References

Alghamdi R, Jarrett P. Experiences of student midwives in the care of women with perinatal loss: A qualitative descriptive study. Br J Midwifery. 2016; 24:(10)715-22 https://doi.org/https://doi.org/10.12968/bjom.2016.24.10.715

Attard J, Baldacchino DR, Camilleri L. Nurses' and midwives' acquisition of competency in spiritual care: A focus on education. Nurse Educ Today. 2014; 34:(12)1460-6 https://doi.org/https://doi.org/10.1016/j.nedt.2014.04.015

Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2001; 1:(3)385-405 https://doi.org/https://doi.org/10.1177/146879410100100307

Bäck L, Hildingsson I, Sjöqvist C, Karlström A. Developing competence and confidence in midwifery-focus groups with Swedish midwives. Women Birth. 2017; 30:(1)e32-8 https://doi.org/https://doi.org/10.1016/j.wombi.2016.08.004

Banovcinova L, Baskova M. Sources of work-related stress and their effect on burnout in midwifery. Procedia Soc Behav Sci. 2014; 132:248-54 https://doi.org/https://doi.org/10.1016/j.sbspro.2014.04.306

Begley C. ‘I cried… I had to’: Student midwives' experiences of stillbirth, miscarriage and neonatal death. Evidence Based Midwifery. 2003; 1:(1)463-91

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3:(2)77-101

Chan MF, Day MC, Chan SH. Perinatal bereavement support: a quantitative study. Br J Midwifery. 2005; 13:(8)516-21 https://doi.org/https://doi.org/10.12968/bjom.2005.13.8.18568

Coldridge L, Davies S. ‘Am I too emotional for this job?’ An exploration of student midwives' experiences of coping with traumatic events in the labour ward. Midwifery. 2017; 45:1-6 https://doi.org/https://doi.org/10.1016/j.midw.2016.11.008

Cooper S, Cant R, Porter J Simulation based learning in midwifery education: A systematic review. Women Birth. 2012; 25:(2)64-78 https://doi.org/https://doi.org/10.1016/j.wombi.2011.03.004

Cullen S, Power S, Coughlan B, Chaney J, Butler M, Brosnan M. An exploration of the prevalence and patterns of care for women presenting with mid-trimester loss. Ir J Med Sci. 2017; 186:(2)381-6 https://doi.org/https://doi.org/10.1007/s11845-016-1413-y

Davies S, Coldridge L. ‘No Man's Land’: an exploration of the traumatic experiences of student midwives in practice. Midwifery. 2015; 31:(9)858-64 https://doi.org/https://doi.org/10.1016/j.midw.2015.05.001

Ellis A, Chebsey C, Storey C Systematic review to understand and improve care after stillbirth: a review of parents' and healthcare professionals' experiences. BMC Pregnancy Childbirth. 2016; 16:(1)16-35 https://doi.org/https://doi.org/10.1186/s12884-016-0806-2

El Sayed MF, Chan M, McAllister M, Hellmann J. End-of-life care in Toronto neonatal intensive care units: challenges for physician trainees: Table 1. Arch Dis Child Fetal Neonatal Ed. 2013; 98:(6) https://doi.org/https://doi.org/10.1136/archdischild-2012-303000

Gandino G, Bernaudo A, Di Fini G, Vanni I, Veglia F. Healthcare Professionals' Experiences of Perinatal Loss: A Systematic Review. J Health Psychol. 2017; https://doi.org/https://doi.org/10.1177/1359105317705981

Gardiner PA, Kent AL, Rodriguez V Evaluation of an international educational programme for health care professionals on best practice in the management of a perinatal death: IMproving Perinatal mortality Review and Outcomes Via Education (IMPROVE). BMC Pregnancy Childbirth. 2016; 16:(1) https://doi.org/https://doi.org/10.1186/s12884-016-1173-8

Green S, Baird K. An exploratory, comparative study investigating attrition and retention of student midwives. Midwifery. 2009; 25:(1)79-87 https://doi.org/https://doi.org/10.1016/j.midw.2007.09.002

Health Services Executive. Perinatal Statistics Report 2013. 2014. http://www.hse.ie/eng/services/publications/Perinatal_Statistics_Report_2013.pdf (accessed 4 July 2018)

Health Service Executive. National Standards for Bereavement Care Following Pregnancy Loss and Perinatal Death. 2016. http://www.hse.ie/eng/services/news/media/pressrel/%20NationalStandardsBereavementCare%20.html

Kalu F, Coughlan B, Larkin P. Development and initial validation of ‘Perinatal Bereavement Care Confidence Scale (PBCCS)’. BMC Pregnancy and Childbirth. 2017; 17

Kelley MC, Trinidad SB. Silent loss and the clinical encounter: Parents' and physicians' experiences of stillbirth–a qualitative analysis. BMC Pregnancy Childbirth. 2012; 12:(1)137-51 https://doi.org/https://doi.org/10.1186/1471-2393-12-137

Keene EA, Hutton N, Hall B, Rushton C. Bereavement debriefing sessions: an intervention to support health care professionals in managing their grief after the death of a patient. Continuing Nursing Education. 2010; 36:(4)185-9

McKenna L, Rolls C. Undergraduate midwifery students' first experiences with stillbirth and neonatal death. Contemp Nurse. 2011; 38:(1-2)76-83 https://doi.org/https://doi.org/10.5172/conu.2011.38.1-2.76

Meyer EC, Sellers DE, Browning DM, McGuffie K, Solomon MZ, Truog RD. Difficult conversations: improving communication skills and relational abilities in health care. Pediatr Crit Care Med. 2009; 10:(3)352-9 https://doi.org/https://doi.org/10.1097/PCC.0b013e3181a3183a

Mitchell M. Preparing student midwives to care for bereaved parents. Nurse Educ Pract. 2005; 5:(2)78-83 https://doi.org/https://doi.org/10.1016/j.nepr.2004.03.005

Nurse S, Price J. ‘No second chance’ – Junior neonatal nurses experiences of caring for an infant at the end-of-life and their family. J Neonatal Nurs. 2017; 23:(2)50-7 https://doi.org/https://doi.org/10.1016/j.jnn.2016.04.008

Peng NH, Liu HL, Chen CH, Bachman J. Cultural practices and end-of-life decision making in the neonatal intensive care unit in Taiwan. J Transcult Nurs. 2012; 23:(3)320-6 https://doi.org/https://doi.org/10.1177/1043659612441019

Puia DM, Lewis L, Beck CT. Experiences of obstetric nurses who are present for a perinatal loss. J Obstet Gynecol Neonatal Nurs. 2013; 42:(3)321-31 https://doi.org/https://doi.org/10.1111/1552-6909.12040

Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011; 18:(3)250-5 https://doi.org/https://doi.org/10.1002/cpp.702

Raisler J, O'Grady M, Lori J. Clinical teaching and learning in midwifery and women's health. J Midwifery Womens Health. 2003; 48:(6)398-406 https://doi.org/https://doi.org/10.1016/S1526-9523(03)00304-0

The investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage [Green-top guideline No. 17].London: RCOG; 2011

Repo H, Vahlberg T, Salminen L, Papadopoulos I, Leino-Kilpi H. The Cultural Competence of Graduating Nursing Students. J Transcult Nurs. 2017; 28:(1)98-107 https://doi.org/https://doi.org/10.1177/1043659616632046

Rogers S, Babgi A, Gomez C. Educational interventions in end-of-life care: part I: an educational intervention responding to the moral distress of NICU nurses provided by an ethics consultation team. Adv Neonatal Care. 2008; 8:(1)56-65 https://doi.org/https://doi.org/10.1097/01.ANC.0000311017.02005.20

Rondinelli J, Long K, Seelinger C, Crawford CL, Valdez R. Factors related to nurse comfort when caring for families experiencing perinatal loss: evidence for bereavement program enhancement. J Nurses Prof Dev. 2015; 31:(3)158-63 https://doi.org/https://doi.org/10.1097/NND.0000000000000163

Stillbirth and Neonatal Death Charity. SANDs Bereavement care in-house training programme. 2014. http://www.sands.org.uk/professionals/training-and-information/sands-training-days-and-events (accessed 9 May 2017)

Walter T. Grief and culture: A checklist. Bereavement Care. 2010; 29:(2)5-9 https://doi.org/https://doi.org/10.1080/02682621003707431

Wang H, Bhutta ZA, Coates MM Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388:(10053)1725-74 https://doi.org/https://doi.org/10.1016/S0140-6736(16)31575-6

Williams C, Munson D, Zupancic J, Kirpalani H. Supporting bereaved parents: practical steps in providing compassionate perinatal and neonatal end-of-life care – A North American perspective. Semin Fetal Neonatal Med. 2008; 13:(5)335-40 https://doi.org/https://doi.org/10.1016/j.siny.2008.03.005

A Letter to my Doctor. 2015. https://youtu.be/F2dYnH_xMjw (accessed 4 July 2018)

Wool C. Clinician confidence and comfort in providing perinatal palliative care. J Obstet Gynecol Neonatal Nurs. 2013; 42:(1)48-58 https://doi.org/https://doi.org/10.1111/j.1552-6909.2012.01432.x

World Health Organization. Midwifery Educator core competencies. 2014. http://www.who.int/hrh/nursing_midwifery/educator_competencies/en/ (accessed 4 July 2018)

Student midwives' education needs and their experience of attending a bereavement education workshop

02 August 2018
15 min read
Volume 26 · Issue 8

Abstract

Background

Clinical training should be efficient, intellectually rigorous, and integrated into practice. This interactive workshop was developed to support student midwives in bereavement care.

Aims

To improve student midwives' confidence in providing bereavement care to parents after pregnancy loss and perinatal death.

Methods

Two focus groups were held, where students' (n=12) discussed their experiences of attending the workshop, barriers and facilitators to gaining confidence, and any further education needs.

Findings

All students agreed that the workshop increased their confidence, and said that role-plays were the most beneficial aspect of the day. Lack of exposure and support from mentors and senior staff was seen as the largest barrier to gaining further confidence.

Conclusions

The results suggest that all students could benefit from a workshop to increase confidence in bereavement care. The content of this workshop can be used in other maternity settings in Ireland and is recommended for all staff members caring for parents after perinatal bereavement or pregnancy loss.

Student midwives may encounter bereaved parents at their most vulnerable time, as they attempt to come to terms with the diagnosis of, and give meaning to, their baby's death (Kelley and Trindad, 2012). Worldwide, there are 2.6 million stillbirths and 2.1 million neonatal deaths annually (Wang et al, 2016). In Ireland, approximately 1 in every 250 births is stillborn, and 1 in every 435 live births dies in the first 7 days of life (Health Services Executive (HSE), 2014). Miscarriage statistics are difficult to deduce, but the Royal College of Obstetricians and Gynaecologists (RCOG) (2011) suggest that an average of 1 in 5 pregnancies miscarry. An estimated 0.8-2% of pregnancies end in second-trimester miscarriage (RCOG, 2011; Cullen et al, 2017).

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month