Chan Moon Fai, Lou Feng-Lan, Arthur David Gordon, Cao Feng-Lin, Wu Lai Har, Li Ping, Sagara-Rosemeyer Miharu, Chung Loretta Yuet Foon, Lui Li
School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China.
J Clin Nurs. 2008 Feb;17(4):509-18. doi: 10.1111/j.1365-2702.2007.02007.x.
The purpose of this study was to explore nurses' attitudes towards perinatal bereavement care and to identify factors associate with such attitudes.
Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. It is likely that the attitude of nursing staff can influence recovery from a pregnancy loss and nurses with positive attitude to bereavement care can help bereaved parents to cope during their grieving period.
Data were collected through a structured questionnaire; 334 nurses were recruited (63% response rate) from the Obstetrics and Gynaecology unit in five hospitals in Hong Kong during May-August 2006. Outcome measures including attitudes towards perinatal bereavement care, importance on hospital policy and training support for bereavement care.
Majority of nurses in this study held a positive attitude towards bereavement care. Results showed that only 39.3% (n = 130) of nurses had bereavement related training. By contrast, about 89.8% of nurses (n = 300) showed they need to be equipped with relevant knowledge, skills and understanding in the care and support of bereaved parents and more than 88.0% (n = 296) would share experiences with colleagues and seek support when feeling under stress. Regression model showed that age, past experience in handling grieving parents and nurses' perceived attitudes to hospital policy and training provided for bereavement cares were factors associate with nurses' attitudes towards perinatal bereavement care.
Hong Kong nurses emphasized their need for increased knowledge and experience, improved communication skills and greater support from team members and the hospital for perinatal bereavement care.
These findings may be used for health policy makers and nursing educators to ensure delivery of sensitive bereavement care in perinatal settings and to enhance nursing school curricula respectively.
本研究旨在探讨护士对围产期丧亲照护的态度，并确定与这些态度相关的因素。
照顾和支持婴儿死亡的父母极具挑战性、难度大且压力重重。护理人员的态度可能会影响流产后的恢复，对丧亲照护持积极态度的护士可以帮助丧亲的父母在悲伤期应对。
通过结构化问卷收集数据；2006年5月至8月期间，从香港五家医院的妇产科招募了334名护士（回复率63%）。结果指标包括对围产期丧亲照护的态度、对医院政策的重视程度以及对丧亲照护的培训支持。
本研究中的大多数护士对丧亲照护持积极态度。结果显示，只有39.3%（n = 130）的护士接受过丧亲相关培训。相比之下，约89.8%的护士（n = 300）表示他们需要具备在照顾和支持丧亲父母方面的相关知识、技能和理解，超过88.0%（n = 296）的护士会在感到压力时与同事分享经验并寻求支持。回归模型显示，年龄、过去处理悲伤父母的经验以及护士对医院政策和丧亲照护培训的感知态度是与护士对围产期丧亲照护态度相关的因素。
香港护士强调他们需要增加知识和经验，提高沟通技巧，并从团队成员和医院获得更多对围产期丧亲照护的支持。
这些发现可分别用于卫生政策制定者和护理教育工作者，以确保在围产期提供敏感的丧亲照护，并加强护理学校课程。
