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 "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.