Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, 117597 Singapore.
Midwifery. 2020 Nov;90:102821. doi: 10.1016/j.midw.2020.102821. Epub 2020 Aug 20.
To consolidate qualitative research studies that examined the experiences and needs of pregnant women, midwives, and nurses of maternity units to provide a way forward for future research and practices during the current pandemic and future epidemics and pandemics.
Qualitative systematic review and meta-synthesis.
Four electronic databases-PubMed, Scopus, PsycINFO, and Cumulative Index to Nursing and Allied Health (CINAHL).
Qualitative studies with samples of pregnant women, midwives, and/or nurses of maternity units who experienced epidemics and/or pandemics were searched from 1 January 2000 to 4 April 2020. The included studies were critically appraised using the ten-item Critical Appraisal Skills Programme (CASP) tool.
Eight studies were included in this review. Four themes emerged from the synthesis: (1) psychological responses, (2) challenges faced, (3) coping strategies, and (4) sources of support and support needs.
Pregnant women, midwives, and nurses experienced negative psychological responses during epidemics and pandemics. Challenges, such as limited available information and public stigma, were faced. Various coping strategies, such as actively looking for more information and seeking solace in religions, were practiced by pregnant women, midwives, and nurses. Families were both sources of support and stress and they expressed needs for more informational, emotional, and financial support during pandemics.
More culturally diverse research in the future that includes the development of technology-based programs, trained community volunteer-led programs, psychosocial interventions, and anti-stigma and awareness initiatives are needed to combat the current pandemic and future public health crises.
综合考察孕妇、助产士和产科护士在当前大流行及未来疫情和大流行期间的经验和需求的定性研究，为未来的研究和实践提供方向。
定性系统评价和元综合。
四个电子数据库-PubMed、Scopus、PsycINFO 和 Cumulative Index to Nursing and Allied Health（CINAHL）。
从 2000 年 1 月 1 日至 2020 年 4 月 4 日，检索了经历过疫情和/或大流行的孕妇、助产士和/或产科护士的定性研究。使用十项关键评估技能计划（CASP）工具对纳入的研究进行了批判性评估。
本综述纳入了 8 项研究。综合分析后得出了 4 个主题：（1）心理反应，（2）面临的挑战，（3）应对策略，和（4）支持来源和支持需求。
孕妇、助产士和护士在疫情和大流行期间经历了负面的心理反应。面临着信息有限和公众污名化等挑战。孕妇、助产士和护士采取了各种应对策略，如积极寻找更多信息，并从宗教中寻求安慰。家庭既是支持的来源，也是压力的来源，他们在大流行期间表示需要更多的信息、情感和经济支持。
未来需要更多文化多样化的研究，包括开发基于技术的方案、培训社区志愿者主导的方案、心理社会干预以及反污名化和宣传举措，以应对当前的大流行和未来的公共卫生危机。
