Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, USA.
University of Washington School of Nursing and Health Studies, Bothell, Washington, USA.
J Adv Nurs. 2021 Dec;77(12):4827-4835. doi: 10.1111/jan.14991. Epub 2021 Jul 30.
To explore the experiences of care for pregnant and birthing people, and the nurses who cared for them, during the COVID-19 pandemic, with special emphasis on the impact of visitor restrictions policies.
Qualitative study using critical thematic analysis.
We conducted semi-structured interviews with 15 community members who were pregnant and/or gave birth and 14 nurses who worked in the perinatal setting between April and August 2020. Participants were recruited via purposive and snowball sampling, and interviews were conducted virtually via the Zoom platform. The research team used critical thematic analysis methods informed by other interpretive methodologies to arrive at resultant themes.
Participants described experiences pertaining to how visitor restriction policies are not equitable and disproportionately impact Black, Indigenous, and People of Color (BIPOC) families, and the direct impacts of not having support people, and also provided recommendations for how to adapt current policies to be more equitable.
Visitor restriction policies have had a disproportionately harmful effect on BIPOC patients and families, leading some patients to make decisions that increase their physical risks to alleviate their risk of labouring and birthing without desired support.
While this pandemic is nearing the end, these results can guide structuring of policy not only for the next pandemic, but also for universal policy development. Mitigating the effects of racism in policies, by including diverse stakeholders in decision-making, should be an inherent part of hospital administration procedures.
探讨 COVID-19 大流行期间孕妇和分娩者的护理体验，以及照顾他们的护士的体验，特别强调访客限制政策的影响。
使用批判主题分析的定性研究。
我们在 2020 年 4 月至 8 月期间，对 15 名社区孕妇和/或产妇以及 14 名在围产期工作的护士进行了半结构式访谈。参与者通过有目的和滚雪球抽样招募，通过 Zoom 平台进行虚拟访谈。研究小组使用批判性主题分析方法和其他解释性方法，得出了最终主题。
参与者描述了访客限制政策如何不公平，不成比例地影响黑人、原住民和有色人种（BIPOC）家庭，以及没有支持人员的直接影响，并就如何调整当前政策以实现更公平提出了建议。
访客限制政策对 BIPOC 患者和家庭产生了不成比例的有害影响，导致一些患者做出增加身体风险的决定，以减轻没有期望支持的分娩风险。
虽然这场大流行即将结束，但这些结果可以为制定政策提供指导，不仅是下一次大流行，而且是普遍的政策制定。通过让不同利益相关者参与决策，将种族主义影响减轻到政策中，应成为医院管理程序的固有部分。
