Zhejiang University School of Medicine, NO. 268 Kaixuan Road, Hangzhou, Zhejiang 310016, China; Department of Obstetrics and Gynecology, Women's Hospital School of Medicine, Zhejiang University, 1st Xueshi Road, Hangzhou, Zhejiang 310006, China.
Department of General Surgery, Huashan Hospital Fudan University, No. 12, Middle Urumqi Road, Jingan District, Shanghai, China.
Nurse Educ Today. 2022 Oct;117:105479. doi: 10.1016/j.nedt.2022.105479. Epub 2022 Jul 16.
Most nurses and midwives are not prepared to provide bereavement care. The conflict between the need for high-quality care of bereaved parents and the lack of confidence in providing perinatal bereavement care among nursing staff is becoming increasingly prominent in China.
To describe the current situation and identify influencing factors of perinatal bereavement care confidence (PBCC) among nurses and midwives in China.
This descriptive and cross-sectional survey was conducted in 2021. A convenience sample was created by recruiting 571 nurses and midwives in 11 hospitals in Zhejiang Province. Collected the data of PBCC, secondary traumatic stress (STS) and emotional exhaustion (EE) in this study.
The average score of the PBCC was 67.83 ± 10.78. Average levels of STS were (23.32 ± 7.39) and EE (17.87 ± 8.62). PBCC was found to be most often associated with self-awareness, organisational support and training in perinatal bereavement care.
Managers should take measures to improve PBCC and optimise perinatal bereavement care practice from the perspective of enhancing self-awareness of nursing staff, strengthening organisational support and providing training in perinatal bereavement care. The mental health of nursing professionals in the context of perinatal bereavement care needs to be emphasised. Nursing managers should make clear policies and establish a communication platform for nursing staff. Professional training should be conducted in the future.
大多数护士和助产士都没有准备好提供丧亲关怀。在中国，护理人员提供围产期丧亲关怀的需求与缺乏信心之间的矛盾日益突出。
描述中国护士和助产士围产期丧亲关怀信心（PBCC）的现状，并确定其影响因素。
本研究采用描述性和横断面调查方法，于 2021 年在浙江省 11 家医院招募了 571 名护士和助产士。收集了 PBCC、二次创伤应激（STS）和情绪耗竭（EE）的数据。
PBCC 的平均得分为 67.83±10.78。STS 的平均水平为（23.32±7.39），EE 的平均水平为（17.87±8.62）。PBCC 与自我意识、组织支持和围产期丧亲关怀培训最相关。
管理者应采取措施，从增强护理人员自我意识、加强组织支持和提供围产期丧亲关怀培训的角度，提高 PBCC，并优化围产期丧亲关怀实践。围产期丧亲关怀背景下护理专业人员的心理健康需要得到重视。护理管理者应制定明确的政策，为护理人员建立沟通平台。今后应开展专业培训。
