Evaluation of The Effectiveness of Perinatal Bereavement Counseling Training for Midwives
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 126
- 主要终点
- Perinatal Bereavement Care Confidence Scale
研究概览
简要总结
Perinatal bereavement is a condition that can lead to serious psychological problems for parents and their families. Bereaved women are at high risk of mental health problems (e.g. anxiety, post-traumatic stress disorder and depression). They may also blame themselves and their bodies for the loss and feel inadequate. Inadequate support from their environment in this process may lead them to experience social isolation. Research highlights the impact of caring for bereaved parents on health professionals, and that inadequate training can have a negative impact. In this context, there is a need for well-structured and tailored training programmes that focus on the specific needs and skills required to provide appropriate bereavement care to parents experiencing pregnancy loss and perinatal death. In this context, this study was planned both to prepare a training programme with evidence of effectiveness and to investigate the effectiveness of perinatal bereavement counselling training for midwives.
详细描述
The research was planned to be carried out in pretest-posttest control group experimental research design. With the pretest-posttest randomised controlled experimental research method, the effectiveness of the 8-module grief counselling training prepared for women experiencing perinatal grief on the competence of midwives will be examined.
It is planned to carry out 8 modules of bereavement counselling training between December 2024 and December 2025 for midwives actively working in one of the labour, delivery, obstetrics, postpartum, perinatology, septic and aseptic clinics. The study was planned to be carried out with a total of 126 midwives, 63 in the experimental group and 63 in the control group, who responded to the announcement to be made through the social media platforms of associations and organisations to midwives actively working in one of the obstetrics, postpartum, perinatology, septic and aseptic clinics within the borders of Turkey. The link to the web-based scales will be sent to all midwives involved in the study via the WhatsApp programme. The training on perinatal bereavement counselling will be delivered through the Zoom application.
In this trial, randomisation will be used to reduce selection bias in determining the experimental and control groups. A randomisation table from 1 to 126 will be generated using the computerised randomisation programme (https://www.randomizer.org). As the midwives who meet the inclusion criteria are reached, each midwife will be assigned a number and included in the group (experimental or control) with that number. This will determine which participants are in the experimental and control groups.
The planned perinatal bereavement counselling training for midwives will be delivered online and the aim is for midwives to gain skills and competence in perinatal bereavement counselling and to increase their competence in dealing with the problems they may encounter in the counselling process. One group will be the experimental group and the other the control group. In the first part of the study, research brochures will be distributed via social media. These brochures will contain information about the research, the terms and conditions of participation, and contact information for the researchers. In this part, midwives who wish to participate in the research will be contacted via the WhatsApp programme using the research participation brochures distributed on social media platforms. Midwives who wish to participate will be added to the WhatsApp group. One week before the study, the link to the pre-tests will be shared in WhatsApp groups and both groups will be ensured to complete the pre-tests. Participants who do not complete the pre-tests will not be able to participate in the next module. idwives in the experimental group (n = 63) will receive a researcher-developed training on perinatal bereavement counselling for midwives. The training will be reviewed by academics who are experts in their field. The training will be delivered through the online platform ZOOM programme and the training link will be shared in WhatsApp groups before each module. The grief counselling training programme for midwives is as follows:
Module 1: In the first module of the study, midwives who wish to participate in the research will be screened to determine if they meet the inclusion criteria using the research participation brochures distributed through social media platforms. The researcher contact information will be included in the shared brochure and midwives will be able to access the research using this contact information. In order to assess the suitability of midwives who reach the researcher for the study, the initial interview with the midwives will be conducted online via the WhatsApp programme. Midwives who meet the inclusion criteria will be included in the study. Midwives will be randomised into two groups (experimental-control) and separate WhatsApp groups will be created for the two groups. All data collection forms will be created using Google Forms and links to the forms will be sent to participants via these WhatsApp groups. Consent from midwives in both groups will be obtained in some way (verbal or written). Midwives in both groups will be asked to complete pre-tests.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Midwives who have been active midwives in one of the obstetrics, postnatal, perinatology, septic and aseptic services for at least one year
排除标准
- •Academic and freelance midwives
- •Midwives who have previously received specialised training in bereavement care
结局指标
主要结局
Perinatal Bereavement Care Confidence Scale
时间窗: 1 week before the start of the training and 1 week after the end of the training
Perinatal Bereavement Care Confidence Scale (PBCCS)The validity and reliability of the scale developed by Kalu et al. in 2019 to evaluate the perinatal grief process and care in this process was developed by Dursun and Akkuş. This measurement tool was developed to determine the grief care confidence of midwives and nurses who provide support to parents experiencing perinatal loss. The scale consists of 35 items and 4 sub-dimensions. The items of the scale, which has a 5-point Likert structure, are scored as strongly agree=5, agree=4, partially agree=3, disagree=2, strongly disagree=1. While the minimum score to be obtained from each dimension is 1, the maximum score is 5. The statements with reversed items are 7, 11 and 33. Low scores obtained from the scale indicate a high level of confidence in perinatal bereavement support. The scale does not have a total score and each factor is scored independently. In the scale; each dimension is evaluated separately within itself.
次要结局
未报告次要终点
研究者
Ayşe İrem Gökçek
PhD student in midwifery
Istanbul University - Cerrahpasa (IUC)