Johnson, J orcid.org/0000-0003-0431-013X, Dunning, A, Sattar, R et al. (4 more authors) (2020) Delivering unexpected news via obstetric ultrasound: A systematic review and meta-ethnographic synthesis of expectant parent and staff experiences. Sonography, 7 (2). pp. 61-77. ISSN 2054-6750
Abstract
Expectant parents report negative experiences of receiving unexpected news via ultrasound. There is a need to improve communication in this setting, but a lack of understanding on how to achieve this. This systematic review aimed to synthesise findings from qualitative studies exploring experiences of expectant parents or healthcare professionals when a fetal abnormality or unexpected finding was identified via ultrasound. MEDLINE, EMBASE, CINAHL and PsycINFO were searched using three blocks of terms (fetal abnormalities; ultrasound; experiences). Qualitative studies exploring the disclosure of pregnancy complications during ultrasound examinations were included and analysed using meta-ethnographic synthesis. The review was conducted according to PRISMA and eMERGe guidelines. The review identified 28 studies. News delivered via ultrasound can be viewed as a journey involving five phases (expectations of ultrasound scans; discovery; shock; decisions and planning; adaptation). How well this is navigated depends upon the extent to which information needs and support needs are met. Ultrasound is a uniquely challenging situation to communicate difficult news as there is the potential for news to be communicated immediately. Care quality could be improved by the provision of written information and the use of correct terminology to describe abnormalities.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 The Authors. Sonography published by John Wiley & Sons Australia, Ltd on behalf of Australasian Sonographers Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | antenatal care; diagnostic studies; Doppler ultrasound |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Specialist Science Education Dept (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number College of Radiographers CORIPS Award 129 Jane Ar Bradford Institute For Health Research BIHR/UOL Grant 19/20 |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Apr 2020 12:54 |
Last Modified: | 25 Jun 2023 22:14 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1002/sono.12213 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:159687 |