Introduction
Emergency departments in the United States manage nearly 900,000 visits annually for early pregnancy loss. Patients frequently report limited emotional support, inadequate provider knowledge, and insufficient communication.
Methods
A pre- and postintervention design was used to assess ED staff knowledge, attitudes, and supportive care skills related to reproductive grief. Demographic data were collected. Paired t tests evaluated changes across 7 educational domains.
Results
The analytic sample (N = 39) consisted of chaplains (7.7%), nurses (61.6%), patient care assistants (7.7%), radiology technicians (5.1%), social workers (5.1%), and ED technicians (12.8%). Postintervention analyses demonstrated increased mean scores across all domains, including emotional support, patient-centered care, discharge planning, bereavement care, community resources, staff support, and communication (P < .0001).
Discussion
The findings suggest that staff education may improve miscarriage care. Additional research is necessary to confirm these results, establish validity, and assess generalizability across settings.
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