid Mixed\u2010Methods Systematic Review"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3987-4277","authenticated-orcid":false,"given":"Torsten","family":"Schwalbach","sequence":"first","affiliation":[{"name":"Institute for Implementation Science in Health Care Faculty of Medicine, University of Zurich  Zurich Switzerland"},{"name":"Center of Clinical Nursing Science University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3056-351X","authenticated-orcid":false,"given":"Marco","family":"Riguzzi","sequence":"additional","affiliation":[{"name":"Institute for Implementation Science in Health Care Faculty of Medicine, University of Zurich  Zurich Switzerland"},{"name":"Center of Clinical Nursing Science University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3542-8296","authenticated-orcid":false,"given":"Myrta","family":"Kohler","sequence":"additional","affiliation":[{"name":"Institute for Implementation Science in Health Care Faculty of Medicine, University of Zurich  Zurich Switzerland"},{"name":"Center of Clinical Nursing Science University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5872-076X","authenticated-orcid":false,"given":"Rahel","family":"Naef","sequence":"additional","affiliation":[{"name":"Institute for Implementation Science in Health Care Faculty of Medicine, University of Zurich  Zurich Switzerland"},{"name":"Center of Clinical Nursing Science University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09503150802341400"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyac025"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00018"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319852007"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121101"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318774995"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.09.023"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184750"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.04.011"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.10.008"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.02.018"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2012.725451"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319880766"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2020.1739780"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2020.1747572"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221133670"},{"key":"e_1_2_13_18_1","volume-title":"Research Design. 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