Iobst Stacey E, Breman Rachel Blankstein, Walker Mark, Wysong Grace, Best Natasha, Edmonds Joyce K
MCN Am J Matern Child Nurs. 2023;48(3):118-126. doi: 10.1097/NMC.0000000000000912.
To explore the perceived challenges, job satisfiers, and self-care of perinatal nurses in the United States during the COVID-19 pandemic.
In May of 2021, a cross-sectional survey was distributed online to members of the Association of Women's Health, Obstetric, and Neonatal Nurses and the National Association of Neonatal Nurses. We calculated descriptive statistics on respondent characteristics and applied conventional content analysis to free-text comments.
Perinatal nurses ( N = 297) responded to three open-ended questions on their perceived challenges, job satisfiers, and self-care. Frequently reported challenges included changing guidelines and policies ( n = 101, 34%), personal protective equipment as a barrier ( n = 73, 24.6%), and visitor restrictions ( n = 64, 21.5%). Frequently reported job satisfiers were provision of high-quality care ( n = 137, 46.1%) and visitor restrictions ( n = 77, 25.9%). Respondents reported using mental ( n = 152, 51.2%) and physical ( n = 145, 48.8%) self-care strategies and 12.8% ( n = 38) reported using no self-care strategies.
The ability to provide high-quality care was reported as a leading job satisfier. Poor communication of consistent, evidence-based guidelines, lack of personal protective equipment, and inadequate unit staffing were leading challenges. Visitor restrictions were a challenge and a job satisfier, suggesting opportunities to better include visitors as support people. Most respondents reported engaging in one or more types of self-care outside of the hospital setting. Future research is needed to examine strategies for self-care among perinatal nurses when at work in the hospital setting.
探讨新冠疫情期间美国围产期护士所面临的可感知挑战、工作满意度因素及自我护理情况。
2021年5月，在线向妇女健康、产科和新生儿护士协会以及国家新生儿护士协会的成员发放了横断面调查问卷。我们计算了受访者特征的描述性统计数据，并对自由文本评论应用了常规内容分析。
围产期护士（N = 297）回答了关于他们所感知的挑战、工作满意度因素及自我护理的三个开放式问题。经常报告的挑战包括指南和政策的变化（n = 101，34%）、个人防护装备成为障碍（n = 73，24.6%）以及访客限制（n = 64，21.5%）。经常报告的工作满意度因素是提供高质量护理（n = 137，46.1%）和访客限制（n = 77，25.9%）。受访者报告使用心理（n = 152，51.2%）和身体（n = 145，48.8%）自我护理策略，12.8%（n = 38）报告未使用任何自我护理策略。
提供高质量护理的能力被报告为主要的工作满意度因素。循证指南沟通不畅、个人防护装备短缺以及科室人员配备不足是主要挑战。访客限制既是挑战也是工作满意度因素，这表明有机会更好地将访客纳入支持人员范畴。大多数受访者报告在医院环境之外进行了一种或多种自我护理。未来需要开展研究，以探讨围产期护士在医院工作时的自我护理策略。
