Perceived Impact of Healthcare Relationships and Interactions on Parental Experiences of Prenatal Diagnosis and Termination of Pregnancy for Foetal Anomaly on the Island of Ireland

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-10-20 DOI:10.1111/hex.70068

Suzanne Heaney, Mark Tomlinson, Áine Aventin

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Abstract

Objective

The aim of this study was to explore parents' experiences of their relationships and interactions with healthcare professionals (HCPs) during care related to prenatal diagnosis and termination of pregnancy for foetal anomaly (TOPFA).

Methods

A qualitative approach was used. Participants included 33 parents (23 women and 10 men) from Northern Ireland (n = 11) and Ireland (n = 22) who had a TOPFA. Data collection methods included semi-structured interviews and written narrative accounts. Data were analysed using thematic analysis.

Results

Findings confirmed that TOPFA was a traumatic, life-altering experience for parents, impacting their health and well-being. The actions, behaviours and words of HCPs impacted how parents perceived and interpreted their healthcare experiences and their access to services and supports. In relation to this, five themes are presented: (1) the importance of compassionate and non-judgemental care, (2) the value of effective information and communication, (3) the desire for compassionate care for baby and facilitation of memory making, (4) the need for continuity of care and (5) parents' experiences of healthcare relationships during times of legislative change.

Conclusion

This research reveals the important role HCPs play in helping parents cope with prenatal testing and TOPFA. Parents who had a positive relationship with an HCP, in which information was communicated effectively and compassionate and non-judgmental care was provided, felt more supported and more able to accept and adapt to their loss.

Patient and Public Contribution

An advisory group composed of parents who had experienced TOPFA and HCPs with experience in caring for such families were involved in the study from the outset, contributing to the design and development of data collection materials, interpretation of the findings and design of dissemination materials.

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医疗保健关系和互动对爱尔兰岛因胎儿异常而进行产前诊断和终止妊娠的父母经历的影响。

研究目的本研究旨在探讨父母在产前诊断和因胎儿异常终止妊娠（TOPFA）相关护理过程中与医疗保健专业人员（HCPs）的关系和互动经验：采用定性方法。参与者包括来自北爱尔兰（11 人）和爱尔兰（22 人）的 33 名接受过 TOPFA 的父母（23 名女性和 10 名男性）。数据收集方法包括半结构化访谈和书面叙述。采用主题分析法对数据进行分析：研究结果证实，TOPFA 对父母来说是一次创伤性的、改变生活的经历，影响了他们的健康和幸福。医疗保健人员的行动、行为和言语影响了家长对其医疗保健经历以及获得服务和支持的看法和解释。为此，研究提出了五个主题：(1) 同情和非评判性护理的重要性；(2) 有效信息和沟通的价值；(3) 对婴儿的同情护理和促进记忆形成的愿望；(4) 护理连续性的需要；(5) 立法变革时期父母对医疗保健关系的体验：这项研究揭示了医疗保健人员在帮助父母应对产前检查和 TOPFA 方面所发挥的重要作用。与保健医生保持良好关系的父母，在有效沟通信息、提供同情和非评判性护理的过程中，会感到更多支持，更能接受和适应他们的损失：一个由经历过 TOPFA 的家长和有照顾这类家庭经验的保健医生组成的咨询小组从一开始就参与了这项研究，为设计和开发数据收集材料、解释研究结果和设计传播材料做出了贡献。

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