de Montigny Francine, Verdon Chantal, Dubeau Diane, Devault Annie, St-André Martin, Tchouaket Nguemeleu Éric, Lacharité Carl
Universite du Quebec en Outaouais, Gatineau, QC, Canada.
Université du Quebec en Outaouais, St-Jérôme, QC, Canada.
BMC Pregnancy Childbirth. 2017 Apr 20;17(1):124. doi: 10.1186/s12884-017-1309-5.
In Quebec (Canada), nearly 20,000 pregnancies end in miscarriage, and the majority of the miscarriages are dealt with in an emergency unit. Although there are studies documenting the effects of this type of grief on mental health, men's experiences are much less discussed than those of women. Similarly, no study has evaluated best practices in terms of service continuity, from emergency care to community resources. The aim of this study is to better understand the relationships that exist between the organization of emergency room and primary care health services for women presenting with miscarriage, on the one hand, and the positions and experiences of women and men within these services, on the other.
The general objective of this mixed-method study can be broken down into three methodological sections. Focus 1. Institutional discourses and practices. This section is structured as a multiple case study of the mandates of five participant institutions. The study will involve (a) a documentary analysis; (b) a quantitative survey (N: 200) and (c) group interviews (N: 75) with caregivers and emergency unit managers. Focus 2. Women's and men's experiences of miscarriages and the institutional response. This section includes (a) a survey (N: 232) and (b) individual interviews (N: 80) designed to identify best practices in emergency involving women and their partners in each area. Focus 3. This section will integrate the information furnished by the first two sections in order to create an ethnographic overview of the situation.
This innovative project will provide answers to critical questions on how to improve the effectiveness and quality of interdisciplinary and multisectoral interventions to promote the mental health and psychosocial well-being of couples having experienced a miscarriage. It will have a material effect on the organization of emergency services and of the primary care pathway for women experiencing a miscarriage and for their partners.
Not applicable. This study involves a retrospective view of usual health care interventions. This study is not a clinical trial that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes.
在加拿大魁北克省，每年有近2万例妊娠以流产告终，其中大部分流产是在急诊科处理的。尽管有研究记录了这种悲伤对心理健康的影响，但男性的经历相比女性却很少被提及。同样，也没有研究评估从急诊护理到社区资源的服务连续性方面的最佳实践。本研究的目的是一方面更好地理解为流产女性提供急诊室和初级保健卫生服务的组织之间的关系，另一方面理解这些服务中女性和男性的立场与经历。
这项混合方法研究的总体目标可分为三个方法部分。重点1. 机构话语与实践。本部分构建为对五个参与机构任务的多案例研究。该研究将包括：(a) 文献分析；(b) 定量调查（N = 200）；(c) 与护理人员和急诊科管理人员进行小组访谈（N = 75）。重点2. 女性和男性流产经历及机构应对措施。本部分包括：(a) 一项调查（N = 232）；(b) 个人访谈（N = 80），旨在确定在每个领域让女性及其伴侣参与急诊的最佳实践。重点3. 本部分将整合前两部分提供的信息，以便对情况进行人种志概述。
这个创新项目将为如何提高跨学科和多部门干预措施的有效性和质量提供关键问题的答案，以促进经历流产的夫妇的心理健康和社会心理福祉。它将对为流产女性及其伴侣提供的急诊服务和初级保健途径的组织产生实质性影响。
不适用。本研究涉及对常规医疗保健干预措施的回顾性观察。本研究不是一项前瞻性地将人类参与者或人类群体分配到一种或多种与健康相关的干预措施以评估对健康结果影响的临床试验。
