Preparing nurses and midwives to provide perinatal bereavement care: A systematic scoping review

Qian, Jialu; Sun, Shiwen; Wu, Mengyin; Lü, Ling; Sun, Yehuan; Yu, Xiaoyan

doi:10.1016/j.nedt.2021.104962

Cited by 22 publications

(25 citation statements)

References 48 publications

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“…Previous studies showed that the highest quality of bereavement care could be guaranteed by providing comprehensive and ongoing training for healthcare staff [ 53 – 55 ]. Hence, training nurses and midwives in perinatal bereavement care is necessary [ 56 ]. In this study, lack of ability and awareness were influencing factors of interactions.…”

Section: Discussionmentioning

confidence: 99%

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Qian

Wang²,

Sun

et al. 2022

BMC Pregnancy Childbirth

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Background Contradictory interactions between bereaved women who have experienced pregnancy loss and obstetric nursing staff are becoming increasingly prominent. The aim of the present study was to gain an understanding of how women who have experienced pregnancy loss and obstetric nursing staff perceive their interactions, what influencing factors impacted their experiences. Methods A qualitative, exploratory study was conducted in a delivery room and six maternity wards of a tertiary hospital. Semi-structured interviews were performed with six nurses, 13 midwives and seven women who experienced pregnancy loss to collect rich information about how they make sense of their interactions. Thematic analysis was adopted to analyse the data. Results Five overarching themes were identified: (1) interaction characteristics, (2) interactive contradiction, (3) influencing factors of the interaction, (4) training needs and (5) suggestions for benign interactions. Conclusions Healthcare providers should be instructed in adopting a respectful and sympathetic attitude in communication, strengthening information support and offering patient-centred care for benign interactions. Ignoring women’s needs and using disrespectful words should be avoided. Training for preparing nurses and midwives in perinatal bereavement care and addressing heavy emotional burden is necessary. Additional efforts are needed to improve medical services and to facilitate benign interactions in induced abortion care.

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Section: Discussionmentioning

confidence: 99%

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Qian

Wang²,

Sun

et al. 2022

BMC Pregnancy Childbirth

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“…Therefore, it is important to explore a dependable and effective PBCTP that can be disseminated quickly and promptly. To compensate for this gap, the PBCTP containing 10 online lectures and one offline group intervention has been developed depending on the principles of self-efficacy theory and the results of a systematic scoping review 43…”

Section: Discussionmentioning

confidence: 99%

“…It provides useful information for adopting appropriate strategies in improving the PBCC of nursing staff. Additionally, we refer to relevant international guidelines and principles13 14 36 and take the results of a systematic scoping review43 into consideration. The intervention design, duration, outcomes and measurements of the training programme have been clarified, and a preliminary draft of the perinatal bereavement care training programme (PBCTP) for nurses and midwives has been validated by a panel of experts.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the implementation of a perinatal bereavement care training programme on nurses and midwives: protocol for a mixed-method study

et al. 2022

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IntroductionThe psychological outcomes for many parents who experience perinatal loss depend on nursing staff’s ability to provide effective bereavement support. However, most nurses and midwives lack the ability to provide bereavement care and suffer from heavy emotional burden. The study aims to investigate the effectiveness of the perinatal bereavement care training programme on nurses and midwives to increase their perinatal bereavement care confidence (PBCC) and to reduce secondary traumatic stress and emotional exhaustion.Methods and analysisThis study will follow a mixed methodology consisting of two stages. The first stage will adopt a pre/post repeated quasi-experimental design without a control group. The second stage will use a qualitative interview study. This study will be conducted in a tertiary maternity hospital in China in 2022–2023. Ethical approval was obtained from the institutional review board in January of 2020. Outcome measures will be assessed using the Chinese version of the PBCC, STS and the EE subscale of Chinese Burn-out Inventory at baseline, postintervention and at the 3-month follow-up. Participants will be interviewed to understand their perceptions of the training programme.Ethics and disseminationThis research protocol was approved by the Ethics Committee of the Women’s Hospital School of Medicine, Zhejiang University (IRB no. 20210091). The results will be disseminated through peer-reviewed journals and academic conferences.Trial registration numberChiCTR2100049730.

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“…Therefore, it is important to focus on understanding the current status and influencing factors of midwives' and nurses' perinatal bereavement care confidence. Some studies and guidelines [26][27][28][29][30][31][32] have addressed the significance of providing continuous education and training to health care professionals to improve their confidence and ability to provide perinatal bereavement care. Previous studies mostly used self-designed questionnaires as evaluation tools to assess the effectiveness of education programmes [26].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies and guidelines [26][27][28][29][30][31][32] have addressed the significance of providing continuous education and training to health care professionals to improve their confidence and ability to provide perinatal bereavement care. Previous studies mostly used self-designed questionnaires as evaluation tools to assess the effectiveness of education programmes [26]. It is necessary to provide a reliable assessment tool to measure improvement when midwives and nurses are participating in education and training in perinatal bereavement care.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Chinese version of the Perinatal Bereavement Care Confidence Scale (C-PBCCS) in nursing practice

Qian

Sun

et al. 2022

PLoS ONE

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Background The Perinatal Bereavement Care Confidence Scale (PBCCS) was designed to evaluate midwives’ and nurses’ confidence and its psychosocial factors to provide bereavement care in Ireland. However, it is unknown whether this scale is valid and reliable for use with midwives and nurses in China. The aim of this study was to translate the English version into Chinese (C-PBCCS) and determine its validity and reliability in a population of Chinese midwives and nurses. Methods In this cross-sectional observational study, after translating the English version of the PBCCS into Chinese and ensuring the linguistic adequacy and clarity of the language, we evaluated the validity and reliability of the C-PBCCS with Chinese midwives and nurses (n = 608). Participants were recruited using convenience sampling from 10 maternity hospitals in Zhejiang and Jiangsu Provinces. Exploratory factor analysis (EFA) was conducted to determine the construct validity (n = 304). Another sample of 304 midwives and nurses was used for confirmatory factor analysis (CFA) to verify the quality of the factor structures. Cronbach’s alpha coefficient and Guttman split-half coefficient were adopted for the evaluation of internal consistency. The STROBE was followed in reporting the results. Results The 43-item PBCCS was reduced to 40 items. Bereavement support knowledge (13 items, three factors), Bereavement support skills (eight items, two factors), Self-awareness (eight items, two factors), and Organizational support (11 items, two factors). The CFA suggested that the four scales in the C-PBCCS had acceptable fit indices. The Cronbach’s alpha ranged from 0.835–0.901. The Guttman split-half coefficient was between 0.868–0.933. Conclusion The C-PBCCS was found to be a psychometrically sound measurement tool to evaluate Chinese-speaking midwives’ and nurses’ confidence and the psychosocial factors that affect their confidence in providing perinatal bereavement care.

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Preparing nurses and midwives to provide perinatal bereavement care: A systematic scoping review

Cited by 22 publications

References 48 publications

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Exploring interactions between women who have experienced pregnancy loss and obstetric nursing staff: a descriptive qualitative study in China

Effectiveness of the implementation of a perinatal bereavement care training programme on nurses and midwives: protocol for a mixed-method study

Psychometric properties of the Chinese version of the Perinatal Bereavement Care Confidence Scale (C-PBCCS) in nursing practice

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