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**题目**:疫情期间助产士提供家庭产后护理的体验:一项定性研究。

Midwives' experiences with providing home-based postpartum care during the COVID-19 pandemic: A qualitative study.

机构信息

Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.

出版信息

Nurs Open. 2023 Nov;10(11):7333-7342. doi: 10.1002/nop2.1986. Epub 2023 Aug 31.

Abstract

AIM

To explore midwives' experiences with providing home-based postpartum care during the COVID-19 pandemic in Norway.

DESIGN

A descriptive and explorative qualitative study.

METHODS

The study is based on semi-structured individual interviews with 11 midwives experienced in offering home-based postpartum care. We explored their experiences of such care during the first wave of the COVID-19 pandemic. Data collection occurred from October through November 2020. An inductive thematic analysis was performed using Systematic Text Condensation (STC) by Malterud (2012).

RESULTS

The following two main results emerged from the analyses: (1) the midwives adapted quickly to changes in postpartum care during the pandemic and (2) midwives saw the experience as an opportunity to re-evaluate their practices.

CONCLUSION

This study highlights midwives' resilience and adaptability during the first wave of COVID-19 pandemic. It emphasises the crucial role of face-to-face interactions in postpartum care, while recognising the value of technology when direct access is limited. By shedding light on midwives' experiences, this research contributes to improving postpartum care in unforeseen circumstances. It underscores the significance of interdisciplinary integration in planning postpartum care services and the lasting influence of lessons learned on addressing future challenges.

IMPLICATIONS FOR PRACTICE

The valuable insights gained from lessons learned during the COVID-19 pandemic may have a lasting influence on the postpartum care system, empowering it to tackle unforeseen challenges both today and in the future.

IMPACT

The current study addressed midwives' experience with providing home-based postpartum care during the COVID-19 pandemic in Norway. Midwives received an opportunity to re-evaluate their own practices and valued being included when changes were implemented. The current findings should alert policy makers, leaders and clinicians in postpartum care services when planning future practice.

摘要

目的

探讨挪威 COVID-19 大流行期间,助产士在家庭产后护理方面的经验。

设计

描述性和探索性定性研究。

方法

本研究基于对 11 名具有家庭产后护理经验的助产士进行的半结构化个体访谈。我们探讨了他们在 COVID-19 大流行第一波期间提供这种护理的经验。数据收集于 2020 年 10 月至 11 月进行。使用 Malterud(2012)的系统文本浓缩(STC)进行了归纳主题分析。

结果

分析得出以下两个主要结果:(1)助产士在大流行期间迅速适应了产后护理的变化;(2)助产士认为这是重新评估他们实践的机会。

结论

本研究强调了助产士在 COVID-19 大流行第一波期间的适应能力和韧性。它强调了面对面互动在产后护理中的关键作用,同时认识到在直接接触受限的情况下,技术的价值。通过阐明助产士的经验,这项研究有助于在意外情况下改善产后护理。它强调了在规划产后护理服务时进行跨学科整合的重要性,以及吸取的经验教训对应对未来挑战的持久影响。

实践意义

从 COVID-19 大流行中吸取的宝贵经验教训可能会对产后护理系统产生持久影响,使它能够应对今天和未来的意外挑战。

影响

本研究探讨了挪威 COVID-19 大流行期间,助产士在家庭产后护理方面的经验。助产士有机会重新评估自己的实践,并重视在实施变革时被纳入。当前的研究结果应该在规划未来实践时引起产后护理服务的政策制定者、领导者和临床医生的注意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3210/10563426/cfe31c2470bb/NOP2-10-7333-g001.jpg

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