Challenges of being a maternity service leader during the COVID-19 pandemic: a descriptive analysis of the journey.
Adapting
COVID-19
Challenges
Communication
Director
Information
Leader
Longitudinal qualitative study
Manager
Maternity care
Midwife
Midwifery unit manager
Obstetrician
Pandemic
Policy
Response
Support
Unit coordinator
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
24 Apr 2023
24 Apr 2023
Historique:
received:
23
07
2022
accepted:
15
04
2023
medline:
26
4
2023
pubmed:
25
4
2023
entrez:
24
04
2023
Statut:
epublish
Résumé
In Australia, maternity care services provide care for pregnant and postpartum women and their newborns. The COVID-19 pandemic forced these services to quickly adapt and develop policies and procedures for dealing with transmission in health care facilities, as well as work under public health measures to counter its spread within the community. Despite well-documented responses and adaptations by healthcare systems, no studies have examined the experiences of maternity service leaders through the pandemic. This study aimed to explore the experiences of maternity service leaders, to understand their perspectives on what happened in health services and what was required of a leader during the COVID-19 pandemic in one Australian state. A longitudinal qualitative study collected data from 11 maternity care leaders during the pandemic in the state of Victoria. Leaders participated in a series of interviews over the 16-month study period, with a total of 57 interviews conducted. An inductive approach to developing codes allowed for semantic coding of the data, then a thematic analysis was conducted to explore patterned meaning across the dataset. One overarching theme, 'challenges of being a maternity service leader during the pandemic', encompassed participant's experiences. Four sub-themes described the experiences of these leaders: (1) needing to be a rapid decision-maker, (2) needing to adapt and alter services, (3) needing to filter and translate information, and (4) the need to support people. At the beginning of the pandemic, the challenges were most acute with slow guideline development, rapid communications from the government and an urgent need to keep patients and staff safe. Over time, with knowledge and experience, leaders were able to quickly adjust and respond to policy change. Maternity service leaders played an important role in preparing and adapting services in accordance with government directives and guidelines while also developing strategies tailored to their own health service requirements. These experiences will be invaluable in designing high quality and responsive systems for maternity care in future crises.
Sections du résumé
BACKGROUND
BACKGROUND
In Australia, maternity care services provide care for pregnant and postpartum women and their newborns. The COVID-19 pandemic forced these services to quickly adapt and develop policies and procedures for dealing with transmission in health care facilities, as well as work under public health measures to counter its spread within the community. Despite well-documented responses and adaptations by healthcare systems, no studies have examined the experiences of maternity service leaders through the pandemic. This study aimed to explore the experiences of maternity service leaders, to understand their perspectives on what happened in health services and what was required of a leader during the COVID-19 pandemic in one Australian state.
METHODS
METHODS
A longitudinal qualitative study collected data from 11 maternity care leaders during the pandemic in the state of Victoria. Leaders participated in a series of interviews over the 16-month study period, with a total of 57 interviews conducted. An inductive approach to developing codes allowed for semantic coding of the data, then a thematic analysis was conducted to explore patterned meaning across the dataset.
RESULTS
RESULTS
One overarching theme, 'challenges of being a maternity service leader during the pandemic', encompassed participant's experiences. Four sub-themes described the experiences of these leaders: (1) needing to be a rapid decision-maker, (2) needing to adapt and alter services, (3) needing to filter and translate information, and (4) the need to support people. At the beginning of the pandemic, the challenges were most acute with slow guideline development, rapid communications from the government and an urgent need to keep patients and staff safe. Over time, with knowledge and experience, leaders were able to quickly adjust and respond to policy change.
CONCLUSION
CONCLUSIONS
Maternity service leaders played an important role in preparing and adapting services in accordance with government directives and guidelines while also developing strategies tailored to their own health service requirements. These experiences will be invaluable in designing high quality and responsive systems for maternity care in future crises.
Identifiants
pubmed: 37095441
doi: 10.1186/s12884-023-05614-5
pii: 10.1186/s12884-023-05614-5
pmc: PMC10123468
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
279Subventions
Organisme : Deakin University
ID : Deakin University Postgraduate Research Scholarship
Informations de copyright
© 2023. The Author(s).
Références
Front Sociol. 2021 May 27;6:655401
pubmed: 34150906
PLoS One. 2021 Jul 21;16(7):e0253510
pubmed: 34288910
BMJ. 2021 Jan 22;372:n83
pubmed: 33483336
Nurse Lead. 2020 Jun;18(3):202-203
pubmed: 32346358
Lancet Glob Health. 2021 Jun;9(6):e759-e772
pubmed: 33811827
Midwifery. 2020 Sep;88:102779
pubmed: 32600862
Emerg Infect Dis. 2006 Dec;12(12):1924-32
pubmed: 17326946
Health Econ Policy Law. 2022 Jan;17(1):95-106
pubmed: 34311803
Int J Environ Res Public Health. 2021 Apr 22;18(9):
pubmed: 33922281
Women Birth. 2021 May;34(3):206-209
pubmed: 32276778
Women Birth. 2022 May;35(3):280-288
pubmed: 33766506
BMC Health Serv Res. 2021 Sep 6;21(1):923
pubmed: 34488733
Cochrane Database Syst Rev. 2020 Sep 15;9:CD013574
pubmed: 33959956
BMC Health Serv Res. 2021 Dec 27;21(1):1364
pubmed: 34961510
PLoS One. 2021 Mar 24;16(3):e0248488
pubmed: 33760851
EClinicalMedicine. 2021 Jun 19;37:100947
pubmed: 34195576
Aust N Z J Obstet Gynaecol. 2021 Jun;61(3):408-415
pubmed: 33547637
BJOG. 2022 Jan;129(1):3-8
pubmed: 34758179
J Eval Clin Pract. 2020 Dec;26(6):1592-1598
pubmed: 32970386
J Med Internet Res. 2020 Jun 9;22(6):e19264
pubmed: 32463377
Can J Public Health. 2008 Nov-Dec;99(6):486-8
pubmed: 19149392
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Perinat Med. 2020 Jun 25;48(5):453-461
pubmed: 32432568
BMJ. 2020 Sep 1;370:m3320
pubmed: 32873575
J Nurs Manag. 2020 Oct;28(7):1553-1560
pubmed: 32713047