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Background: In Germany, numerous health care providers work in the field of bereavement care. An epidemiological study of the field immediately after the introduction of the ICD-11 diagnosis "Prolonged Grief Disorder" (PGD) is pending., Methods: The second survey of the trend study, which is designed over a total of three measurement points at intervals of one decade each, explores whether and to what extent the field of bereavement care has evolved after the introduction of the grief-specific diagnosis PGD. For this purpose, providers of bereavement care at various organizational levels were asked to participate in an online survey. The survey was conducted from October 2020 to January 2021., Results: 456 questionnaires were included in the study. Data analysis was descriptive. 80.5% of the participants have an additional grief-specific qualification, 59.4% base their work on a grief-specific concept. In view of the PGD diagnosis, only a few respondents have participated in a PGD-related advanced training. Most are afraid that the topic of grief will increasingly be subsumed in the medical-psychological-therapeutic field. An increase in bereavement research and the number and quality of continuing education is also expected., Discussion: Some positive trends in German bereavement care can be identified. However, there is a need for further development in the areas "designation of the activity", "diagnostics", and "intervention". Also, there is a need for training with regard to PGD., Conclusion: After the introduction of PGD, the field of bereavement care in Germany turns out to be slightly different. The diagnosis is viewed skeptically., (Copyright © 2023. Published by Elsevier GmbH.)

Introduction: In Germany, many health care providers work in bereavement care. An epidemiological study of this field of work has not yet been conducted., Methods: In the initial survey of this three-phase trend study the situation of grief-specific health care in Germany in 2009/2010 is examined, i. e., at the time before the introduction of the new ICD-11 diagnosis of Prolonged Grief Disorder. For this purpose, bereavement care providers at different organizational levels participated in an online survey., Results: 410 questionnaires were included in the study. Data analysis was descriptive. The most frequent reason for using grief-specific support services was the loss of a partner. In more than half of all cases of bereavement, people experienced a loss that was preceded by an illness and suffering. More than half of those providing bereavement care do not follow a concept of intervention., Discussion: There is considerable need for further development in German bereavement care, in particular with regard to qualification and the degree of professionalization, designation of the respective interventions, diagnostics, and intervention., Conclusion: This three-phase trend study enables health care providers to derive bereavement care service standards that aim to treat people according to their needs. Whether the diagnosis of Prolonged Grief Disorder has led to changes in bereavement care is currently analyzed in the second survey phase of the study., (Copyright © 2022. Published by Elsevier GmbH.)

Background: In Germany, 9% of babies are born preterm, 32 % of them die. A neonatal death is a challenge for both parents and neonatal health care professionals alike. In 1994 the Department of pediatric nursing of the Klinik für Neonatologie/Charité launched an initiative to offer bereavement care for parents who have experienced a perinatal death., Aim: The aim of this study was to determine the needs of parents after the perinatal loss of their child from the perspective of health care professionals (HCP)., Method: Six interviews were conducted with the HCP in Neonatology, Charité – University of Medicine in Berlin and analyzed using qualitative content analysis according to Mayring., Results: The results show the differing needs of the parents and are focused on five main points: “Avoid and protection of overtaxing”, “express emotions”, “safety and family support”, “bonding with the child” and “give understanding and meaning”., Conclusions: The parents needs connected with the Caring Theory of Swanson show that they mostly correspond with the dimension of “Being with”. It underlines the importance of the emotional and educational support of parents in bereavement care during the perimortal period. A major requirement here is to “get to know” the parents and their needs and to accompany them individually. Offering compassionate care and interaction between nurses and bereaved parents complys with the “doing for” and “enabling” from Swanson's model.