Exploring the needs of parents who experience miscarriage in the emergency department: a qualitative study with parents and nurses
Abstract
AIMS AND OBJECTIVES: To understand how parents experienced miscarriage in an emergency department 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. Emergency department 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 emergency department nurses and 2 emergency department nurse managers). Consolidated criteria for reporting qualitative research 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 emergency department (i.e., a cognitive need), whether about the diagnostic test 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 emergency department for miscarriage reported several unfulfilled needs that generated dissatisfaction with care. Emergency department organisational 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.
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Couples emphasized they would have appreciated information on the emotional consequences of miscarriage and the recovery process over the following weeks, and many women indicated this information would have helped anticipate and prepare for possible responses.
“Moreover, couples emphasized that they would have appreciated information on the emotional consequences of miscarriage and the recovery process that awaited them over the following weeks, and many women indicated that this information would have helped anticipate and prepare for possible responses (Emond et al., 2019).”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Emond et al., 2019
Participants expressed a need to receive more information during their visit to the emergency department.
“In other descriptive and exploratory qualitative study carried out by Emond et al. (2019), participants expressed a need to receive more information during their visit to the emergency department.”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Emond et al. (2019)
Definitions of perinatal loss vary across studies: some include stillbirth and neonatal death, others include miscarriage, and others use it as a general term from pregnancy knowledge to neonatal period.
“For some authors (Allahdadian et al., 2016; Camacho-Ávila et al., 2020; Meaney, Everard, et al., 2017; Wilson et al., 2015), perinatal loss involves stillbirth and neonatal death. However, other authors (Emond et al., 2019; Larivière-Bastien et al., 2019; Meaney, Corcoran, Spillane, et al., 2017) included miscarriage in the definition of this term. Furthermore, in other studies, perin”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Emond et al., 2019
In Emond 2019, parents who visited the emergency department for miscarriage reported unfulfilled needs that generated dissatisfaction with care.
“Parents who visited the emergency department for miscarriage reported unfulfilled needs that generated dissatisfaction with care.”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Emond 2019
In Emond 2019, several emergency department organizational constraints hindered optimal nursing care practices.
“several Emergency department organizational constraints hindered optimal nursing care practices.”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Emond 2019
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MULHERES QUE VIVENCIARAM O PROCESSO DE ABORTAMENTO: NECESSIDADES DE ORIENTAÇÕES PARA OS CUIDADOS
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- Authors
- Emond, T., de Montigny, F., & Guillaumie, L.
- Affiliations
- Université Laval (CA)
- Faculty of Nursing University du Québec en Outaouais Gatineau Quebec
- Corresponding author
- Emond, Tina
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2019-02-18
- Volume
- 28
- Issue
- 9-10
- Pages
- 1952-1965
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W2908865732
- Cited by
- 70
- References
- 47
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 11 · 2023: 12 · 2022: 8 · 2021: 14 · 2020: 8 · 2019: 2
- FWCI
- 9.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- Corpus Université Laval (Université Laval) (submittedVersion)
- Funders
- Canada Research Chairs
- Canadian Nurses Foundation
- Université de Moncton
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- miscarriage, parental needs, emergency department care, patient experience, emotional support, information needs, nurse training, nursing care, transition theory, patient satisfaction, maternal mental health
- MeSH terms
- Abortion, Spontaneous, Adult, Emergency Service, Hospital, Female, Humans, Male, Nursing Staff, Hospital, Parents, Pregnancy, Patient Satisfaction, Needs Assessment, Qualitative Research
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