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. 2020 Dec 17:11:586873.
doi: 10.3389/fpsyg.2020.586873. eCollection 2020.

Working With Infertile Couples Seeking Assisted Reproduction: An Interpretative Phenomenological Study With Infertility Care Providers

Federica Facchin  1 , Daniela Leone  2 , Giancarlo Tamanza  1 , Mauro Costa  3 , Patrizia Sulpizio  4 , Elena Canzi  1 , Elena Vegni  2   5
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Working With Infertile Couples Seeking Assisted Reproduction: An Interpretative Phenomenological Study With Infertility Care Providers

Federica Facchin et al. Front Psychol. .

Abstract

Although most studies investigated the impact of infertility and its treatment on the couple, a small body of evidence suggested that infertility care providers may experience different sources of stress related for instance to excessive workload, the complexity of the technique, and relational difficulties with patients. The current study aimed at providing further insight into the understanding of the subjective experience of infertility care providers by highlighting their feelings and emotions, personal meanings, challenges, and opportunities. Following the methodological guidelines of Interpretative Phenomenological Analysis, we conducted individual semi-structured interviews with 23 members of two different fertility units. Interviews were audiotaped and transcribed verbatim. Textual analysis was then conducted to identify emerging dominant themes and subthemes. Three main themes were extracted: (i) dealing with infertile patients and their specificities, (ii) performing assisted reproductive technology (ART), (iii) being part of a team. These themes related to participants experiencing: (i) difficulties in establishing an empathic connection and communicating with couples, such that women were sometimes perceived as "particular patients" and men as poorly involved in the process; (ii) difficulties in dealing with a complex procedure in which errors are not allowed (as reported by embryologists), with a growing number of women aged > 40 seeking assisted reproduction, despite the risks for their health; (iii) being part of a team as a resource, although the huge amount of time spent together can involve conflicts and organizational problems. These findings suggested that patients' overpersistence (rather than just dropout) represents an important source of stress for infertility care providers. At the same time, the concept of particular or difficult patient derives from the combination of multiple factors, including providers' own history and subjective experience. The presence of mental health professionals in fertility units is essential to help providers improve the quality of doctor-patient communication and relieve the stress related to organizational issues and conflicts.

Keywords: assisted reproductive technology; fertility team; infertility care providers; interpretative phenomenological analysis; lived experience; qualitative research.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Dominant themes and subthemes extracted from textual analyses.
See this image and copyright information in PMC

References

    1. Beryl R., Davies J., Völlm B. (2018). Lived experience of working with female patients in a high-secure mental health setting. Int. J. Ment. Health Nurs. 27 82–91. 10.1111/inm.12297 - DOI - PubMed
    1. Boivin J., Bunting L., Collins J. A., Nygren K. G. (2007). International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum. Reprod. 22 1506–1512. 10.1093/humrep/dem046 - DOI - PubMed
    1. Boivin J., Bunting L., Koert E., Ieng U. C., Verhaak C. (2017). Perceived challenges of working in a fertility clinic: a qualitative analysis of work stressors and difficulties working with patients. Hum. Reprod. 32 403–408. 10.1093/humrep/dew326 - DOI - PubMed
    1. Boivin J., Domar A. D., Shapiro D. B., Wischmann T. H., Fauser B. C., Verhaak C. (2012). Tackling burden in ART: an integrated approach for medical staff. Hum. Reprod. 27 941–950. 10.1093/humrep/der467 - DOI - PubMed
    1. Donarelli Z., Coco G. L., Gullo S., Marino A., Volpes A., Salerno L., et al. (2016). Infertility-related stress, anxiety and ovarian stimulation: can couples be reassured about the effects of psychological factors on biological responses to assisted reproductive technology? Reprod. Biomed. Soc. Online 3 16–23. 10.1016/j.rbms.2016.10.001 - DOI - PMC - PubMed