Psychological Needs of Patients Undergoing Infertility Treatment and Nurses' Support

Dissertation
Table of Contents
ABSTRACT
Chapter 1 INTRODUCTION
Chapter 2 METHODOLOGY
2.1 Search Strategy
2.2 Critiquing Tool
2.3 Limitations
2.4 Decision on Articles
2.5 Main themes
Chapter 3 CRITICAL REVIEW OF DATA
Chapter 4 DISCUSSION AND SERVICE IMPROVEMENT PLAN
REFLECTION
CONCLUSION
REFERENCE
APPENDIX 1
APPENDIX 2
APPENDIX 3
APPENDIX 4
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APPENDIX 5
REFERENCES
References
ABSTRACT
Purpose – to identify the psychological needs of patients or couples who are undergoing
infertility treatment and how nurses can overcome challenges.
Methods – A critical review of qualitative and quantitative data from articles and journals.
Findings- The main psychological needs of patients or couples are motivation and mental health
support. They want to get relief from stress and anxiety. Moreover, women highly need mental
support from nurses as they get demotivated after undergoing infertility treatment. Besides that,
social and psychological support has been required by couples. It has been stated that in order to
access supplementary services psychological support is needed.
Conclusion – It is summarised that psychological support is required to patient during infertility
treatment. This will enable in meeting their needs and successful treatment of infertility. Here,
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Watson theory of human care can be used. It will be useful in decreasing stress. Alongside,
counselling sessions can also be provided to them to enhance psychological support. In addition
to it, theory of human caring decreases negative impact of infertility on women or couples.
Through that, it will be easy to deal with patients.
Summary:
What is known on subject already?
In recent times, infertility issue is highly rising among the women. This is making them unable to
give birth to child. However, women who have gone through infertility treatment remain stressed
and suffers from depression. Alongside, it is evaluated that anxiety is major cause for women of
infertility. It leads to fear among them. Due to this, their behaviour is influenced. They feel highly
stressed during treatment. It has been evaluated that women or couple undergoing infertility
treatment faces many issues.
What does this review add?
The review will summarise areas related to factors that lead to difficulties among women. Also, it
will show psychological impact leads to distress. Besides that, study will show how needs of
women can be identified and what type of strategies can be used.
Key Words: Infertility , Psychological, Conception, IVF
treatment, Treatment ,Wellbeing , Mental health , Distress
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Chapter 1 INTRODUCTION
Title: How does patient undergoing infertility treatment, nurses can provide support with
conception challenges which can address the psychosocial needs of the patient or couple?
Infertility is a disease which is affecting life style of people (Jodar et al., 2017). Married couples
are facing the problems of infertility because that women are not able to achieve the clinical
pregnancy. Treatment for infertility is complex and time-consuming. There are certain infertility
couples which are dealing with stress and trauma because of these diseases. As per
Bisht et.al (2017), infertility is affecting the 10 to 15 % couples. In case in which there is
unexpected loss for couples after infertility treatment, couples are only left with option of
adapting. Due to these, couples are dealing with stress and these stresses will affect the life style
of people. In many cases woman is undergoing treatment of infertility and in case of it fails,
women are facing many problems regarding their health. Childless women are undergoing stress
and trauma which will affect the psychosocial condition of women. The life of women is
affected, and they will face problems in life (Mehta et al., 2016). Women with infertility will
deal with the negative emotional pressure which will include shock, anger, and isolation. Many
women are using treatment of In Vitro Fertilization (IVF) even when treatment is complicated
and it will include many uncomfortable procedures for them. In many cases treatment of IVF
fails and these will affect health of women. In case of infertility among couples’ women are
affect but men are also affected and so, they will also face stress and trauma.
Infertility is affecting life of people because people are not able to expand their family which will
affect life of couples. Couple are opting for treatment related measures which will not affect the
life of people but in this case several treatments have been started. In order to fee from these
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problems people are using treatment, and they are not aware about the severe health problems
which will be faced by women so, these research project will provide knowledge regarding
treatment and the effect of treatment on health of people. Due to these conditions’ women are not
able to do work, and they are dealing with mental pressure and psychological conditions are
affected (Okafor Joe-Ikechebelu and Ikechebelu, 2017).
This dissertation will identify psychosocial needs of patient and couples undergoing infertility
treatment and challenges. Infertility is affecting life style of people and couples are dealing with
stress and trauma. People are dealing with stress and the physiological condition of couple are
affected. In case of treatment is not successful women will deal with problems of health.
Research have included research related method and strategies. It includes critical evaluation of
influence of infertility among married couples. In these type of case women needs support form
family which will help them to overcome these problems. The research has discussed the
treatment of infertility and the effect of the treatment on health of women.
These all have affected the health of women because women are not to handle stress and manage
the health conditions. Effects, factors and consequences are being discussed in report. It will
include certain condition is which woman are not able to survive because of failure in treatment
of infertility. These will not only affect the health of women but it will affect the health of male
as well. The aim this of study is to identify the psychosocial needs of patients or couples who are
undergoing infertility treatment and challenges faced by them.
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Chapter 2 METHODOLOGY
2.1 Search Strategy
Before the search was started, an area of interest was identified and PICOT (P--Patient/Problem,
I—Intervention, C—Comparison, O—Outcome) was created with the help of the supervisor. The
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PICOT approach can help in the definition and clarification of research questions and having the
question right increases the probability of a solution to the issue ( Thabane, Thomas, and Paul,
2010). The PICOT question identified as “How does patient undergoing infertility treatment,
nurses can provide support with conception challenges which can address the psychosocial needs
of the patient or couple?” A broad range of primary literatures have been explored utilizing
computer through UWE library initially and medical databases such as, British Nursing
Database, Cochrane Reviews, PubMed, MEDLINE and CINAHL. The key literature terms used
can be found in the Appendix......There are certain key terms, including some suffixes which
helps is relevant literature search (Pan et.al, 2019).
The initial search provided some undesirable results, therefore Boolean Operators and
trunctation were used. Strategies for optimizing searches are also suggested by using truncation,
Boolean operators and search limits using these methods may assist in more successful literature
reviews and may help with decision-making on evidence-based practice (Robb and Shellbarger,
2014). The basic Boolean search method ' ' and '' and ' ' or '' were used to broaden and specify the
content of the search. it results to further narrowed down the search results.
2.2 Critiquing Tool
The research critiquing is a structured method for the evaluation of research studies and the
reported results (Lee, 2016). CASP (Critical Appraisal Skills Program) helps to consistently
determine the reliability, validity and outcomes of published research (Knowles and Gray, 2011).
Different CASP checklists were established to review eight types of research. While there are
many critical evaluation methods that can be used as guidelines, the CASP tools are concise and
clearly cover the areas needed for critical evaluation of proof (Nadelson and Nadelson, 2014).
This tool will therefore be used for the methodological examination of the articles selected for
Chapter 03. Using the framework for reviewing a research article can be beneficial, more general
and specific questions will be asked when implemented within a critical evaluation system
(Baker, 2014).
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2.3 Limitations
This research study also has got some potential limitations on it. At first, non-English
publications were excluded due to a lack of understanding other languages. In addition, in order
to effectively complete the research, abstract and peer reviewed were included which narrowed
down the search. Additionally, access to the literature was a barrier because of the nonexistence
of full text in many research articles. Moreover, it was difficult to accept 8 articles from the
supervisor, as initially, the articles were not fit in the PICOT question which was formed.
Primary research is included in this study and will have negative impact on research in the event
of a lack of discussion (Zhuoran Wanpeng, Tao and Coates, 2018). The research was also limited
to 10 years (2009-2019) in order to obtain the latest research papers. Furthermore, a research like
this was not carried out in the local context. Infertility is an issue here in Maldives and if a
research was carried out on, it could have been a benchmark for this dissertation.
2.4 Decision on Articles
2.5 Main themes
Main themes identified from the 8 articles are, to provide psychological and counselling support
to cope with infertility, Watson’s theory of human caring is recommended as a guide to nursing
patients with infertility treatment and health education and awareness before IVF treatment.
Theme Description
1 To provide psychological and counselling support to cope with infertility
2 Watsons theory of human caring is recommended as a guide to nursing patients with
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