助产士实践领导者在COVID-19大流行初期实践变化的经验:质量探索
Meredith Chapman1, Emily Cowley Evans1, Maryann H Long1
1School of Nursing, University of Virginia, Charlottesville, Virginia.
Journal of midwifery & women's health
|November 21, 2023
概括
随着COVID-19的流行,美国的产科护理受到重大影响,影响了助产士.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19大流行,美国医疗保健系统发生了广泛的干扰,严重影响了产妇护理服务.
- 了解医疗保健提供者的经验,特别是助产士,对于评估大流行对分娩护理的影响至关重要.
研究的目的:
- 探索美国助产执业领导者在COVID-19大流行初期对他们的执业变化的经验和观点.
主要方法:
- 一个定性描述性研究,利用调查答案的主题分析.
- 数据是从一个关于流行病相关的就业和临床实践变化的开放式问题中收集的.
- 调查结果从建设主义的角度呈现出来.
主要成果:
- 两个主要主题出现了:对助产士的要求 (客户需求,护理修改,助产士福祉) 和变革的驱动力 (法规,机构,财务,团队动力学).
- 助产士经历了相当大的心理,身体和情绪上的损失.
- 基于社区的实践 (家庭和分娩中心) 报告了更多的询问和客户数量,担心学生退出临床安置.
结论:
- 在疫情期间,助产士的实践经历了深刻的,多方面的变化,既带来了挑战,也带来了一些积极方面.
- 现有的紧急孕产妇护理指导证明不足以满足客户需求.
- 未来的应急准备需要协调规划,将助产士和最佳实践整合起来.
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