{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:05:39Z","timestamp":1784808339290,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Omega (Westport)"],"abstract":"<jats:p>Patient death may constitute an emotionally significant but often unrecognized source of occupational grief among healthcare professionals. This study examined disenfranchised grief after patient death and tested whether maladaptive coping strategies mediated its association with psychological well-being. In this cross-sectional pilot survey, 56 healthcare professionals with direct patient contact and professional experience with patient death completed an anonymous online questionnaire assessing disenfranchised grief after patient death, maladaptive coping strategies, and psychological well-being. Disenfranchised grief was negatively associated with psychological well-being and positively associated with maladaptive coping, while maladaptive coping was negatively associated with well-being. Mediation analysis indicated a statistically significant indirect association between disenfranchised grief and well-being through maladaptive coping. These findings suggest that the psychological consequences of patient death may be related not only to exposure to death itself, but also to whether grief is recognized and how professionals cope with it. The results point to the need for organizational support that acknowledges occupational grief and promotes adaptive coping after patient death.<\/jats:p>","DOI":"10.1177\/00302228261470280","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T21:18:31Z","timestamp":1784582311000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disenfranchised Grief after Patient Death and Psychological Well-Being Among Healthcare Professionals: The Mediating Role of Maladaptive Coping Strategies Running Head: Disenfranchised Grief After Patient Death"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6695-5938","authenticated-orcid":false,"given":"Magdalena","family":"Mikulska","sequence":"first","affiliation":[{"name":"Nicolaus Copernicus University in Toru\u0144"},{"name":"Nicolaus Copernicus University in Toru\u0144"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-0977","authenticated-orcid":false,"given":"Aldona Katarzyna","family":"Jankowska","sequence":"additional","affiliation":[{"name":"Nicolaus Copernicus University in Toru\u0144"},{"name":"Polish Academy of Sciences Scientific Centre in Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0540-9715","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Treppner","sequence":"additional","affiliation":[{"name":"University of Gda\u0144sk"},{"name":"University of Gda\u0144sk"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_3_9_2_1","doi-asserted-by":"crossref","unstructured":"Bert\u00e3o M. Dalcolmo \u00da. Rego F. (2025). Deathbed phenomena other end-of-life experiences and their effects in palliative care teams: A systematic review. OMEGA\u2014Journal of Death and Dying. Advance online publication. https:\/\/doi.org\/10.1177\/00302228251321203","DOI":"10.1177\/00302228251321203"},{"key":"e_1_3_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.101149"},{"key":"e_1_3_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2022.09.008"},{"key":"e_1_3_9_5_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0401_6"},{"key":"e_1_3_9_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.44.1.113"},{"key":"e_1_3_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01393-8"},{"key":"e_1_3_9_8_1","volume-title":"Disenfranchised grief: Recognizing hidden sorrow","author":"Doka K. J.","year":"1989","unstructured":"Doka K. J. (1989). Disenfranchised grief: Recognizing hidden sorrow. Lexington Books."},{"key":"e_1_3_9_9_1","volume-title":"Disenfranchised grief: New directions, challenges, and strategies for practice","author":"Doka K. J.","year":"2002","unstructured":"Doka K. J. (Ed.), (2002). Disenfranchised grief: New directions, challenges, and strategies for practice. Research Press."},{"key":"e_1_3_9_10_1","doi-asserted-by":"crossref","unstructured":"Feng H. Shen Y. Li X. (2024). Bereavement coping strategies among healthcare professionals: A qualitative systematic review and meta-synthesis. Palliative & Supportive Care. Advance online publication. https:\/\/doi.org\/10.1017\/S1478951524001147","DOI":"10.1017\/S1478951524001147"},{"key":"e_1_3_9_11_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes A. F.","year":"2022","unstructured":"Hayes A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press."},{"key":"e_1_3_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2022.102260"},{"key":"e_1_3_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2025-104382"},{"key":"e_1_3_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/00302228221117902"},{"key":"e_1_3_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cub.2014.06.054"},{"key":"e_1_3_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-025-02792-1"},{"key":"e_1_3_9_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000376585"},{"key":"e_1_3_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.70156"},{"key":"e_1_3_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.03.001"},{"key":"e_1_3_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000046468"}],"container-title":["OMEGA - Journal of Death and Dying"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00302228261470280","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00302228261470280","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00302228261470280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:46:59Z","timestamp":1784807219000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00302228261470280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":19,"alternative-id":["10.1177\/00302228261470280"],"URL":"https:\/\/doi.org\/10.1177\/00302228261470280","relation":{},"ISSN":["0030-2228","1541-3764"],"issn-type":[{"value":"0030-2228","type":"print"},{"value":"1541-3764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"article-number":"00302228261470280"}}