Gundersen Lutheran Medical Foundation, Inc., La Crosse, WI, USA.
MCN Am J Matern Child Nurs. 2010 Sep-Oct;35(5):271-7; quiz 277-9. doi: 10.1097/NMC.0b013e3181e6f084.
This article discusses an issue rarely seen in the professional literature: the tangible ways nurses can respect a woman's needs following miscarriage by ensuring the safe handling and disposition of fetal tissue or remains. Concepts of personhood, place, and protection are important for nurses to understand within the context of a woman's response to miscarriage. Hospitals or clinics that foster a culture of respectful fetal disposition should have a system in place to bury tissue or fetal remains in a designated area; in fact, several states have enacted laws that regulate what hospitals and clinics must do, or what women must be offered, after a miscarriage or ectopic pregnancy. Barriers may exist to creating a culture of respectful disposition, including staff attitudes, perceived time and financial constraints, lack of knowledge, and inefficient communication between departments. Nurses can begin implementing change in this regard through conducting a needs assessment using guiding questions contained in this article. In addition, through communication, education, and implementation of respectful disposition, nurses can promote safe processes that will honor women's preferences and wishes for care following a miscarriage.
护士如何通过确保安全处理和处置胎儿组织或遗体来尊重女性流产后的需求。在女性对流产的反应背景下,人格、地点和保护概念对护士来说很重要。倡导尊重胎儿处置文化的医院或诊所应该建立一个系统,将组织或胎儿遗骸埋在指定区域;事实上,有几个州已经颁布法律,规定医院和诊所在流产或宫外孕后必须做什么,或者必须为女性提供什么。创建尊重处置文化可能存在障碍,包括员工态度、感知到的时间和财务限制、缺乏知识以及部门之间沟通不畅。护士可以通过使用本文中的指导问题进行需求评估,开始在这方面进行变革。此外,通过沟通、教育和实施尊重处置,护士可以促进安全的流程,尊重女性在流产后的护理偏好和愿望。