{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T08:29:31Z","timestamp":1782894571324,"version":"3.54.5"},"reference-count":54,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2009,5,11]],"date-time":"2009-05-11T00:00:00Z","timestamp":1242000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:p><jats:bold>Aim.\u00a0<\/jats:bold> To explore women\u2019s experiences of having an early miscarriage in a hospital gynaecological unit.<\/jats:p><jats:p><jats:bold>Background.\u00a0<\/jats:bold> Miscarriage is a global health issue affecting significant numbers of women and is usually considered a distressing experience. This distress is often interpreted as being characteristic of grief. Nurses and other health professionals in hospital and community settings are therefore expected to provide appropriate care to meet the physical and emotional needs of the woman.<\/jats:p><jats:p><jats:bold>Design.\u00a0<\/jats:bold> A qualitative, ethnographic study of a hospital gynaecological unit in the UK.<\/jats:p><jats:p><jats:bold>Methods.\u00a0<\/jats:bold> The primary method was 20\u2003months of part\u2010time participant observation. Data were also collected through documentary analysis of key documents in the setting and formal interviews. These were with eight women who had an early miscarriage and 16 health professionals (nurses, doctors, ultrasonographers) working in the unit.<\/jats:p><jats:p><jats:bold>Results.\u00a0<\/jats:bold> Three clear phases emerged in the women\u2019s experience of miscarriage and hospital admission; first signs and confirmation, losing the baby and the aftermath. These were interpreted as being components of a process of transition. The hospital admission emerged as vital in these early phases in which the importance of nurses and other health professionals providing sensitive, engaged care to meet the emotional and physical needs of the woman was identified.<\/jats:p><jats:p><jats:bold>Conclusions.\u00a0<\/jats:bold> The hospital setting emerged as highly influential in shaping the care that was given to women and influencing their experiences. Transition models were felt to be more appropriate than grief and bereavement models in guiding the psychological care given to women.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u00a0<\/jats:bold> The experience of hospital admission and the actions of nurses and other health professionals is influential in how women negotiate the transition through miscarriage.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2008.02701.x","type":"journal-article","created":{"date-parts":[[2009,5,11]],"date-time":"2009-05-11T15:21:37Z","timestamp":1242055297000},"page":"1583-1591","source":"Crossref","is-referenced-by-count":51,"title":["Negotiating the transition: caring for women through the experience of early miscarriage"],"prefix":"10.1111","volume":"18","author":[{"given":"Fiona","family":"Murphy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Merrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,5,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399330490444821"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1800.2001.00090.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.36.2.180"},{"key":"e_1_2_9_5_1","volume-title":"Child Care and the Growth of Love","author":"Bowlby J","year":"1965"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1068-607X(98)00176-0"},{"key":"e_1_2_9_7_1","first-page":"99","volume-title":"Gynaecology by Ten Teachers","author":"Campbell S","year":"2000"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0089469"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01452.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1800.2003.00157.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.155.6.810"},{"key":"e_1_2_9_12_1","volume-title":"The Rites of Passage","author":"Van Gennep A","year":"1960"},{"key":"e_1_2_9_13_1","first-page":"71","volume-title":"Doing Qualitative Research","author":"Gilchrist VJ","year":"1999"},{"key":"e_1_2_9_14_1","volume-title":"Qualitative Methods for Health Research","author":"Green J","year":"2004"},{"key":"e_1_2_9_15_1","volume-title":"What\u2019s Wrong with Ethnography?","author":"Hammersley M","year":"1992"},{"key":"e_1_2_9_16_1","volume-title":"Ethnography. Principles in Practice","author":"Hammersley M","year":"1995"},{"key":"e_1_2_9_17_1","volume-title":"Miscarriage, Stillbirth and Neonatal Death: Guidelines for Professionals","author":"Henley A","year":"1991"},{"key":"e_1_2_9_18_1","first-page":"17","volume-title":"Qualitative Research in Health Care","author":"Iphofen R","year":"2005"},{"key":"e_1_2_9_19_1","volume-title":"Pregnancy Loss. A Silent Sorrow","author":"Kohn I","year":"1992"},{"key":"e_1_2_9_20_1","volume-title":"Pregnancy Loss and the Death of a Baby: Guidelines for Professionals","author":"Kohner N","year":"1995"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(95)00579-X"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/0887044031000069343"},{"key":"e_1_2_9_23_1","volume-title":"Mourning the Dreams","author":"Malacrida C","year":"1998"},{"key":"e_1_2_9_24_1","volume-title":"Loss and Bereavement in Childbearing","author":"Mander R","year":"1994"},{"key":"e_1_2_9_25_1","first-page":"29","volume-title":"Midwifery Practice. Core Topics 3","author":"Mander R","year":"1997"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2001.01660.x"},{"key":"e_1_2_9_27_1","volume-title":"Qualitative Researching","author":"Mason J","year":"2002"},{"key":"e_1_2_9_28_1","volume-title":"Social Research. Issues, Methods and Process","author":"May T","year":"1997"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-200009000-00006"},{"key":"e_1_2_9_30_1","first-page":"26","article-title":"Making an impact on return to practice","volume":"100","author":"Miller E","year":"2004","journal-title":"Nursing Times"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646839408408863"},{"key":"e_1_2_9_32_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-349-14674-1","volume-title":"Understanding Pregnancy Loss. Perspectives and Issues in Care","author":"Moulder C","year":"1998"},{"key":"e_1_2_9_33_1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.7748\/ns.7.12.44.s54","article-title":"Miscarriage and injustice","volume":"7","author":"Nazarko L","year":"1992","journal-title":"Nursing Standard"},{"key":"e_1_2_9_34_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1001\/jama.1997.03540290035029","article-title":"Major depressive disorder in the 6\u2003months after miscarriage","volume":"277","author":"Neugebauer R","year":"1997","journal-title":"JAMA"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08402.x"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/713683047"},{"key":"e_1_2_9_37_1","volume-title":"Miscarriage","author":"Oakley A","year":"1984"},{"key":"e_1_2_9_38_1","volume-title":"Bereavement. Studies of Grief in Adult Life","author":"Parkes CM","year":"1996"},{"key":"e_1_2_9_39_1","first-page":"357","article-title":"From hazard to blessing to tragedy: representations of miscarriage in twentieth\u2010century America","volume":"29","author":"Reagan LJ","year":"2003","journal-title":"Feminist Studies"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/074811899201073"},{"key":"e_1_2_9_41_1","volume-title":"Management of early pregnancy loss. Green\u2010Top Guideline No. 25. October 2006","author":"Royal College of Obstetricians and Gynaecologists (RCOG)","year":"2006"},{"key":"e_1_2_9_42_1","first-page":"161","article-title":"Hospital care given in the event of a miscarriage: views of women and their partners and an audit of hospital guidelines","volume":"2","author":"Sehdev S","year":"2000","journal-title":"Journal of Clinical Excellence"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/10436-003"},{"key":"e_1_2_9_44_1","first-page":"255","article-title":"A sense of loss. Miscarriage 2\u2003years ago","volume":"108","author":"Shuttleworth L","year":"1995","journal-title":"Midwives"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646839408408861"},{"key":"e_1_2_9_46_1","first-page":"19","volume-title":"Grief, Mourning and Death Ritual","author":"Small N","year":"2001"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199105000-00008"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199911000-00004"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1999.tb00514.x"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1089\/152460900318696"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20175"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1361-9004(02)00028-6"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-3287(99)00017-8"},{"key":"e_1_2_9_54_1","volume-title":"Grief Counselling and Grief Therapy: A Handbook for the Mental Health Practitioner","author":"Worden JW","year":"1991"},{"key":"e_1_2_9_55_1","author":"World Health Organisation","year":"2001","journal-title":"Definitions and indicators in family planning, maternal & child health and reproductive health. Reproductive"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2702.2008.02701.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2702.2008.02701.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T05:09:40Z","timestamp":1697087380000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2702.2008.02701.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,11]]},"references-count":54,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2009,6]]}},"alternative-id":["10.1111\/j.1365-2702.2008.02701.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2702.2008.02701.x","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,11]]}}}