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Midwives' support for parents following stillbirth: How they practise and resources they need from a phenomenological perspective
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-08-12 , DOI: 10.1111/jan.16385
María de Los Ángeles Linares-Gallego 1 , Jose Manuel Martínez-Linares 2 , Isabel Del Mar Moreno-Ávila 3 , Jonathan Cortés-Martín 2
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AimTo explore the perceptions and experiences of midwives caring for couples who experience a stillbirth.DesignQualitative study based on Gadamer's hermeneutic phenomenology.MethodsThis study was conducted with midwives (n = 18) at the birth unit of a third‐level public hospital in Jaén (Spain) in 2023. Personal semi‐structured interviews were recorded in audio for later transcription by two researchers following steps described by Fleming.ResultsTwo themes were identified as important aspects of the practise of midwives in a situation of the birth of a stillborn child: (1) the importance of each action of the midwife, and (2) the availability of resources determines the care provided.ConclusionsHaving a stillbirth is a very complex experience, in which the psychological support and human and material resources involved are the basic tool for the care of these families. Acknowledging limitations of the available resources, the assistance and care provided by midwives are in line with the clinical practice guidelines, which can have an emotional impact on them.Implications for the Profession and/or Patient CareThe care to be provided in stillbirth requires appropriate human and material resources for these families. Midwifery and nursing professionals are in a unique position for acting in cases of families with a stillbirth, updated protocols and, in general, the coordination of the different agents involved within the healthcare system.What Problem Did the Study Address?The midwives´ experiences in cases which end with the delivery of a stillborn.What Were the Main Findings?Each action of the midwife is as important as the availability of resources to offer the most appropriate care.Where and on Whom Will the Research have an Impact?In each woman who receives the care of a midwife who attends the birth of a stillborn.Reporting MethodCOREQ checklist.Patient or Public ContributionNo patient or public contribution occurred for this study as this research focused on exploring staffs' perspectives from the specific viewpoint of their personal experience.

中文翻译:


助产士对死产后父母的支持:从现象学角度看他们如何实践和需要资源



目的探讨助产士照顾经历死产的夫妇的看法和经历。设计基于伽达默尔解释学现象学的定性研究。方法这项研究是与助产士( n = 18) 于 2023 年在哈恩(西班牙)一家三级公立医院的产科进行。个人半结构化访谈被录制成音频,供两名研究人员按照弗莱明描述的步骤进行转录。结果两个主题被确定为重要方面死产情况下助产士的实践:(1)助产士每项行动的重要性,以及(2)资源的可用性决定所提供的护理。结论死产是一种非常复杂的经历,其中心理支持和所涉及的人力物力是照顾这些家庭的基本工具。承认可用资源的限制,助产士提供的帮助和护理符合临床实践指南,这可能会对他们产生情感影响。对职业和/或患者护理的影响死产提供的护理需要适当的人力以及这些家庭的物质资源。助产士和护理专业人员在处理死产家庭案件、更新方案以及一般情况下协调医疗保健系统中涉及的不同代理人方面处于独特的地位。该研究解决了什么问题?助产士的经验主要调查结果是什么?助产士的每项行动与提供最适当护理的资源的可用性同样重要。研究将在何处以及对谁产生影响?在每一位接受助产士照顾的死产产妇中。报告方法COREQ 检查表。患者或公众贡献本研究没有出现患者或公众贡献,因为本研究侧重于从员工个人的具体角度探索员工的观点经验。
更新日期:2024-08-12
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