No one asked us: Understanding the lived experiences of midwives providing care in the north west suburbs of Melbourne during the COVID-19 pandemic: An interpretive phenomenology.
Attrition
Burnout
COVID-19
Lived-experience
Midwifery
Psychological
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
24
06
2021
revised:
22
08
2021
accepted:
27
09
2021
pubmed:
11
10
2021
medline:
17
8
2022
entrez:
10
10
2021
Statut:
ppublish
Résumé
Within the Victorian healthcare system, a rapid response to the COVID-19 pandemic has necessitated frequent and ongoing changes to midwifery practice. Midwives are a vital workforce at risk of burnout, attrition, and trauma. Emotional consequences of the pandemic for midwives remain largely unknown. To understand the lived experiences of midwives providing care in the north west suburbs of Melbourne, Victoria during the pandemic. Purposive and snowball sampling facilitated the recruitment of eight midwives in the north west suburbs of Melbourne, Victoria. Semi-structured interviews were audio recorded and transcribed, occurring via telephone or video between September and October 2020. Interpretive phenomenology was the methodology used, informed by the writings of Heidegger and Gadamer. Insights gleaned from the data embody a range of understandings. The unknown cost of change and adaptation; waves of the virus; balancing risk; telehealth; personal protective equipment; stripping away support; the privilege of abiding by the restrictions; separation, distress, uncertainty; and, professional strength. Experiences of midwives during the pandemic are characterised by sensations of voicelessness and professional invisibility. Distinctive differences in personal wellbeing and professional satisfaction exist between midwives working with and without continuity of care. This paper voices the lived experiences of Victorian midwives, in the midst of an extended lockdown, during the COVID-19 pandemic. Knowledge obtained from this research provides important understandings for leaders, policymakers, and healthcare systems, in planning a long-term response to the pandemic that supports the wellbeing and longevity of a vital workforce.
Sections du résumé
PROBLEM
OBJECTIVE
Within the Victorian healthcare system, a rapid response to the COVID-19 pandemic has necessitated frequent and ongoing changes to midwifery practice.
BACKGROUND
BACKGROUND
Midwives are a vital workforce at risk of burnout, attrition, and trauma. Emotional consequences of the pandemic for midwives remain largely unknown.
AIM
OBJECTIVE
To understand the lived experiences of midwives providing care in the north west suburbs of Melbourne, Victoria during the pandemic.
METHODS
METHODS
Purposive and snowball sampling facilitated the recruitment of eight midwives in the north west suburbs of Melbourne, Victoria. Semi-structured interviews were audio recorded and transcribed, occurring via telephone or video between September and October 2020. Interpretive phenomenology was the methodology used, informed by the writings of Heidegger and Gadamer.
FINDINGS
RESULTS
Insights gleaned from the data embody a range of understandings. The unknown cost of change and adaptation; waves of the virus; balancing risk; telehealth; personal protective equipment; stripping away support; the privilege of abiding by the restrictions; separation, distress, uncertainty; and, professional strength.
DISCUSSION
CONCLUSIONS
Experiences of midwives during the pandemic are characterised by sensations of voicelessness and professional invisibility. Distinctive differences in personal wellbeing and professional satisfaction exist between midwives working with and without continuity of care.
CONCLUSION
CONCLUSIONS
This paper voices the lived experiences of Victorian midwives, in the midst of an extended lockdown, during the COVID-19 pandemic. Knowledge obtained from this research provides important understandings for leaders, policymakers, and healthcare systems, in planning a long-term response to the pandemic that supports the wellbeing and longevity of a vital workforce.
Identifiants
pubmed: 34627733
pii: S1871-5192(21)00160-8
doi: 10.1016/j.wombi.2021.09.008
pmc: PMC8493470
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
447-457Informations de copyright
Copyright © 2021 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Références
J Adv Nurs. 2018 Apr;74(4):852-863
pubmed: 29105143
Midwifery. 2021 Jul;98:102996
pubmed: 33813305
Digit Health. 2019 Aug 06;5:2055207619867223
pubmed: 31431827
Women Birth. 2019 Dec;32(6):e584-e593
pubmed: 30635229
J Clin Nurs. 2021 Feb;30(3-4):588-602
pubmed: 33141467
Public Health Res Pract. 2020 Dec 9;30(4):
pubmed: 33294907
Int J Nurs Pract. 2013 Aug;19(4):409-14
pubmed: 23915410
J Transcult Nurs. 2021 Jan;32(1):86
pubmed: 33357015
Midwifery. 2018 Aug;63:60-67
pubmed: 29803988
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Midwifery. 2020 Sep;88:102759
pubmed: 32485502
Nurse Res. 2011;18(2):28-37
pubmed: 21319482
Women Birth. 2021 Feb;34(1):56-60
pubmed: 32273195
Women Birth. 2020 Sep;33(5):464-472
pubmed: 31676324
Women Birth. 2019 Feb;32(1):64-71
pubmed: 29759933
Women Birth. 2022 May;35(3):262-271
pubmed: 33752996
Women Birth. 2021 Feb;34(1):e32-e37
pubmed: 32994144
BMC Pregnancy Childbirth. 2020 Nov 18;20(1):703
pubmed: 33208115
Eur J Midwifery. 2020 Feb 11;4:4
pubmed: 33537606
BMC Pregnancy Childbirth. 2017 Sep 4;17(1):283
pubmed: 28870181
J Adv Nurs. 2006 Jul;55(2):215-29
pubmed: 16866813
Midwifery. 2014 Aug;30(8):926-34
pubmed: 24742637
Int J Nurs Pract. 1998 Dec;4(4):206-12
pubmed: 10095513
Lancet Public Health. 2020 May;5(5):e249-e250
pubmed: 32302535
Qual Health Res. 2001 Mar;11(2):273-81
pubmed: 11221120
Midwifery. 2004 Sep;20(3):261-72
pubmed: 15337282
ANS Adv Nurs Sci. 1986 Apr;8(3):27-37
pubmed: 3083765
Midwifery. 2020 Nov;90:102821
pubmed: 32847770
Aust N Z J Obstet Gynaecol. 2020 Dec;60(6):840-851
pubmed: 33119139