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Roles and Experiences of Registered Nurses on Labor and Delivery Units in the United States During the COVID-19 Pandemic.
J Obstet Gynecol Neonatal Nurs ; 50(6): 742-752, 2021 11.
Article in English | MEDLINE | ID: covidwho-1392426
ABSTRACT

OBJECTIVE:

To examine the roles and experiences of labor and delivery (LD) nurses during the COVID-19 pandemic.

DESIGN:

Cross-sectional survey.

SETTING:

Online distribution between the beginning of July and end of August 2020.

PARTICIPANTS:

LD nurses (N = 757) responded to an open-ended question about changes to their roles during the COVID-19 pandemic as part of a larger national survey.

METHODS:

We calculated descriptive statistics on respondents' characteristics and their hospitals' characteristics. We applied conventional content analysis to free-text comments.

RESULTS:

We derived four major categories from the responses Changes in Roles and Responsibilities, Adaptations to Changes, Psychological Changes, and Perceived Effects on LaborSupport. Nearly half (n = 328) of respondents reported changes in their roles and responsibilities during the COVID-19 pandemic. They described adaptations and responses to these changes and perceived effects on patient care. Infection control policies and practices as well as the stress of a rapidly changing work environment affected the provision of labor support and personal well-being.

CONCLUSION:

The experiences described by respondents conveyed considerable changes in their roles and subsequent direct and indirect effects on quality of patient care and personal well-being. Policies and practices that can facilitate the ability of LD nurses to safely and securely remain at the bedside and provide high-touch, hands-on labor support are needed. The findings of our study can help facilitate the provision of labor support during times of disruption and foster the resiliency of the nursing workforce.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prenatal Care / Primary Health Care / Delivery, Obstetric / Pregnant Women / COVID-19 / Nurses Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Middle aged / Pregnancy Country/Region as subject: North America Language: English Journal: J Obstet Gynecol Neonatal Nurs Journal subject: Nursing / Gynecology / Obstetrics / Perinatology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Prenatal Care / Primary Health Care / Delivery, Obstetric / Pregnant Women / COVID-19 / Nurses Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Middle aged / Pregnancy Country/Region as subject: North America Language: English Journal: J Obstet Gynecol Neonatal Nurs Journal subject: Nursing / Gynecology / Obstetrics / Perinatology Year: 2021 Document Type: Article