关键词: COVID-19 pandemic Communication Midwives’ experiences Perinatal bereavement care Qualitative descriptive study

Mesh : Bereavement COVID-19 Female Hospice Care Humans Ireland Midwifery / methods Pandemics Parents / psychology Pregnancy Qualitative Research Surveys and Questionnaires

来  源:   DOI:10.1016/j.midw.2022.103356

Abstract:
OBJECTIVE: To explore the experiences and perceptions of midwives providing perinatal bereavement care during the COVID-19 pandemic and to identify the barriers and facilitators to providing compassionate bereavement care.
METHODS: A qualitative descriptive design was utilized to address the research question. Following ethical approval, in depth, semi structured interviews were undertaken to explore midwives\' experiences of providing care to parents following perinatal bereavement. Narrative data was analyzed using thematic analysis.
METHODS: A standalone regional maternity hospital located in a large metropolitan center in the Republic of Ireland.
METHODS: A purposeful sample of eleven midwives, who cared for bereaved parents during the COVID-19 pandemic volunteered to participate in the study.
RESULTS: Two main themes were identified, each with associated subthemes (1) Challenges of providing compassionate bereavement care during a pandemic (2) Psychological effect and coping strategies utilised by midwives during a pandemic.
CONCLUSIONS: The COVID-19 pandemic brought unprecedented challenges when providing perinatal bereavement care. The mandatory infection prevention and control measures significantly disrupted human communication and connections. Participants in the study utilized techniques to optimize care while adhering to COVID-19 guidelines, and simultaneously putting their own fear and anxieties aside.
摘要:
目的:探讨在COVID-19大流行期间助产士提供围产期丧亲护理的经验和看法,并确定提供富有同情心的丧亲护理的障碍和促进因素。
方法:采用了定性的描述性设计来解决研究问题。经过道德批准,在深度,进行了半结构化访谈,以探讨助产士在围产期丧亲后为父母提供护理的经验。使用主题分析对叙事数据进行分析。
方法:位于爱尔兰共和国大城市中心的独立地区妇产医院。
方法:有目的的11名助产士样本,在COVID-19大流行期间照顾失去亲人的父母的人自愿参加了这项研究。
结果:确定了两个主要主题,每个主题都有相关的子主题(1)在大流行期间提供富有同情心的丧亲护理的挑战(2)大流行期间助产士使用的心理影响和应对策略.
结论:COVID-19大流行在提供围产期丧亲护理时带来了前所未有的挑战。强制性的感染预防和控制措施大大中断了人类的交流和联系。研究的参与者利用技术优化护理,同时遵守COVID-19指南,同时把自己的恐惧和焦虑放在一边。
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