Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data

Journal article


Bayes, Sara and Ewens, Beverley. (2017). Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data. Journal of Clinical Nursing. 26(5-6), pp. 599-608. https://doi.org/10.1111/jocn.13524
AuthorsBayes, Sara and Ewens, Beverley
Abstract

Aims and objectives
To understand how nurses view and experience caring for pregnant and postpartum women in nonmaternity care settings.

Background
A degree of apprehension is perceived to exist among nurses in relation to caring for pregnant or postpartum women in nonmaternity care settings. The nature of nonmidwife nurses’ concerns about caring for this group of women in these contexts, however, is not known.

Design
A six-step systematic approach was employed for this review.

Methods
In Step 1, the research question was developed; Step 2 involved developing the inclusion criteria for articles; the literature search strategy was devised in Step 3; Step 4 comprised the conduct of the literature search and selection of articles for review; in Step 5, the critical appraisal of selected studies and synthesis of data was undertaken; interpretation of the findings occurred in Step 6.

Results
Following a process of elimination, the final number of articles retained for this review was three. Fifty-four Level 1 findings were extracted from these three articles which were subsequently collapsed into four Level 2 categories. Two Level 3 synthesised findings that characterise what is known about the topic of interest were then derived from these four Level two categories.

Conclusions
Nurses are reportedly ill prepared for the experience of caring for pregnant and postpartum women in general care settings. A combination of a lack of education and a need to ‘learn on the job’ reportedly evokes stress, trauma and a sense of professional inadequacy.

Relevance to clinical practice
This review identifies lack of knowledge and of adequate supervision for nurses in this context, which in turn poses a clinical risk to pregnant and postpartum women in their care. Effective strategies to establish initial and ongoing collaborative education and clinical practice guidelines are required.

Keywordsexperience of caring; nurses; postpartum; pregnancy; systematic review
Year2017
JournalJournal of Clinical Nursing
Journal citation26 (5-6), pp. 599-608
PublisherBlackwell Publishing Ltd
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.13524
Scopus EID2-s2.0-85008258886
Research or scholarlyResearch
Page range599-608
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online18 Aug 2016
Publication process dates
Accepted07 Aug 2016
Deposited16 Jul 2021
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