J Obstet Gynecol Neonatal Nurs. 2023 May;52(3):202-210. doi: 10.1016/j.jogn.2022.12.006. Epub 2022 Dec 26.
To examine the experiences of labor and delivery (L&D) nurses and certified nurse-midwives who cared for women during labor and birth in the United States during the first wave of the COVID-19 pandemic.
Subgroup analysis of a larger study with a qualitative descriptive design.
Telephone interviews.
The parent study included 100 nurses across various specialty areas who provided patient care during the first wave of COVID-19 in the United States. Our subgroup analysis included 19 participants: L&D nurses (n = 11) and certified nurse-midwives (n = 8).
Semistructured interview guide.
Participants described their experiences providing patient care in L&D settings during the first wave of the COVID-19 pandemic. We identified five major themes: Separation of COVID-19-Positive Mothers and Newborns, Isolation of Women in Active Labor, Disparities in Access to Care, Barriers to Communication, and Effect on the Mental Health of Members of the Care Team.
Our findings captured the experiences of maternity care team members who worked during the COVID-19 pandemic when standards of quality maternity care were compromised. The challenges of caring for COVID-19-positive mothers, including isolation during active labor and infant removal from mothers at birth, affected their psychological well-being and their mental health and must now be addressed to prevent burnout and turnover.
考察在美国 COVID-19 大流行第一波期间照顾分娩妇女的产科护士和认证助产士的经历。
具有定性描述设计的更大研究的亚组分析。
电话访谈。
母研究包括在美国 COVID-19 大流行第一波期间提供患者护理的 100 名来自各个专业领域的护士。我们的亚组分析包括 19 名参与者：产科护士（n=11）和认证助产士（n=8）。
半结构化访谈指南。
参与者描述了他们在 COVID-19 大流行第一波期间在产科环境中提供患者护理的经验。我们确定了五个主要主题：COVID-19 阳性母亲和新生儿的分离、活跃分娩期妇女的隔离、获得护理的差异、沟通障碍以及护理团队成员心理健康的影响。
我们的研究结果反映了在 COVID-19 大流行期间工作的产科护理团队成员的经历，当时优质产科护理的标准受到了损害。照顾 COVID-19 阳性母亲的挑战，包括活跃分娩期间的隔离和婴儿从母亲身上移除，影响了他们的心理健康，现在必须加以解决，以防止倦怠和人员流失。
