Perinatal Bereavement Immersion for Nurses Providing Care to Women Who Miscarry in the Emergency Department
MetadataShow full item record
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.