The Perinatal Loss Care Educational Programme and Its Evaluation

Overview

Journal Zdr Varst

Publisher Sciendo

Specialty Public Health

Date 2020 Sep 21

PMID 32952697

Citations 3

Authors

Katerina Ratislavova

Martina Stipkova

Affiliations

Soon will be listed here.

Abstract

Introduction: Working with bereaved parents is an immense challenge for professionals in the field of perinatal care and requires a high level of knowledge and skill. This article aims to evaluate the effectiveness of the Perinatal Loss Care blended educational programme.

Methods: An evaluative assessment was carried out using a scored questionnaire to gather pre- and post-programme data. Participants were medical and healthcare professionals (n=200) who participated in the programme voluntarily (the Medical Professional/Motivated group and the Others group) or were selected by their employer and for whom attendance was mandatory (the Medical Professional/Non/Motivated group).

Results: Participants' perception of their own knowledge and understanding of perinatal bereavement care was significantly higher on completion of the educational programme, proving its effectivity. There was a statistically significant effect on overall score in individual groups of respondents, as well as the whole set (p<0.001), with post-intervention scores higher than pre-intervention scores. No statistically significant differences in overall score were detected before participation in the educational programme in individual groups (p=0.204). Participants from the Medical Professional/Non/Motivated group achieved lower post-intervention scores to a significantly greater extent (p<0.05) and more often perceived the educational programme as being "very difficult" (χ=20.66, df=6, P<0.01) compared to other groups.

Conclusions: The educational programme was assessed as effective. Care of bereaved parents has its specifics and healthcare professionals should possess a basic knowledge of how to provide sensitive care during this time.

Citing Articles

Evaluation of a pregnancy loss education intervention for undergraduate nursing students in Northern Ireland: A pre- and post-test study.

Galeotti M, Heaney S, Robinson M, Aventin A BMC Nurs. 2023; 22(1):268.

PMID: 37580730 PMC: 10424365. DOI: 10.1186/s12912-023-01408-4.

Experiences of obstetric nurses and midwives receiving a perinatal bereavement care training programme: A qualitative study.

Qian J, Chen S, Jevitt C, Sun S, Wang M, Yu X Front Med (Lausanne). 2023; 10:1122472.

PMID: 37007785 PMC: 10056219. DOI: 10.3389/fmed.2023.1122472.

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

Qian J, Sun S, Wang M, Liu L, Yu X BMJ Open. 2022; 12(8):e059660.

PMID: 35918109 PMC: 9351341. DOI: 10.1136/bmjopen-2021-059660.

References

Kavanaugh K, Andreoni V, Wilkie D, Burgener S, Buschmann M, Henderson G . Developing a blended course on dying, loss, and grief. Nurse Educ. 2009; 34(3):126-31. PMC: 2873156. DOI: 10.1097/NNE.0b013e31819fcad1. View

Mitchell M . Preparing student midwives to care for bereaved parents. Nurse Educ Pract. 2008; 5(2):78-83. DOI: 10.1016/j.nepr.2004.03.005. View

OConnell O, Meaney S, ODonoghue K . Caring for parents at the time of stillbirth: How can we do better?. Women Birth. 2016; 29(4):345-9. DOI: 10.1016/j.wombi.2016.01.003. View

Henoch I, Melin-Johansson C, Bergh I, Strang S, Ek K, Hammarlund K . Undergraduate nursing students' attitudes and preparedness toward caring for dying persons - A longitudinal study. Nurse Educ Pract. 2017; 26:12-20. DOI: 10.1016/j.nepr.2017.06.007. View

Nuzum D, Meaney S, ODonoghue K . The Place of Faith for Consultant Obstetricians Following Stillbirth: A Qualitative Exploratory Study. J Relig Health. 2015; 55(5):1519-28. DOI: 10.1007/s10943-015-0077-7. View

Downe S, Schmidt E, Kingdon C, Heazell A . Bereaved parents' experience of stillbirth in UK hospitals: a qualitative interview study. BMJ Open. 2013; 3(2). PMC: 3586079. DOI: 10.1136/bmjopen-2012-002237. View

Hollins Martin C, Forrest E, Wylie L, Martin C . The Understanding Bereavement Evaluation Tool (UBET) for midwives: factor structure and clinical research applications. Nurse Educ Today. 2013; 33(10):1153-9. DOI: 10.1016/j.nedt.2012.11.019. View

McIlwaine L, Scarlett V, Venters A, Ker J . The different levels of learning about dying and death: an evaluation of a personal, professional and interprofessional learning journey. Med Teach. 2007; 29(6):e151-9. DOI: 10.1080/01421590701294331. View

Chan M, Lou F, Zang Y, Chung Y, Wu L, Cao F . Attitudes of midwives towards perinatal bereavement in Hong Kong. Midwifery. 2006; 23(3):309-21. DOI: 10.1016/j.midw.2006.05.005. View

10.

Nuzum D, Meaney S, ODonoghue K . The impact of stillbirth on consultant obstetrician gynaecologists: a qualitative study. BJOG. 2014; 121(8):1020-8. DOI: 10.1111/1471-0528.12695. View

11.

Wallbank S, Robertson N . Predictors of staff distress in response to professionally experienced miscarriage, stillbirth and neonatal loss: a questionnaire survey. Int J Nurs Stud. 2013; 50(8):1090-7. DOI: 10.1016/j.ijnurstu.2012.11.022. View

12.

Koopmans L, Wilson T, Cacciatore J, Flenady V . Support for mothers, fathers and families after perinatal death. Cochrane Database Syst Rev. 2013; (6):CD000452. PMC: 7086381. DOI: 10.1002/14651858.CD000452.pub3. View

13.

Gold K, Kuznia A, Hayward R . How physicians cope with stillbirth or neonatal death: a national survey of obstetricians. Obstet Gynecol. 2008; 112(1):29-34. DOI: 10.1097/AOG.0b013e31817d0582. View

14.

Saflund K, Sjogren B, Wredling R . The role of caregivers after a stillbirth: views and experiences of parents. Birth. 2004; 31(2):132-7. DOI: 10.1111/j.0730-7659.2004.00291.x. View

15.

Fai C, Arthur D . Nurses' attitudes towards perinatal bereavement care. J Adv Nurs. 2009; 65(12):2532-41. DOI: 10.1111/j.1365-2648.2009.05141.x. View

16.

Karaman S . Nurses' perceptions of online continuing education. BMC Med Educ. 2011; 11:86. PMC: 3215975. DOI: 10.1186/1472-6920-11-86. View

17.

Pastor Montero S, Romero Sanchez J, Hueso Montoro C, Lillo Crespo M, Vacas Jaen A, Rodriguez Tirado M . Experiences with perinatal loss from the health professionals' perspective. Rev Lat Am Enfermagem. 2012; 19(6):1405-12. DOI: 10.1590/s0104-11692011000600018. View

18.

Mander R . Good grief: staff responses to childbearing loss. Nurse Educ Today. 2008; 29(1):117-23. DOI: 10.1016/j.nedt.2008.07.005. View

19.

Kingdon C, Givens J, ODonnell E, Turner M . Seeing and Holding Baby: Systematic Review of Clinical Management and Parental Outcomes After Stillbirth. Birth. 2015; 42(3):206-18. DOI: 10.1111/birt.12176. View

20.

Gillan P, Van Der Riet P, Jeong S . End of life care education, past and present: a review of the literature. Nurse Educ Today. 2013; 34(3):331-42. DOI: 10.1016/j.nedt.2013.06.009. View