Altman Molly R, Gavin Amelia R, Eagen-Torkko Meghan K, Kantrowitz-Gordon Ira, Khosa Rue M, Mohammed Selina A
University of Washington School of Nursing, Seattle, USA.
University of Washington School of Social Work, Seattle, USA.
Glob Qual Nurs Res. 2021 Mar 31;8:23333936211006397. doi: 10.1177/23333936211006397. eCollection 2021 Jan-Dec.
The COVID-19 pandemic created a massive shift in health care systems, including within pregnancy and birth care. To explore how experiences of pregnancy and birth were impacted, 15 patient participants and 14 nurse participants were interviewed and transcripts analyzed using critical thematic analysis. Patients highlighted how adaptations to care were inadequate to meet their needs, a desire for support in response to stress, and the impact of COVID on patients' experiences. Nurses identified how inconsistencies in policies impacted nurses' ability to care for patients, the impact on nurses from hospital actions, and the impact on patients from hospital actions. Both groups discussed how system changes had disparate impacts on marginalized communities, leading to racially-biased care. This pandemic will continue to have lasting impact on pregnant and birthing families, and the nurses who care for them, and it is imperative that hospitals examine their role and any potential impacts.
新冠疫情给医疗系统带来了巨大转变，包括孕期和分娩护理领域。为探究孕期和分娩体验受到了怎样的影响，研究人员对15名患者参与者和14名护士参与者进行了访谈，并运用批判性主题分析法对访谈记录进行了分析。患者强调了护理调整不足以满足其需求的情况、应对压力时对支持的渴望，以及新冠疫情对患者体验的影响。护士们指出了政策不一致如何影响护士照顾患者的能力、医院行动对护士的影响，以及医院行动对患者的影响。两组人员都讨论了系统变化如何对边缘化社区产生不同影响，导致出现种族偏见护理。这场疫情将继续对怀孕和分娩家庭以及照顾他们的护士产生持久影响，医院必须审视自身角色及任何潜在影响。
