ABSTRACT
This study aims to measure acceptability, feasibility, and satisfaction with self-traction during mechanical cervical dilatation to induce labour and to explore its effects on pain and the process of labour and delivery. 60 parturients were randomly assigned to self-traction or regular traction. Participants completed questionnaires about sociodemographic characteristics, acceptability, and satisfaction. Self-traction participants reported significantly higher acceptability (P = 0.026), and adequacy (P = 0.018). They also reported satisfaction with the procedure. A group comparison regarding feasibility, pain, and the process of labour and delivery showed no significant difference. Self-traction is an acceptable and feasible intervention for full-term parturients.
Subject(s)
Feasibility Studies , Patient Satisfaction , Humans , Female , Pilot Projects , Adult , Pregnancy , Traction/methods , Labor, Induced/methods , Self Care , Surveys and Questionnaires , Patient Acceptance of Health CareABSTRACT
AIM: Synthesize qualitative evidence examining how nurses' attitudes, beliefs, and sense of efficacy and the context surrounding birth facilitate or hinder family-centered nursing practice. DESIGN: Thematic synthesis of qualitative studies. METHODS: A literature search was conducted in CINAHL, MEDLINE, PsycINFO, SCOPUS, SCIENCE DIRECT, REPÈRES, CAIRN, and ÉRUDIT from October 2020 to June 2021. The PRISMA guidelines were followed, and studies were critically appraised using the Critical Appraisal Skills Programme checklist. Data were extracted by two independent reviewers, and Thomas and Harden's qualitative thematic synthesis method was performed for data analysis. RESULTS: Thirteen studies were included. Three analytical themes were generated: (1) sharing power: opposing beliefs, (2) feeling a sense of efficacy in fulfilling one's role, and (3) managing a challenging work environment. PATIENT OR PUBLIC CONTRIBUTION: Synthesizing nurses' experience is essential to promote implementation of favourable changes for care that is more focused on the needs of families.
Subject(s)
Family Nursing , Nurses , Humans , Female , Qualitative Research , PatientsABSTRACT
Support groups play an essential role in caring for parents experiencing perinatal death and bereavement. However, there is very little data on the effectiveness of these services on their well-being. To better understand the experience of bereaved parents using support group services, a qualitative systematic review was conducted using Thomas and Harden's method. Seven databases (MEDLINE, CINAHL, Scopus, PsycARTICLES, Cairn, Érudit, and Repère) were searched in October 2017 with an update in June 2021. A total of 16 studies were included and critically evaluated. The thematic synthesis made it possible to generate four analytical themes to describe parents' experience according to the notion of spaces. The first theme refers to external space, i.e., the format of the support groups (virtual or face-to-face), and the other three themes reflect internal spaces, i.e., the functions of the groups (support, expression, and learning). This thematic synthesis confirms that participating in support groups benefits bereaved parents. It also offers possible solutions to improve the structure and accessibility of support groups.
Les groupes de soutien jouent un rôle essentiel dans les soins dispensés aux parents lors d'un deuil périnatal. Or il existe très peu de données à l'égard de l'efficacité de ces services sur leur bien-être. Pour mieux comprendre l'expérience des parents endeuillés utilisant les services de groupe de soutien, une revue systématique qualitative a été réalisée selon la méthode de Thomas et Harden. Sept bases de données (MEDLINE, CINAHL, Scopus, PsysARTICLES, Cairn, Érudit et Repère) ont été consultées en octobre 2017 avec une mise à jour en juin 2021. Au total, 16 études ont été incluses et évaluées de manière critique. La synthèse thématique a permis de générer quatre thèmes analytiques pour décrire l'expérience des parents selon la notion d'espaces. Le premier thème renvoie à l'espace externe, soit au format des groupes (virtuel ou en présentiel), et les trois autres thèmes reflètent les espaces internes, soit les fonctions des groupes (soutien, expression et apprentissage). Cette synthèse thématique confirme que la participation à des groupes de soutien apporte des bienfaits aux parents endeuillés. Elle offre également des pistes de solutions pour améliorer la structure et l'accessibilité des groupes de soutien.
Subject(s)
Bereavement , Female , Humans , Parents , Pregnancy , Qualitative Research , Self-Help GroupsABSTRACT
Background: Across the world, a growing number of couples are directly or indirectly affected by infertility. Advances in assisted reproductive technologies are now enabling many of them to plan to have a child. As pregnancies resulting from assisted reproductive technologies are being experienced by a growing number of couples, it is important to better understand their experiences and the difficulties they encounter during the prenatal period. Objective: This literature review aims to synthesize the qualitative results of primary studies in order to better understand couples' experiences of pregnancy resulting from assisted reproductive technologies, after having experienced infertility. Design: A meta-synthesis was conducted in accordance with the guidelines put forth by Sandelowski and Barroso in order to carry out an integrative analysis of the knowledge resulting from qualitative studies on this phenomenon. Data sources: The literature search was carried out between October and November 2020. Seven electronic databases were searched (CINAHL, Medline, PsycNet, SCOPUS, ScienceDirect, CAIRN, ERUDIT) and 14 eligible articles were selected. Review methods: The data from the "results" and "findings" sections of each of the articles were synthesized through thematic analysis to examine and summarize the topics found in the articles selected and develop the main themes. Results: The thematic analysis is structured around four themes to describe and interpret different aspects of the experience of pregnancy resulting from ART, namely: 1) travelling a long and complex journey; 2) moving on with paradoxical emotions; 3) struggling with an emerging identity; and 4) reorganizing relationships. These results shed light on the complex issues faced by couples previously affected by infertility during a pregnancy resulting from assisted reproductive technologies. Conclusion: The journey of a pregnancy resulting from assisted reproductive technologies must be recognized in order to offer support in line with the challenges faced by couples. This research will allow for a deeper understanding of women's experience, as well as that of their partner's, in a more specific way, and to better understand the impact on family and loved ones.
