Early miscarriage as 'matter out of place': an ethnographic study of nursing practice in a hospital gynaecological unit

International Journal of Nursing Studies
Fiona Murphy, Susan Philpin

Abstract

Early miscarriage has been conceptualised as loss and bereavement where nurses are urged to provide sympathetic, psychological care for women. However, the reality of women's experience is also about blood, 'dirt' and failure which are under explored in the literature. To explore the management and care of women having an early miscarriage within a hospital setting. A qualitative, ethnographic study. A gynaecological unit consisting of an early pregnancy clinic and two gynaecological wards in a general hospital in an urban area of Wales, United Kingdom. The first group was a purposive, volunteer sample of eight women who had experienced an early miscarriage and were admitted to hospital for active management of their miscarriage. The second was a purposive, volunteer sample of 16 hospital health professionals actively involved in the care of women having an early miscarriage. This included 10 nurses, three doctors and three ultrasonographers. Three main methods were employed. Firstly, 20 months participant observation working alongside gynaecological nurses in a gynaecological unit. Secondly, documentary analysis of key documents such as nursing care plans. Finally, in-depth interviews with women who had experienced early misca...Continue Reading

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Citations

May 29, 2015·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Olinda Pruitt Johnson, Rae W Langford
Feb 11, 2015·Journal of Clinical Nursing·Eleanor J Radford, Mark Hughes
Mar 7, 2014·The Tohoku Journal of Experimental Medicine·Grazyna Iwanowicz-PalusElzbieta Walczuk
Aug 11, 2016·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kate MacWilliamsFaith Wight Moffatt
Oct 20, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Kirsten L B JensenJade E Bilardi
Aug 30, 2020·Women and Birth : Journal of the Australian College of Midwives·Angela FreemanShya Varathasundaram

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