Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography

Fernández‐Basanta, Sara; Movilla‐Fernández, María‐Jesús; Coronado, Carmen; Llorente-García, Haizea; Bondas, Terese

doi:10.3390/ijerph17051486

Cited by 22 publications

(41 citation statements)

References 41 publications

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“…We suspect that part of the reason is structural. Providing miscarriage care is demanding, and members of the formal care network need to be properly supported in the work they do [ 87 , 88 ].…”

Section: Discussionmentioning

confidence: 99%

The miscarriage circle of care: towards leveraging online spaces for social support

et al. 2022

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Background Lack of social support during and after miscarriage can greatly affect mental wellbeing. With miscarriages being a common experience, there remains a discrepancy in the social support received after a pregnancy is lost. Method 42 people who had experienced at least one miscarriage took part in an Asynchronous Remote Community (ARC) study. The study involved 16 activities (discussions, creative tasks, and surveys) in two closed, secret Facebook groups over eight weeks. Descriptive statistics were used to analyse quantitative data, and content analysis was used for qualitative data. Results There were two main miscarriage care networks, formal (health care providers) and informal (friends, family, work colleagues). The formal care network was the most trusted informational support source, while the informal care network was the main source of tangible support. However, often, participants’ care networks were unable to provide sufficient informational, emotional, esteem, and network support. Peers who also had experienced miscarriage played a crucial role in addressing these gaps in social support. Technology use varied greatly, with smartphone use as the only common denominator. While there was a range of online support sources, participants tended to focus on only a few, and there was no single common preferred source. Discussion We propose a Miscarriage Circle of Care Model (MCCM), with peer advisors playing a central role in improving communication channels and social support provision. We show how the MCCM can be used to identify gaps in service provision and opportunities where technology can be leveraged to fill those gaps.

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Section: Discussionmentioning

confidence: 99%

The miscarriage circle of care: towards leveraging online spaces for social support

et al. 2022

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“…(1) getting started, (2) deciding what is relevant to the initial interest, (3) reading the studies, (4) determining how the studies are related, (5) translating the studies into one another, (6) synthesising translations and (7) expressing the synthesis. This meta-ethnography complies with the eMERGe meta-ethnography reporting guidelines [25].…”

Section: Methodsmentioning

confidence: 99%

“…According to the Caritative Caring Theory [4], apart from competencies and support, the basic motive for caring is caritas, the unconditional love constitutive of care. the provision of caritative care assumes a personal, sometimes lasting, cost for midwives and nurses [5,6,9]. For these professionals caring for pregnancy losses is an emotionally demanding experience that impacts their lives, triggering various physical, social, psychological, cognitive and behavioural reactions.…”

Section: Aim Key Findingsmentioning

confidence: 99%

Unravelling the grief of involuntary pregnancy loss: A meta‐ethnography of midwives’ and nurses’ emotional experiences

Fernández‐Basanta

Coronado

Bondas

et al. 2021

Scandinavian Caring Sciences

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Background: Parents who experience involuntary pregnancy loss encounter nurses and midwives when requiring care. But the environment in which this attention is provided turns it into a stressful and challenging event that favours the concealment of emotions. Literature supports the development of compassion in nurses and midwives who tend to parents who experience pregnancy losses. Aim:To synthesise the emotional experiences of midwives and nurses when caring for parents who have suffered an involuntary pregnancy loss.Method: This is a synthesis of qualitative studies following Noblit and Hare's interpretive meta-ethnography. Eleven studies met the research objective and inclusion criteria.Results: An overarching metaphor, 'Unravelling the grief of loss', accompanied by four major themes provided interpretive explanations to the experiences of midwives and nurses in caring for involuntary pregnancy losses: 'Pulling the thread' -looking for the meaning of loss; 'Yarn entanglement degree' -determinants for grief expression; 'Detangling tools' -focusing on the loss; and 'Fraying the thread' -moving away from the loss. Discussion:The provision of whole care to these parents requires midwifery and nursing training and continued education. Furthermore, the organisational culture should prioritise the health and well-being of midwives and nurses. Conclusion:Midwives and nurses encounter the parents' loss in care and personally in various ways and give meaning to the loss conditioned by personal and professional determinants. They unravel the grief of loss by looking for the meaning, expressing their grief, focusing and moving away from the loss.

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“…La investigación que dio lugar a la tesis doctoral de la primera autora (Fernández Basanta, 2020) se construyó en base a dos objetivos generales: (1) conocer las experiencias de afrontamiento de los padres que han sufrido la pérdida de un embarazo o pérdida del embarazo o perinatal, y (2) conocer las experiencias de enfermeras y matronas en el cuidado de las pérdidas involuntarias del embarazo. Para dar respuesta al objetivo dos se desarrollaron dos estudios, uno con metodología meta-etnográfica, es cual dio lugar a dos manuscritos meta-etnográficos, y otro empírico inspirado en el diseño hermenéutico fenomenológico.…”

Section: Antecedentesunclassified

Experiences of care in pregnancy losses: Methodological triangulation between meta-ethnographic and empirical studies

Basanta¹

2022

New Trends in Qualitative Research

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Introduction: Involuntary pregnancy loss is a relatively common event, especially in the clinical practice of midwives and nurses. The care provided by health professionals, and especially nurses and midwives, is crucial for the short- and long-term well-being of parents. However, health personnel report how unprepared they are and how stressful and demanding it is the care for these losses. In order to know the experiences of nurses and midwives in the care of involuntary pregnancy loss, two studies were developed, one with a meta-ethnographic methodology (qualitative meta-synthesis), and another inspired by the phenomenological hermeneutic design (empirical study), methodologically triangulating the general objective. Goals: This manuscript intends to show and reflect on the use of methodological triangulation, between a meta-ethnographic study and an empirical one, to know the experiences of care in pregnancy losses. Methods: The development of meta-ethnography followed the seven phases described by Noblit and Hare (1988), and the phenomenological hermeneutic study was inspired by the work of Lindseth and Norberg (2004). Results: Nurses and midwives who cared for parents who have suffered an involuntary pregnancy loss, faced difficulties that required leaving their comfort zone. This caused them not to get emotionally involved with parents and that, if they did, the care was based on their intuition. Conclusions: The methodological triangulation has allowed us to have greater confidence in the credibility of the study findings. Both studies informed the body of knowledge in nursing sciences and promote a change in clinical practice, since the results show the complexity of the experience of nursing and midwifery care in involuntary pregnancy loss.

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Involuntary Pregnancy Loss and Nursing Care: A Meta-Ethnography

Cited by 22 publications

References 41 publications

The miscarriage circle of care: towards leveraging online spaces for social support

The miscarriage circle of care: towards leveraging online spaces for social support

Unravelling the grief of involuntary pregnancy loss: A meta‐ethnography of midwives’ and nurses’ emotional experiences

Experiences of care in pregnancy losses: Methodological triangulation between meta-ethnographic and empirical studies

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