Fairfield University, Egan School of Nursing and Health Studies, 1073 North Benson Rd, Fairfield, CT 06824, USA.
Midwifery. 2024 Nov;138:104142. doi: 10.1016/j.midw.2024.104142. Epub 2024 Aug 8.
During the COVID-19 pandemic, midwives faced emotional and physical risks while on the frontlines providing care.
To maintain a healthy midwifery workforce, it is necessary to understand midwives' pandemic challenges and successes, including how they personally and professionally faced changes to care provision.
The aim of this meta-synthesis was to understand the experiences of midwives working during the COVID-19 pandemic.
Noblit and Hare's (1988) approach to synthesising qualitative research studies was followed. Fifteen qualitative research reports were identified using PRISMA guidelines, producing a sample of 588 midwives from 12 countries.
The synthesis revealed three overarching themes: (1) Turmoil and confusion: a spectrum of emotions due to ever-changing protocols, (2) COVID-19 stripped the "being with" out of midwifery care, and (3) Finding our way: midwifery resilience and growth. Analysed together, these three themes contribute to understanding the experiences of midwives working during the COVID-19 pandemic.
Midwives experienced fear, stress, and anxiety. They felt they couldn't physically be with women during the pandemic. They were frustrated by being left out of institutional decision-making regarding COVID-19 protocols that impacted the women they served. Professional growth as a midwife, and personal resilience were ultimately realised.
The COVID-19 pandemic disrupted the routine ways in which midwives provide care in all settings. Understanding the complete experience of midwives during the pandemic allows for midwifery organizations to be aware of their members' needs, as well as for institutions to ensure supports are in place for midwives in the event of future pandemics.
在 COVID-19 大流行期间，助产士在前线提供护理时面临着情绪和身体风险。
为了保持健康的助产士队伍，有必要了解助产士在大流行期间面临的挑战和成功，包括他们个人和专业上如何应对护理提供方式的变化。
本元分析旨在了解在 COVID-19 大流行期间工作的助产士的经验。
采用 Noblit 和 Hare（1988）的方法对定性研究报告进行综合。根据 PRISMA 指南，确定了 15 份定性研究报告，来自 12 个国家的 588 名助产士作为样本。
综合结果揭示了三个总体主题：（1）混乱与困惑：由于协议不断变化而产生的一系列情绪，（2）COVID-19 使助产护理“陪伴”的本质消失，以及（3）找到我们的方式：助产士的韧性和成长。这三个主题一起分析，有助于理解在 COVID-19 大流行期间工作的助产士的经验。
助产士经历了恐惧、压力和焦虑。他们觉得在大流行期间无法亲自陪伴妇女。他们对机构在 COVID-19 协议方面的决策中排除他们感到沮丧，这些协议影响了他们所服务的妇女。作为助产士的专业成长和个人韧性最终得到了实现。
COVID-19 大流行打乱了助产士在所有环境中提供护理的常规方式。了解助产士在大流行期间的完整经历，使助产士组织能够了解其成员的需求，并确保在未来发生大流行时为助产士提供支持。
