Reproduction and Perinatal Centre, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Westmead Institute for Maternal and Fetal Medicine, Women's and Newborn Health, Westmead Hospital, New South Wales, Australia.
Women's and Newborn Health, Westmead Hospital, New South Wales, Australia.
Women Birth. 2022 Sep;35(5):493-502. doi: 10.1016/j.wombi.2021.10.011. Epub 2021 Nov 5.
Australia experienced a low prevalence of COVID-19 in 2020 compared to many other countries. However, maternity care has been impacted with hospital policy driven changes in practice. Little qualitative research has investigated maternity clinicians' perception of the impact of COVID-19 in a high-migrant population.
To investigate maternity clinicians' perceptions of patient experience, service delivery and personal experience in a high-migrant population.
We conducted semi-structured in-depth interviews with 14 maternity care clinicians in Sydney, New South Wales, Australia. Interviews were conducted from November to December 2020. A reflexive thematic approach was used for data analysis.
A key theme in the data was 'COVID-19 related travel restrictions result in loss of valued family support for migrant families'. However, partners were often 'stepping-up' into the role of missing overseas relatives. The main theme in clinical care was a shift in healthcare delivery away from optimising patient care to a focus on preservation and safety of health staff.
Clinicians were of the view migrant women were deeply affected by the loss of traditional support. However, the benefit may be the potential for greater gender equity and bonding opportunities for partners. Conflict with professional beneficence principles and values may result in bending rules when a disconnect exists between relaxed community health orders and restrictive hospital protocols during different phases of a pandemic.
This research adds to the literature that migrant women require individualised culturally safe care because of the ongoing impact of loss of support during the COVID-19 pandemic.
与许多其他国家相比，2020 年澳大利亚的 COVID-19 发病率较低。然而，由于医院政策驱动的实践变化，产妇护理受到了影响。很少有定性研究调查过 COVID-19 对高移民人口中产妇临床医生的看法。
调查产妇临床医生在高移民人口中对患者体验、服务提供和个人体验的看法。
我们在澳大利亚新南威尔士州悉尼对 14 名产妇护理临床医生进行了半结构式深入访谈。访谈于 2020 年 11 月至 12 月进行。采用反思性主题分析方法进行数据分析。
数据中的一个关键主题是“与 COVID-19 相关的旅行限制导致移民家庭失去了宝贵的家庭支持”。然而，伴侣往往“挺身而出”，成为失踪的海外亲属的角色。临床护理的主要主题是医疗保健提供方式的转变，从优化患者护理转向关注卫生人员的保护和安全。
临床医生认为移民妇女深受失去传统支持的影响。然而，潜在的好处可能是更大的性别平等和伴侣之间建立联系的机会。当社区卫生命令放松与医院协议在大流行的不同阶段之间存在脱节时，与专业善行原则和价值观的冲突可能导致违反规则。
这项研究增加了文献，即移民妇女需要个性化的文化安全护理，因为在 COVID-19 大流行期间，支持的丧失仍在继续。
