Catlin A
Kaiser Permanente Santa Rosa, Pope Valley, CA, USA.
J Perinatol. 2017 Jul;37(7):757-761. doi: 10.1038/jp.2017.61. Epub 2017 Jun 15.
A research trajectory is reported that created state-of-the-art interdisciplinary guidelines for care of women and their families who arrive in the emergency department with pregnancy loss. These guidelines include attention to mother and family bereavement as well as care of the fetus. Design was a triangulated non-experimental exploratory action research for the purpose of changing practice. Included were: (1) A qualitative study of emergency room nurses and physicians to assess beliefs/barriers to providing optimal care for pregnancy loss patients. (2) A focus group of perinatal bereavement providers; (3) Another focus group in the form of a sponsored National Summit of professional and lay experts and (4) A Delphi Study to craft language for national position statement. Results allowed the creation of interdisciplinary guidelines from the National Perinatal Association. These guidelines are being adopted by organizations and facilities throughout the United States. Training programs for emergency department personnel have been created by pregnancy loss organizations and are available.
报告了一项研究轨迹，该研究为护理因流产而进入急诊科的妇女及其家庭制定了最先进的跨学科指南。这些指南包括关注母亲和家庭的丧亲之痛以及对胎儿的护理。设计采用了三角测量的非实验性探索性行动研究，目的是改变实践。研究内容包括：（1）对急诊室护士和医生进行定性研究，以评估为流产患者提供最佳护理的信念/障碍。（2）围产期丧亲护理提供者焦点小组；（3）以专业和非专业专家赞助的全国峰会形式的另一个焦点小组；（4）一项德尔菲研究，以制定国家立场声明的措辞。研究结果促成了国家围产期协会制定跨学科指南。这些指南正在被美国各地的组织和机构采用。流产组织已经为急诊科人员创建了培训项目，并且可以获取。
