BackgroundNinety‐eight percent of neonatal deaths worldwide occur in low‐ and middle‐income countries (LMICs), yet there is little bereavement care guidance available for these settings.ObjectivesTo explore parents', families' and healthcare professionals' experiences of care after neonatal death in healthcare facilities in LMICs.Search Strategy and Selection CriteriaFour databases were searched for peer‐reviewed literature, meeting the inclusion criteria of qualitative studies exploring the experiences of people who provided or received bereavement care following neonatal death in a LMIC healthcare setting.Data Collection and AnalysisData were collected by two independent reviewers, collated through line‐by‐line coding and then reciprocal and refutational translation, and analysed through Noblit and Hare's seven‐step meta‐ethnography approach to create first‐, second‐ and third‐order themes.Main ResultsSeven first‐order themes extracted from the literature included emotional responses, social relationships, staff and systems, religion, connecting with the baby, coping strategies and economic concerns. From these data, three third‐order themes arose: The individual, the healthcare setting and the community/context.ConclusionsOverarching themes in bereavement care shape grief responses and are often similar across geographical locations. Analysing these similarities allows a deeper understanding of the important elements of bereavement care and may be helpful to inform the creation of high‐quality, bereavement care guidelines suitable for use in LMIC settings.

中文翻译：

---

中低收入国家医疗机构新生儿死亡后父母、家庭、社区和医疗保健专业人员的护理经验：系统评价和元民族志


背景全球 98% 的新生儿死亡发生在低收入和中等收入国家 （LMIC），但针对这些地区的丧亲护理指导很少。目的探讨父母、家庭和医疗保健专业人员在中低收入国家医疗机构新生儿死亡后的护理经历。检索策略和选择标准检索了四个数据库的同行评审文献，符合定性研究的纳入标准，这些研究探讨了在 LMIC 医疗保健环境中提供或接受新生儿死亡后提供或接受丧亲护理的人的经历。数据收集和分析数据由两名独立审稿人收集，通过逐行编码整理，然后进行互惠和反驳翻译，并通过 Noblit 和 Hare 的七步元民族志方法进行分析，以创建一阶、二阶和三阶主题。主要结果从文献中提取的 7 个一级主题包括情绪反应、社会关系、员工和系统、宗教、与婴儿的联系、应对策略和经济问题。从这些数据中，出现了三个三阶主题：个人、医疗保健环境和社区/环境。结论丧亲护理的总体主题塑造了悲伤反应，并且在不同地理位置通常相似。分析这些相似性可以更深入地了解丧亲照护的重要要素，并可能有助于为制定适合中低收入和中等收入国家环境的高质量丧亲照护指南提供信息。