Development and evaluation of TEARDROP - a perinatal bereavement care training programme for healthcare professionals

Leitão, Sara; Helps, Änne; Cotter, Riona; O’Donoghue, Keelin

doi:10.1016/j.midw.2021.102978

Cited by 12 publications

(13 citation statements)

References 21 publications

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“…It is not acceptable to be unaware and insensitive to parents' emotional and bereavement needs, as every interaction with a member of the hospital staff has the potential to have lasting positive or negative effects. 4 , 16 , 27 , 30 Regular multidisciplinary, interactive education on communicating and interacting with bereaved parents for all hospital staff would help to foster a compassionate culture. 30 A workshop (called TEARDROP [Teaching, Excellent, pArent, peRinatal, Deaths‐related, inteRactions, tO, Professionals]) has been developed and evaluated in Ireland, and the aim is to expand this training programme nationally.…”

Section: Discussionmentioning

confidence: 99%

“… 4 , 16 , 27 , 30 Regular multidisciplinary, interactive education on communicating and interacting with bereaved parents for all hospital staff would help to foster a compassionate culture. 30 A workshop (called TEARDROP [Teaching, Excellent, pArent, peRinatal, Deaths‐related, inteRactions, tO, Professionals]) has been developed and evaluated in Ireland, and the aim is to expand this training programme nationally. 30 TEARDROP consists of six interactive, multidisciplinary workstations covering areas of the National Bereavement Standards to equip staff with skills to provide optimal bereavement care for parents.…”

Section: Discussionmentioning

confidence: 99%

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Bereaved parents involvement in maternity hospital perinatal death review processes: ‘Nobody even thought to ask us anything’

Helps

O’Donoghue

O’Connell

et al. 2022

Health Expectations

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Introduction The death of a baby is devastating for parents, families and staff involved. Involving bereaved parents in their baby's care and in the maternity hospital perinatal death review can help parents manage their bereavement and plan for the future. In Ireland, bereaved parents generally have not been involved in this review process. The aim of our study was to assess parents' perception of how they may be appropriately involved in the maternity hospital perinatal death review in ways that benefit them and the review process itself. Methods Bereaved parents ( n = 20) in Ireland were invited to take part in semistructured interviews. Thematic analysis was carried out on the interview transcripts. Results Four main themes were identified based on the participants' views and opinions on how they experienced the review process and how they feel this process may be improved. The themes reflect the journey of the parents through the different stages of the review process: Throughout process; On leaving the hospital; Interaction with the hospital ‘waiting in limbo’; Review itself. Identified subthemes highlighted essential aspects of this process and care provided to parents. For the parents, open, honest communication with staff, as well as having a key hospital contact was essential. Parents wished to provide feedback on their experience and wanted to be included in the review of their baby's death, in a way that was sensitive to their needs and the hospital's schedule. Conclusion A respectful, flexible system that allows bereaved parents' involvement in their baby's perinatal death review and is tailored to their needs is essential. A collaborative process between staff and parents can highlight clinical areas in need of change, enhance lessons learned, improve bereavement services and may prevent future perinatal deaths. Public Contribution Bereaved parents were interviewed for this study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bereaved parents involvement in maternity hospital perinatal death review processes: ‘Nobody even thought to ask us anything’

Helps

O’Donoghue

O’Connell

et al. 2022

Health Expectations

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“…The findings of this review suggest that healthcare professionals would benefit from support and training to meet the needs of parents undergoing TOPFA [124][125][126]. Of particular importance to the participants of the included studies was effective communication between patients and healthcare practitioners.…”

Section: Practice Implicationsmentioning

confidence: 96%

Termination of pregnancy for fetal anomaly: a systematic review of the healthcare experiences and needs of parents

Heaney¹,

Tomlinson

Aventin³

2022

BMC Pregnancy Childbirth

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Background Improved technology and advances in clinical testing have resulted in increased detection rates of congenital anomalies during pregnancy, resulting in more parents being confronted with the possibility of terminating a pregnancy for this reason. There is a large body of research on the psychological experience and impact of terminating a pregnancy for fetal anomaly. However, there remains a lack of evidence on the holistic healthcare experience of parents in this situation. To develop a comprehensive understanding of the healthcare experiences and needs of parents, this systematic review sought to summarise and appraise the literature on parents’ experiences following a termination of pregnancy for fetal anomaly. Review question What are the healthcare experiences and needs of parents who undergo a termination of pregnancy following an antenatal diagnosis of a fetal anomaly? Methods A systematic review was undertaken with searches completed across six multi-disciplinary electronic databases (Medline, Embase, PsycINFO, CINAHL, Web of Science, and Cochrane). Eligible articles were qualitative, quantitative or mixed methods studies, published between January 2010 and August 2021, reporting the results of primary data on the healthcare experiences or healthcare needs in relation to termination of pregnancy for fetal anomaly for either, or both parents. Findings were synthesised using Thematic Analysis. Results A total of 30 articles were selected for inclusion in this review of which 24 were qualitative, five quantitative and one mixed-methods. Five overarching themes emerged from the synthesis of findings: (1) Contextual impact on access to and perception of care, (2) Organisation of care, (3) Information to inform decision making, (4) Compassionate care, and (5) Partner experience. Conclusion Compassionate healthcare professionals who provide non-judgemental and sensitive care can impact positively on parents’ satisfaction with the care they receive. A well organised and co-ordinated healthcare system is needed to provide an effective and high-quality service. Trial Registration: PROSPERO registration number: CRD42020175970.

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“…Perinatal loss is a complex experience ( Leitao et al 2021 ), and is widely accepted as one of the most painful forms of bereavement. It can be sudden, unexpected, unexplained and may produce a greater emotional response than that of the death of someone who has lived a long life ( Hughes and Goodall 2013 ; Coffey 2016 ; Quinn 2016 ).…”

Section: Introductionmentioning

confidence: 99%

“Stranger in a mask” midwives’ experiences of providing perinatal bereavement care to parents during the COVID-19 pandemic in Ireland: A qualitative descriptive study

Power¹,

Atkinson²,

Noonan³

2022

Midwifery

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Development and evaluation of TEARDROP - a perinatal bereavement care training programme for healthcare professionals

Cited by 12 publications

References 21 publications

Bereaved parents involvement in maternity hospital perinatal death review processes: ‘Nobody even thought to ask us anything’

Bereaved parents involvement in maternity hospital perinatal death review processes: ‘Nobody even thought to ask us anything’

Termination of pregnancy for fetal anomaly: a systematic review of the healthcare experiences and needs of parents

“Stranger in a mask” midwives’ experiences of providing perinatal bereavement care to parents during the COVID-19 pandemic in Ireland: A qualitative descriptive study

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