Marín Fernández, Blanca
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Marín Fernández
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Blanca
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Ciencias de la Salud
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Publication Open Access Propuesta de plan de cuidados de enfermería para mujeres que sufren pérdidas perinatales, según la teoría de Watson(Elsevier, 2024-10-21) Furtado Eraso, Sara; Marín Fernández, Blanca; Escalada Hernández, Paula; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISC; Universidad Pública de Navarra / Nafarroako Unibertsitate PublikoaPerder a un recién nacido es para muchas madres un final doloroso en el que acontece la muerte cuando se espera la vida, que les hace vivir un tiempo de soledad, duda personal y sentimiento de fracaso. Tras realizar un estudio cualitativo previo analizando las vivencias de 25 mujeres que sufrieron una pérdida perinatal espontánea en cualquier momento del embarazo y una revisión sistemática de los factores que afectan a la respuesta emocional tras las pérdidas perinatales, se presenta una propuesta de cuidados de enfermería basada en la teoría del cuidado humano transpersonal de Jean Watson para dar respuesta a las necesidades de las mujeres que experimentan dicho proceso de pérdida. Con esta propuesta de plan cuidados se pretende proporcionar un cuidado individualizado a las mujeres que sufren pérdidas perinatales adaptado a sus necesidades, no solo físicas, sino también emocionales.Publication Open Access "Perinatal loss, a devastating cyclone": a situation-specific nursing theory(Wiley, 2024-06-03) Furtado Eraso, Sara; Marín Fernández, Blanca; Escalada Hernández, Paula; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISC; Universidad Pública de Navarra / Nafarroako Unibertsitate PublikoaPurpose: the aim of this paper is to develop a preliminary theory that explores in depth into understanding the experiences of women who have suffered a spontaneous perinatal loss during any trimester of their pregnancy regarding their emotional response to this loss. Design: a grounded theory approach was used, and 25 in-depth interviews were conducted with Spanish women who suffered a spontaneous perinatal loss. Methods: theoretical sampling and constant comparative analysis were used to reach theoretical saturation. EQUATOR guidelines were followed, using the COREQ checklist. Results: the 'Perinatal loss, a devastating cyclone', a situation-specific nursing theory, explains the process that a woman experiences when she loses her baby at any stage of pregnancy, drawing an analogy with tropical cyclones as natural disasters that destroy everything in their path. This situation-specific theory includes three dimensions, explaining the phases identified in the perinatal loss process (phase prior to impact [before the perinatal loss], impact phase [diagnostic moment], emergency phase [hospital care], relief or honeymoon phase [return home], disillusionment or stock-taking phase [after the first postloss days at home], reconstruction and recovery phase [grief construction process] and consequences [with an eye to the future]). Three intervention areas were described around the perinatal loss process: 'rescue area' (partner, grandparents, and siblings of the deceased baby), 'relief area' (healthcare professionals), and 'base camp' (society). Conclusion: The situation-specific nursing theory 'Perinatal loss, a devastating cyclone' is the final product of a grounded theory study that provided an in-depth analysis of women's experiences when they suffer a spontaneous perinatal loss at any point in their pregnancy. Clinical Relevance: the situation-specific theory 'Perinatal loss, a devastating cyclone' with the seven identified phases and the three areas of intervention could be used as a framework for healthcare professionals in their clinical practice as a guide to support women in this disfranchised grief.Publication Open Access Integrative review of emotional care following perinatal loss(SAGE, 2020) Furtado Eraso, Sara; Escalada Hernández, Paula; Marín Fernández, Blanca; Ciencias de la Salud; Osasun ZientziakEmotional care is an important part of the holistic labor and should be considered when providing care to people affected by perinatal losses. To synthesize the findings from recently published scientific evidence on the emotional care needed following perinatal loss, a search in PubMed, CINAHL, SCOPUS, and Web of Science was carried out in January 2020 yielding 22 studies which met the inclusion criteria and were analyzed following Whittemore and Knafl’s (2005) methodology. One category on 'offering emotional care' was identified: 'Aspects influencing the psychosocial well-being of women after perinatal loss,' comprising eight themes: risk of complicated grief, cultural values, perinatal losses in multiple pregnancies, experience of subsequent pregnancies, need of information, contact with the deceased baby, impact on relatives, and strategies for emotional care. In conclusion, the evidence highlights the need of specific emotional grief care.