Experiences of Nurses Who Care for Women After Fetal Loss

Hutti, Marianne Hopkins; Polivka, Barbara; White, Susan; Hill, Janice; Clark, Paul R.; Cooke, Cathy; Clemens, Savannah; Abell, Hayley

doi:10.1016/j.jogn.2015.10.010

Cited by 49 publications

(82 citation statements)

References 27 publications

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“…Evans’ () study has previously highlighted the necessity of developing relevant clinical policies for use in the ED. This appears even more necessary given that ED nurses have less education on perinatal bereavement compared to perinatal nurses (Hutti et al, ). Studies have shown that the development of clinical policies, when coupled with the review of care practices for perinatal loss, can have a positive effect on both women's emotional health and nurses’ confidence in their ability to provide perinatal care (Adolfsson, ; Smart & Smith, ).…”

Section: Discussionmentioning

confidence: 99%

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

Emond

Montigny

Guillaumie

2019

Journal of Clinical Nursing

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Aims and objectives To understand how parents experienced miscarriage in an emergency department setting. Objectives were to identify parents’ needs, isolate factors that influenced their experience, and provide recommendations to improve care from the perspective of women, their partners, nurses and nurse managers. Background Miscarriage is the most prevalent complication encountered during pregnancy. It subjects parents to a multitude of emotions and may have significant consequences on mental health. Emergency department visits are frequently the only opportunity for parents to receive formal support during a miscarriage; it is thus crucial to understand the experiences of parents in this setting. Design The study employed a descriptive, exploratory, qualitative approach with semi‐structured interviews. Methods The study was founded on the W.K. Kellogg Foundation's Logic Model Development Guide (2004) and Meleis’ Transitions Theory (2015). A total of 26 participants were interviewed (17 parents, 7 emergency department nurses and 2 emergency department nurse managers). Consolidated criteria for reporting qualitative research was used to report results. Results Three categories of needs were identified: physical health, cognitive and emotional. For instance, parents expressed a need to receive more information during their visit to the emergency department (i.e., a cognitive need), whether about the diagnostic test results or how to ensure a better recovery. Parents also reported a desire for professionals to address their emotional concerns. Nurses were aware of the emotional impact of miscarriage but felt that they were not adequately trained in providing optimal care to parents in this situation. Conclusions Parents who visited the emergency department for miscarriage reported several unfulfilled needs that generated dissatisfaction with care. Emergency department organisational constraints hindered optimal nursing care practices. Relevance to clinical practice Nurses have an important role to play in improving parents’ experience. They can do so by understanding the needs of parents and by being involved in developing new guidelines.

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Section: Discussionmentioning

confidence: 99%

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

Emond

Montigny

Guillaumie

2019

Journal of Clinical Nursing

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“…Quality assessment of included studies [25]. 1 2 3 4 5 6 7 8 9 10 Nallen (2006,2007) † [26,27] -Nash (2018) [28] - Willis (2019) [29] - McCreight (2005) [30] - Beaudoin and Ouellet (2018) [31] Hutti (2016) [32] - Roehrs et al (2008) [33] Martinez-Serrano et al (2018) [34] -Jones and Smythe (2015) [35] Jonas-Simpson et al (2010) [36] -Abbreviations: yes-unclear no; critical appraisal questions: (1) Is there congruity between the stated philosophical perspective and the research methodology? (2) Is there congruity between the research methodology and the research question or objectives?…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography

Fernández‐Basanta

Movilla‐Fernández

Coronado

et al. 2020

IJERPH

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Healthcare professionals find the care of parents following an involuntary pregnancy loss stressful and challenging. They also feel unprepared to support bereaved parents. The challenging nature of this support may have a personal impact on health professionals and the care provided to parents. The aim of this meta-ethnography is to synthesise nurses’ and midwives’ experiences of caring for parents following an involuntary pregnancy loss. A meta-ethnography of ten studies from five countries was carried out. GRADE CERQual was assessed to show the degree of confidence in the review findings. An overarching metaphor, caring in darkness, accompanied by five major themes provided interpretive explanations about the experiences of nurses and midwives in caring for involuntary pregnancy losses: (1) Forces that turn off the light, (2) strength to go into darkness, (3) avoiding stumbling, (4) groping in darkness, and (5) wounded after dealing with darkness. Nursing staff dealt with organizational difficulties, which encouraged task-focused care and avoidance of encounters and emotional connection with parents. However, nurses and midwives might go beyond in their care when they had competencies, support, and a strong value base, despite the personal cost involved.

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“…In this sense, caring for a woman who has lost her unborn baby can be a difficult task for the nurse. A study aimed at examining the experiences of, meanings for and personal consequences for obstetric nurses caring for women after fetal death revealed that these professionals feel insecure about the best care possible (6) . The feeling of insecurity, in turn, may generate a sense of powerlessness in these professionals, with a consequent idea of having provided incomplete care (5) .…”

Section: Limitations Of Nurses Who Care For Women With Fetal Deathmentioning

confidence: 99%

“…In this context, studies indicate that caregivers need attention, help and support, formal and informal opportunities to discuss situations with their colleagues, and frequent self-care measures (1,(6)(7) . The importance of extending this care to the entire nursing team is also highlighted, since the nurse is part of this reality and, generally, is responsible for managing and leading the care.…”

Section: Limitations Of Nurses Who Care For Women With Fetal Deathmentioning

confidence: 99%

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Women with fetal death: nurses’ care limitations

2019

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Objective:To present the limitations of the nursing care for women with fetal death, reflecting on this challenge for care practices. Method: Reflective study with theoretical focus on national and international publications, along with the experience of the authors in the area of women's health and obstetrics. Results: There are limitations related to nursing care, which involve feelings of insecurity and powerlessness, inappropriate attitudes of these professionals in front of women, difficulties to manage emotional aspects, and structural problems of health services. Final Considerations: This study points out that there are challenges to qualify nursing care for women with fetal death, which included academic studies and continuing education in health services. Relational aspects should be valued and demand more sensitivity from nurses, with more empathic relationships in the care for women with fetal death. Descriptors: Fetal Death; Women's Health; Nursing Care; Nurse-Patient Relations; Health Services Needs and Demand. RESUMOObjetivo: Apresentar as limitações assistenciais de enfermeiros a mulheres em situação de perda fetal, tencionando uma reflexão sobre esse desafio para as práticas de cuidado. Método: Estudo reflexivo com enfoque teórico pautado em publicações nacionais e internacionais, aliado à experiência das pesquisadoras na área da saúde da mulher e obstetrícia. Resultados: Identificam-se limitações relacionadas à assistência de enfermeiros envolvendo sensação de insegurança e impotência, atitudes impróprias desses profissionais com as mulheres, dificuldades em lidar com aspectos emocionais, além de problemas estruturais dos serviços de saúde. Considerações finais: Este estudo aponta que existem desafios para qualificar a assistência de Enfermagem a mulheres em situação de perda fetal, perpassando desde a formação acadêmica até a educação contínua nos serviços de saúde. Aspectos de ordem relacional devem ser valorizados, demandando mais sensibilidade por parte de enfermeiros, em relações mais empáticas no atendimento a mulheres em situação de perda fetal. Descritores: RESUMEN Objetivo: Presentar las limitaciones asistenciales de las enfermeras en relación con las mujeres en situación de muerte fetal, planteando una reflexión sobre este desafío de las prácticas del cuidado. Método: Se trata de un estudio reflexivo con enfoque teórico pautado en publicaciones nacionales e internacionales y aliado a la experiencia de las investigadoras en el área de obstetricia. Resultados: Las limitaciones identificadas están relacionadas a la sensación de inseguridad e impotencia, actitudes impropias hacia las mujeres, dificultades para lidiar con los aspectos emocionales, además de problemas estructurales en los servicios de salud. Consideraciones finales: Este estudio demuestra los desafíos inherentes a la calificación de la atención de enfermería de mujeres en situación de muerte fetal, desde la formación académica hasta la educación continua en los servicios de salud. Es esencial valorizar los aspectos de orden ...

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Experiences of Nurses Who Care for Women After Fetal Loss

Cited by 49 publications

References 27 publications

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

Exploring the needs of parents who experience miscarriage in the emergency department: A qualitative study with parents and nurses

Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography

Women with fetal death: nurses’ care limitations

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