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• W1538335909 abstract "Objective To assess and describe women's cognitive, emotional, and coping responses after meeting with a perinatal interdisciplinary team of specialists regarding the diagnosis of a fetal anomaly. Design A qualitative descriptive design guided by the stress, appraisal and coping transactional model of Lazarus and Folkman. Setting A Midwest referral program. Sample Fourteen pregnant women, between 25 to 36 weeks gestation, diagnosed with correctable fetal anomalies, and who participated in interdisciplinary counseling were recruited. Methods Qualitative descriptive, semistructured telephone interviews were completed with each participant. Interviews were recorded and transcribed verbatim. Qualitative content analysis procedures were used to guide the data analysis. Four hundred and thirty‐four selected interview incidents resulted in an initial 37 codes. Code tag application (the number of times a participant used a particular code during an interview) resulted in 851 code tags among the 37 initial codes. We examined inductively to derive in vivo codes, subthemes, and emergent themes. Data analysis continued with a deductive process relating the emergent themes to the main component themes of the stress, appraisal and coping transactional model. Results Three themes and six subthemes emerged. The themes were defining the issue, establishing trust, and learning to deal. The subthemes were coping behaviors, effects of additional testing, seeking stability, information gathering, creating bonds with the interdisciplinary team, and integrating the information on the fetal condition. The themes and subthemes represented women's various coping behaviors. Stress appraisal was consistent with the stress, appraisal and coping transactional model. Conclusion/Implications for Nursing Practice Counseling strategies used prenatally influence women's perceptions, help establish trust, and ultimately facilitate coping. Understanding how women perceive provider interactions during pregnancy offers a unique opportunity to facilitate coping for the remainder of pregnancy and into the postpartum period. To assess and describe women's cognitive, emotional, and coping responses after meeting with a perinatal interdisciplinary team of specialists regarding the diagnosis of a fetal anomaly. A qualitative descriptive design guided by the stress, appraisal and coping transactional model of Lazarus and Folkman. A Midwest referral program. Fourteen pregnant women, between 25 to 36 weeks gestation, diagnosed with correctable fetal anomalies, and who participated in interdisciplinary counseling were recruited. Qualitative descriptive, semistructured telephone interviews were completed with each participant. Interviews were recorded and transcribed verbatim. Qualitative content analysis procedures were used to guide the data analysis. Four hundred and thirty‐four selected interview incidents resulted in an initial 37 codes. Code tag application (the number of times a participant used a particular code during an interview) resulted in 851 code tags among the 37 initial codes. We examined inductively to derive in vivo codes, subthemes, and emergent themes. Data analysis continued with a deductive process relating the emergent themes to the main component themes of the stress, appraisal and coping transactional model. Three themes and six subthemes emerged. The themes were defining the issue, establishing trust, and learning to deal. The subthemes were coping behaviors, effects of additional testing, seeking stability, information gathering, creating bonds with the interdisciplinary team, and integrating the information on the fetal condition. The themes and subthemes represented women's various coping behaviors. Stress appraisal was consistent with the stress, appraisal and coping transactional model. Counseling strategies used prenatally influence women's perceptions, help establish trust, and ultimately facilitate coping. Understanding how women perceive provider interactions during pregnancy offers a unique opportunity to facilitate coping for the remainder of pregnancy and into the postpartum period." @default.
• W1538335909 created "2016-06-24" @default.
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• W1538335909 date "2015-06-01" @default.
• W1538335909 modified "2023-09-27" @default.
• W1538335909 title "Influences of Perinatal Team Counseling on Women's Perceptions and Coping after Fetal Diagnosis" @default.
• W1538335909 doi "https://doi.org/10.1111/1552-6909.12642" @default.
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