{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:04:46Z","timestamp":1790424286415,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010801","name":"Xunta de Galicia","doi-asserted-by":"publisher","award":["Orde 29\/05\/2017"],"award-info":[{"award-number":["Orde 29\/05\/2017"]}],"id":[{"id":"10.13039\/501100010801","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Parents who experience involuntary pregnancy loss encounter nurses and midwives when requiring care. But the environment in which this attention is provided turns it into a stressful and challenging event that favours the concealment of emotions. Literature supports the development of compassion in nurses and midwives who tend to parents who experience pregnancy losses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To synthesise the emotional experiences of midwives and nurses when caring for parents who have suffered an involuntary pregnancy loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This is a synthesis of qualitative studies following Noblit and Hare's interpretive meta\u2010ethnography. Eleven studies met the research objective and inclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An overarching metaphor, \u2018Unravelling the grief of loss\u2019, accompanied by four major themes provided interpretive explanations to the experiences of midwives and nurses in caring for involuntary pregnancy losses: \u2018Pulling the thread\u2019 \u2013 looking for the meaning of loss; \u2018Yarn entanglement degree\u2019 \u2013 determinants for grief expression; \u2018Detangling tools\u2019 \u2013 focusing on the loss; and \u2018Fraying the thread\u2019 \u2013 moving away from the loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The provision of whole care to these parents requires midwifery and nursing training and continued education. Furthermore, the organisational culture should prioritise the health and well\u2010being of midwives and nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Midwives and nurses encounter the parents\u2019 loss in care and personally in various ways and give meaning to the loss conditioned by personal and professional determinants. They unravel the grief of loss by looking for the meaning, expressing their grief, focusing and moving away from the loss.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.13028","type":"journal-article","created":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T19:24:10Z","timestamp":1629573850000},"page":"599-613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Unravelling the grief of involuntary pregnancy loss: A\u00a0meta\u2010ethnography of midwives\u2019 and nurses\u2019 emotional experiences"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7542-9667","authenticated-orcid":false,"given":"Sara","family":"Fern\u00e1ndez\u2010Basanta","sequence":"first","affiliation":[{"name":"Research group GRINCAR Department of Health Sciences Faculty of Nursing and Podiatry University of A Coru\u00f1a  Ferrol Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4824-6902","authenticated-orcid":false,"given":"Carmen","family":"Coronado","sequence":"additional","affiliation":[{"name":"Research group GRINCAR Department of Health Sciences Faculty of Nursing and Podiatry University of A Coru\u00f1a  Ferrol Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1023-6223","authenticated-orcid":false,"given":"Terese","family":"Bondas","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Stavanger  Forus, Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haizea","family":"Llorente\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Galician Health Service (SERGAS) University Hospital Complex of Ferrol  Ferrol Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9369-8636","authenticated-orcid":false,"given":"Mar\u00eda\u2010Jes\u00fas","family":"Movilla\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Research group GRINCAR Department of Health Sciences Faculty of Nursing and Podiatry University of A Coru\u00f1a  Ferrol Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deu299"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"23","article-title":"Care in pregnancies after stillbirth and perinatal death","volume":"6","author":"Heazell AE","year":"2019","journal-title":"Int J Birth Parent Educ"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0806-2"},{"key":"e_1_2_11_5_1","first-page":"3","volume-title":"Theories of caring as health. 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