This meta-synthesis aims to synthesize qualitative evidence from primary studies to better understand the experience of the spirituality of parents and its relationship to adapting following stillbirth. Five electronic databases were systematically searched and the quality of 21 eligible studies was critically appraised. A thematic synthesis revealed two analytical themes: (1) Spiritual suffering following stillbirth; (2) Moving through spirituality to adapt to the loss, each encompassing four descriptive themes. The findings can inform a more culturally and spiritually sensitive approach to care, taking into account the parents’ beliefs, folk customs, religion, values, and spiritual needs.
AIMS AND OBJECTIVES: This study aimed to understand how parents experienced miscarriage in an emergency department (ED) 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. ED 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 ED nurses, and 2 ED nurse managers). COREQ 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 ED (i.e. a cognitive need), whether about the diagnostic tests 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 ED for miscarriage reported several unfulfilled needs that generated dissatisfaction with care. ED organizational 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.
En laissant la parole à plusieurs pères endeuillés, cet ouvrage brosse le portrait d'une peine socialement mal comprise : le deuil périnatal. Soulignant l'interinfluence de la mère et du père, il permet de mieux comprendre les différences de ce deuil complexe chez chacun d'eux, notamment en ce qui a trait aux possibles réactions, aux perceptions et à la communication du mal-être. Il explique aussi les enjeux que sont la notion de vulnérabilité et la recherche d'aide pour plusieurs hommes.
La politique de périnatalité du Québec prévoit le développement de services destinés aux parents en deuil. Quels sont les services existants ? Et quels sont les professionnels de la santé et des services sociaux qui en sont responsables ? Cette étude est la première recensant les données québécoises à ce sujet.