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Flowering out of the stones: An interpretive phenomenology study of healthcare professionals’ grief experiences following patient death in China

Xin Zhang, Bei Ju, Chao Fang, Jian Qi, Yu Cheng, Alastair Comery, Zhechen Wang, Changhua Zhang

Research output: Contribution to journalArticlepeer-review

Abstract

While healthcare quality continues to improve in China, the ways in which healthcare professionals respond to grief over patient death remain under-recognized. This study used interpretive phenomenology to explore how 20 Chinese healthcare professionals navigate experiences of grief, particularly in relation to their agency. Data were collected through semi-structured interviews and participatory observation. Transcripts were analyzed using reflexive thematic analysis to generate four themes: (1) the root of grief: healthcare professionals’ personal bonding with patients; (2) the exploratory transition: from a negative attitude to recognition; (3) interpersonal grief expression as shameful and burdensome; and (4) institutional barriers to acknowledging and supporting grief. The findings highlight a challenging yet agentic portrayal of healthcare professionals’ grief experiences within the Chinese sociocultural context. By fostering a grief-literate workplace culture, hospitals can empower staff to navigate the grieving process more effectively, ensuring both their well-being and the continuity of high-quality patient care.

Original languageEnglish
JournalDeath Studies
Early online date25 Oct 2025
DOIs
Publication statusE-pub ahead of print - 25 Oct 2025

Data Availability Statement

Not applicable. The data collected in this research consists of interviews with health professionals. As such, the data cannot be shared, as doing so would violate participant confidentiality

Acknowledgements

We are deeply grateful to 20 healthcare professionals who participated in this study and generously shared their experiences of grief. The first author would like to extend special thanks to Dr. Zhiyuan Liu for providing a wonderful seaside apartment to revise and finalize this manuscript.

Funding

This study is funded by Sanming Project of Medicine in Shenzhen Municipality (Grant No. SZSM202311017).

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

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