Abstract Although statistics have been gathered regarding survivor symptoms and/or risks, little or no research has been done on tangible interventions at the onset of grief. This study has attempted to identify such an intervention. An implication of this study is the need for further research efforts toward the development of survivor intervention tools. Another implication of this study is that the concluding process highlighted the survivor's needs and shifted the nursing focus from responsibility for the dead patient to the needs of the survivor. Potentially, with further research, the concluding process might be used as a nursing intervention tool for the diagnosis of acute grief Implications from this study also include the concept that the concluding process may offer uniformity of nursing intervention toward survivors and direct attention to their specific needs. Preparation for use of the concluding process can provide a starting point for staff development in response to survivor needs and grief. The process can also stimulate ongoing discussion and classes on survivor and staff responses to sudden loss.