Nurs Womens Health. 2023 Apr;27(2):90-102. doi: 10.1016/j.nwh.2023.01.004. Epub 2023 Feb 17.
To explore the phenomenon of clinicians' perceptions and experiences of promoting infant safe sleep (ISS) and breastfeeding during the COVID-19 pandemic.
Descriptive qualitative hermeneutical phenomenology of key informant interviews conducted as part of a quality improvement initiative.
Maternity care services of 10 U.S. hospitals from April through September 2020.
Ten hospital teams, including 29 clinicians.
Participants were part of a national quality improvement intervention focused on promoting ISS and breastfeeding. Participants were asked about challenges and opportunities promoting ISS and breastfeeding during the pandemic.
We identified four themes summarizing the experiences and perceptions of clinicians promoting ISS and breastfeeding in the COVID-19 pandemic: Strain on Clinicians Related to Hospital Policies, Coordination, and Capacity; Effects of Isolation for Parentsin Labor and Delivery; ReevaluatingOutpatient Follow-Up Care andSupport; and AdoptingShared Decision-Makingaround ISS andBreastfeeding.
Our results support the need for physical and psychosocial care to reduce crisis-related burnout for clinicians to encourage the continued provision of ISS and breastfeeding education, particularly while navigating capacity constraints. Our findings also suggest that clinicians perceived that parents may require additional support to enhance potentially limited ISS and breastfeeding education. These findings may be used to inform approaches to parental and clinician maternity care support in future public health crises.
探索临床医生在 COVID-19 大流行期间对促进婴儿安全睡眠（ISS）和母乳喂养的认知和体验现象。
作为一项质量改进计划的一部分，对关键知情人进行描述性定性解释学现象学研究。
2020 年 4 月至 9 月，美国 10 家医院的产妇保健服务。
10 个医院团队，包括 29 名临床医生。
参与者是一项全国性质量改进干预措施的一部分，该措施侧重于促进 ISS 和母乳喂养。参与者被问及在大流行期间促进 ISS 和母乳喂养的挑战和机遇。
我们确定了四个主题，总结了临床医生在 COVID-19 大流行期间促进 ISS 和母乳喂养的经验和看法：与医院政策、协调和能力相关的临床医生压力；父母在分娩和分娩期间隔离的影响；重新评估门诊随访护理和支持；以及围绕 ISS 和母乳喂养采用共同决策。
我们的研究结果支持为减少临床医生与危机相关的倦怠而提供身体和心理社会护理，以鼓励继续提供 ISS 和母乳喂养教育，尤其是在应对能力限制时。我们的研究结果还表明，临床医生认为父母可能需要额外的支持，以加强可能有限的 ISS 和母乳喂养教育。这些发现可用于为未来的公共卫生危机中的父母和临床医生产妇保健支持提供信息。
