Wilson, Charlotte; Atkins, Bethany; Molyneux, Richard; Storey, Claire; Blencowe, Hannah; (2024) Parents', Families', Communities' and Healthcare Professionals' Experiences of Care Following Neonatal Death in Healthcare Facilities in LMICs: A Systematic Review and Meta-Ethnography. BJOG : an international journal of obstetrics and gynaecology, 132 (3). pp. 346-354. ISSN 1470-0328 DOI: https://doi.org/10.1111/1471-0528.17982
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Abstract
BACKGROUND: Ninety-eight percent of neonatal deaths worldwide occur in low- and middle-income countries (LMICs), yet there is little bereavement care guidance available for these settings. OBJECTIVES: To explore parents', families' and healthcare professionals' experiences of care after neonatal death in healthcare facilities in LMICs. SEARCH STRATEGY AND SELECTION CRITERIA: Four databases were searched for peer-reviewed literature, meeting the inclusion criteria of qualitative studies exploring the experiences of people who provided or received bereavement care following neonatal death in a LMIC healthcare setting. DATA COLLECTION AND ANALYSIS: Data were collected by two independent reviewers, collated through line-by-line coding and then reciprocal and refutational translation, and analysed through Noblit and Hare's seven-step meta-ethnography approach to create first-, second- and third-order themes. MAIN RESULTS: Seven first-order themes extracted from the literature included emotional responses, social relationships, staff and systems, religion, connecting with the baby, coping strategies and economic concerns. From these data, three third-order themes arose: The individual, the healthcare setting and the community/context. CONCLUSIONS: Overarching themes in bereavement care shape grief responses and are often similar across geographical locations. Analysing these similarities allows a deeper understanding of the important elements of bereavement care and may be helpful to inform the creation of high-quality, bereavement care guidelines suitable for use in LMIC settings.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre | Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 39422126 |
Elements ID | 230672 |
Official URL | http://dx.doi.org/10.1111/1471-0528.17982 |
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Filename: Wilson-2024-Parents-Families-Communities.pdf
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