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Research-based practice with women who have had miscarriages
1Department of Family and Child Nursing, University of Washington, Seattle, WA 98195, USA. kswanson@u.washington.edu
Purpose:
To summarize a research-based description of what it is like to miscarry and to recommend an empirically tested theory of caring for women who have experienced miscarriage.
Design:
The research program included three phases: interpretive theory generation, descriptive survey and instrument development, and experimental testing of a theory-based intervention.
Methods:
Research methods included interpretive phenomenology, factor analysis, and ANCOVA.
Findings:
A theory of caring and a model of what it is like to miscarry were generated, refined, and tested. A case study shows one woman's response to miscarrying and illustrates clinical application of the caring theory.
Conclusions:
The Miscarriage Model is a useful framework for anticipating the variety of responses women have to miscarrying. The caring theory is an effective and sensitive guide to clinical practice with women who miscarry.