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'In the hospital there are no care guidelines': experiences and practices in perinatal loss in Spain.
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- Author(s): Fernández‐Alcántara, Manuel; Schul‐Martin, Laetitia; García Caro, Mª Paz; Montoya‐Juárez, Rafael; Pérez‐Marfil, Mª Nieves; Zech, Emmanuelle
- Source:
Scandinavian Journal of Caring Sciences. Dec2020, Vol. 34 Issue 4, p1063-1073. 11p. 5 Charts. - Source:
- Additional Information
- Subject Terms: PERINATAL death & psychology; ATTITUDE (Psychology); DECISION making; GRIEF; HOSPITALS; PATIENT aftercare; INTERVIEWING; MATERNAL health services; RESEARCH methodology; MEDICAL personnel; NURSES; PARENTS; PHYSICIANS; PSYCHOLOGY of physicians; PSYCHOLOGISTS; RESEARCH; QUALITATIVE research; SOCIAL support; THEMATIC analysis; MEDICAL coding; DESCRIPTIVE statistics
- Subject Terms:
- Abstract: Background and objectives: Healthcare professionals play an important role in supporting and attending to families that experience a perinatal loss. Previous research has identified the existence of obstacles that professionals may encounter during their practices. The main objective of the current research was to identify and examine the subjective experiences and practices of experienced professionals attending to perinatal loss in the hospital context in Spain. Design: Qualitative descriptive design. Setting: Three different hospitals in Spain. Participants: Sixteen professionals were interviewed, including doctors, nurses, midwives, nursing assistants, a psychologist and a funeral home manager. Methods: Individual semi‐structured interviews focusing on three areas were carried out: practices with the baby–foetus, practices with parents and interaction with the team. A thematic analysis was performed using the three main focuses of the semi‐structured interview (deductive approach) and the codes that emerged from the data (inductive approach). Results: Regarding guideline‐based care for the baby/foetus, participants made a distinction between the initial process of care for the baby and the decision‐making process with parents. Where support for families was concerned, participants identified considerable variability in the practices used and lack of organisational and care guidelines, psychological support and follow‐up. Finally, interactions with other team members were perceived as a source of support, although participants identified a significant lack of coordination. Conclusion: Participants reported variability of practices in care for the baby and parents, lack of continuity‐of‐care guidelines and the importance of support from a coordinated healthcare team. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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