Predictors of staff distress in response to professionally experienced miscarriage, stillbirth and neonatal loss: A questionnaire survey

摘要: Abstract Background Nursing and medical staff in maternity gynaecological settings regularly care for patients experiencing miscarriage, neonatal death stillbirth as part of their work. Qualitative reports have suggested that perinatal takes a significant emotional toll on but to date, reported distress has not been quantified. Objectives The present study, using Lazarus Folkman's transactional model stress, explored the extent distress, its predictive factors, sample United Kingdom nursing staff. Method A retrospective, cross-sectional, questionnaire survey was undertaken across five Midlands hospitals, inviting total 350 doctors, nurses midwives participate. In addition sociodemographics, questionnaires assessed coping strategies perception working environment via Impact Events Scale (IES), Positive And Negative Affect (PANAS), Brief COPE, Work Environment (WES) respectively. Results 54% eligible responded. IES scores revealed 55% participants reporting subjective levels indicating ‘high' level clinical concern. Multiple regression whilst no socio-demographic variable predicted negative affect experienced at time ( p =.002; CI 0.164–0.683) appraisal given family =.003; 0.769–3.358), cumulative number losses =0.004; 0.713–3.778), maladaptive ways =.000; 0.482–1.136), perceptions support outside work significantly =0.023; −4.818 −0.355). Working environment, specifically lack supervisor support, correlated with r =−0.242, =0.001). Conclusion Staff these appear experience appraisals styles rendering more vulnerable. Formal training does be protective, however opportunity could access supervision mitigate encourage reappraisal during which occurred.