Aims: To synthesize research findings regarding the coping experiences of parents following perinatal loss.
Design: Noblit and Hare's interpretive meta-ethnography was followed.
Data sources: A comprehensive systematic search of the published literature (2013-2018) was undertaken in five databases, complemented by supplementary searches.
Review methods: Fourteen studies met the research objective and inclusion criteria.
Results: Five themes describe the coping strategies used by parents who experience perinatal loss. The themes were synthesized into the metaphor Staying afloat in the storm.
Conclusion: Parents use coping strategies to manage perinatal loss and the use of these strategies is conditioned by cultural, social, and individual factors. This study has implications for evidence-based practice by showing care needs and the importance of implementing emotional and patient-centred care interventions.
Impact: This meta-ethnography highlights the care needs of parents following perinatal loss, facilitating understanding of coping experiences. Increased knowledge about these experiences may contribute to the development and implementation of nursing and midwifery interventions that include emotional and patient-centred care.
目的: 在于探讨全科医学护士如何看待促成与患者沟通生活方式方面风险的互动因素。 设计: 嵌入并行混合方法设计中的定性描述性研究。 方法: 在2017年8月至2018年3月期间,在进行视频记录慢性病管理咨询后,对对15名澳大利亚全科医学护士进行访谈。 结果: ‘互动因素’主题由‘关系因素’和‘患者因素’子主题组成。关系因素指的是促成与患者在生活方式风险方面时间连续性的沟通技术和方法。患者因素包括消费者的动机、意愿和优先考虑改变生活方式的准备状态。据观察所见,缺乏护士角色认识会影响生活方式方面风险谈话的开始情况。 结论: 优化护理连续性策略增强了与患者进行生活方式方面风险降低对话的能力。继续开展以患者为中心的沟通培训和提高患者对全科医学护士角色的认识也将会更好地促进这类讨论。 影响: 本研究确定了全科医学护士在促进生活方式风险降低方面的角色可以得到改善的方法。优化全科医学护士在生活方式风险沟通中的角色可以有助于行为上的改变和慢性疾病方面的管理。.
Keywords: coping; grief; literature review; meta-ethnography; midwives; nurses; perinatal death; qualitative research; systematic review.
© 2019 John Wiley & Sons Ltd.