Perinatal Bereavement Immersion for Nurses Providing Care to Women Who Miscarry in the Emergency Department

11.25
Hdl Handle:
http://hdl.handle.net/10755/621200
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
N/A
Title:
Perinatal Bereavement Immersion for Nurses Providing Care to Women Who Miscarry in the Emergency Department
Author(s):
Merrigan, Joyce L.
Advisors:
Forsythe, Lydia L.; Runewicz, Jo Ann; Kotch, Julie
Abstract:

Purpose: To demonstrate that perinatal bereavement immersion for emergency department nurses increases knowledge and confidence in providing bereavement care to women who miscarry.

Design and Methods: The quality improvement design employed the Resolve Through Sharing® Perinatal Death Bereavement Training model. The nurses’ perception of their knowledge and confidence was explored using the Resolve Through Sharing® Perinatal Death Bereavement Training Pre-Course and Post-Course Participant Survey.

Results: The computed composite score for the pre and post-surveys was an unweighted sum of the individual participant responses to all questions. A paired-samples t-test was conducted to evaluate the impact of the training on nurses’ confidence in and knowledge of strategies to deliver bereavement care in miscarriage. There was a significant increase in their comfort and confidence to deliver care from pre-course (M = 20, SD = 3.28) to post-course (M = 29.5, SD = 2.5), t(88) = -11.35, p < .001 (two-tailed). The eta-squared statistic (.91) indicated a large effect size when interpreted using Cohen’s guidelines.

Clinical Implications: Knowledge and confidence in the delivery of perinatal bereavement care to women who miscarry in the emergency department supports the autonomy of the ED nurse and promotes continuity of care for the patient and family. Interdepartmental collaboration aligns practice, policy, protocols and documentation between the labor and delivery unit and the emergency department. Extending training to nurses in all areas of the hospital provides a foundation for future scholarship.

Keywords:
Miscarriage; Emergency Nursing; Educational needs; Bereavement; Abortion
CINAHL Headings:
Bereavement; Perinatal Death; Perinatal Death--Psychosocial Factors; Perinatal Death--Nursing; Perinatal Care; Perinatal Care--Psychosocial Factors; Nursing Role; Emergency Nursing
Repository Posting Date:
7-Feb-2017
Date of Publication:
7-Feb-2017
Description:
Acknowledge generous donations of books by Wintergreen Press and lapel pins from The LLOST Foundation
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Grantor:
Capella University
Degree:
DNP
Degree Year:
2017

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDNP Capstone Projecten
dc.evidence.levelOtheren
dc.research.approachN/Aen
dc.titlePerinatal Bereavement Immersion for Nurses Providing Care to Women Who Miscarry in the Emergency Departmenten_US
dc.contributor.authorMerrigan, Joyce L.en
dc.contributor.advisorForsythe, Lydia L.en
dc.contributor.advisorRunewicz, Jo Annen
dc.contributor.advisorKotch, Julieen
dc.identifier.urihttp://hdl.handle.net/10755/621200-
dc.description.abstract<p>Purpose: To demonstrate that perinatal bereavement immersion for emergency department nurses increases knowledge and confidence in providing bereavement care to women who miscarry. </p><p>Design and Methods: The quality improvement design employed the Resolve Through Sharing® Perinatal Death Bereavement Training model. The nurses’ perception of their knowledge and confidence was explored using the Resolve Through Sharing® Perinatal Death Bereavement Training Pre-Course and Post-Course Participant Survey.</p></p> Results: The computed composite score for the pre and post-surveys was an unweighted sum of the individual participant responses to all questions. A paired-samples t-test was conducted to evaluate the impact of the training on nurses’ confidence in and knowledge of strategies to deliver bereavement care in miscarriage. There was a significant increase in their comfort and confidence to deliver care from pre-course (M = 20, <em>SD</em> = 3.28) to post-course (<em>M</em> = 29.5, <em>SD</em> = 2.5), t(88) = -11.35, <em>p</em> < .001 (two-tailed). The eta-squared statistic (.91) indicated a large effect size when interpreted using Cohen’s guidelines. </p><p>Clinical Implications: Knowledge and confidence in the delivery of perinatal bereavement care to women who miscarry in the emergency department supports the autonomy of the ED nurse and promotes continuity of care for the patient and family. Interdepartmental collaboration aligns practice, policy, protocols and documentation between the labor and delivery unit and the emergency department. Extending training to nurses in all areas of the hospital provides a foundation for future scholarship.</p>en
dc.subjectMiscarriageen
dc.subjectEmergency Nursingen
dc.subjectEducational needsen
dc.subjectBereavementen
dc.subjectAbortionen
dc.subject.cinahlBereavementen
dc.subject.cinahlPerinatal Deathen
dc.subject.cinahlPerinatal Death--Psychosocial Factorsen
dc.subject.cinahlPerinatal Death--Nursingen
dc.subject.cinahlPerinatal Careen
dc.subject.cinahlPerinatal Care--Psychosocial Factorsen
dc.subject.cinahlNursing Roleen
dc.subject.cinahlEmergency Nursingen
dc.date.available2017-02-07T16:07:24Z-
dc.date.issued2017-02-07-
dc.date.accessioned2017-02-07T16:07:24Z-
dc.descriptionAcknowledge generous donations of books by Wintergreen Press and lapel pins from The LLOST Foundationen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
thesis.degree.year2017en
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