Date of Award

10-4-2024

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Ms. Arusa Lakhani

Second Advisor

Dr. Salma Rattani

Third Advisor

Dr. Sidrah Nausheen

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Stillbirth profoundly affects the mental, physical, and social health of mothers, often leading to isolation, abuse, and strained family dynamics. Nurses and midwives are crucial in offering emotional and physical support, promoting healthy grieving, and addressing patients' care needs (UNICEF, 2023). Objective This study aimed to explore the influence of nurses' and midwives’ attitudes, behaviors, and experiences on the care that they provide. It also explored the challenges they face while providing care and strategies for facing these challenges.
Method: The study employed a qualitative exploratory, descriptive study design, which involved face-to-face, in-depth interviews with 14 nurses and midwives working at a public sector tertiary care hospital in Karachi, Pakistan. Data was analyzed, and themes and sub-themes were extracted and presented in the finding sections.
Findings: Five major themes extracted were (1) Understanding of stillbirth and cultural insights, where participants expressed a lack of understanding of stillbirth and the cultural complexities surrounding it; (2) Approaches to continuous professional development, highlighted the need for ongoing professional development and training in bereavement care and communication skills; (3) Optimizing resource utilization and embracing challenges, pointed to shortages of staff, materials, and facilities that hinder the provision of compassionate care; (4) Advancing of v standardized protocols/guidelines, involving breaking bad news and resolving inconsistent practices of nurses and midwives; and (5) Impact of stillbirth on the well-being of nurses and midwives, indicated that they were deeply affected by the emotional toll of handling stillbirth cases, leading to desensitization, burnout, and emotional exhaustion. The study emphasizes the need for improved training, standardized protocols, and emotional support mechanisms to address these challenges and improve quality care for grieving families.
Conclusion: The study concludes that enhancing nurses’ and midwives’ preparedness and emotional resilience in handling stillbirth cases requires a multifaceted approach. This includes comprehensive training, continuous professional development, and robust support systems. Addressing these needs is essential for improving the care provided to bereaved parents and promoting healthcare professionals' well-being.

First Page

1

Last Page

75

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