Subject(s)
COVID-19/prevention & control , Health Services Accessibility/organization & administration , Maternal Health Services/organization & administration , Perinatal Care/organization & administration , Pregnancy Complications, Infectious/prevention & control , COVID-19/epidemiology , COVID-19/transmission , COVID-19/virology , Communicable Disease Control/standards , Epidemiological Monitoring , Female , Health Services Accessibility/standards , Health Services Accessibility/statistics & numerical data , Hospitals, Maternity/organization & administration , Hospitals, Maternity/standards , Hospitals, Public/organization & administration , Hospitals, Public/standards , Humans , Infant, Newborn , Maternal Health Services/standards , Maternal Health Services/statistics & numerical data , Pandemics/prevention & control , Patient Advocacy , Perinatal Care/standards , Pregnancy , Pregnancy Complications, Infectious/epidemiology , Pregnancy Complications, Infectious/virology , Registries/statistics & numerical data , SARS-CoV-2/pathogenicity , Victoria/epidemiologyABSTRACT
The COVID-19 pandemic has disrupted clinical nursing and midwifery education. This disruption has long-term implications for the nursing and midwifery workforce and for future healthcare responses to pandemics. Solutions may include enhanced partnerships between schools of nursing and midwifery and health service providers and including schools of nursing and midwifery in preparedness planning. These suggestions notwithstanding, we call upon national and international nursing and midwifery bodies to study how to further the clinical education of nurses and midwives during pandemics and other times of crisis.
Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Education, Nursing, Baccalaureate/standards , Midwifery/education , Pneumonia, Viral/epidemiology , Schools, Nursing/organization & administration , COVID-19 , Curriculum/standards , Education, Nursing/standards , Female , Hospitals, Maternity/organization & administration , Humans , Maternal Health Services/organization & administration , Midwifery/organization & administration , Pandemics , SARS-CoV-2Subject(s)
Coronavirus Infections , Delivery, Obstetric , Hospitals, Maternity/organization & administration , Organizational Innovation , Pandemics , Pneumonia, Viral , Pregnancy Complications, Infectious , Betacoronavirus , COVID-19 , Change Management , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Delivery, Obstetric/methods , Delivery, Obstetric/statistics & numerical data , Female , Humans , Infant, Newborn , Infection Control , Pandemics/prevention & control , Perinatal Care/methods , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pregnancy , Pregnancy Complications, Infectious/epidemiology , Pregnancy Complications, Infectious/prevention & control , SARS-CoV-2 , Taiwan/epidemiologyABSTRACT
From February 24, 2020, a COVID-19 obstetric task force was structured to deliver management recommendations for obstetric care. From March 1, 2020, six COVID-19 hubs and their spokes were designated. An interim analysis of cases occurring in or transferred to these hubs was performed on March 20, 2020 and recommendations were released on March 24, 2020. The vision of this strict organization was to centralize patients in high-risk maternity centers in order to concentrate human resources and personal protective equipment (PPE), dedicate protected areas of these major hospitals, and centralize clinical multidisciplinary experience with this disease. All maternity hospitals were informed to provide a protected labor and delivery room for nontransferable patients in advanced labor. A pre-triage based on temperature and 14 other items was developed in order to screen suspected patients in all hospitals to be tested with nasopharyngeal swabs. Obstetric outpatient facilities were instructed to maintain scheduled pregnancy screening as per Italian guidelines, and to provide pre-triage screening and surgical masks for personnel and patients for pre-triage-negative patients. Forty-two cases were recorded in the first 20 days of hub and spoke organization. The clinical presentation was interstitial pneumonia in 20 women. Of these, seven required respiratory support and eventually recovered. Two premature labors occurred.