Perinatal care in the earthquake disaster of the century: Nurses' and midwives' experiences.

IF 3.8 3区 医学 Q1 NURSING International Nursing Review Pub Date : 2024-11-07 DOI:10.1111/inr.13060
Asibe Özkan, Zehra Acar, Esra Çömezoğlu
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Abstract

Aim: To determine the experiences of nurses and midwives providing perinatal care in an earthquake area.

Background: On February 6, 2023, two earthquakes measuring 7.8 and 7.6 magnitudes struck Turkey, affecting a large area. It is crucial for perinatal care to be rapidly organized, provided under the most suitable conditions, and delivered by qualified health professionals. Understanding the post-disaster experiences of nurses and midwives is crucial to addressing this issue.

Method: This is a qualitative study using phenomenological methodology with 8 nurses and 12 midwives in the earthquake-affected area. Personal information and semistructured interview forms were used for data collection. Content analysis was used for data analysis.

Results: Participants had a mean age of 33.75 years. The experiences of nurses and midwives were grouped into five themes: emotions experienced, challenges encountered, problems in perinatal services, coping mechanisms, and recommendations. The emotions experienced theme encompasses both positive and negative emotions. The challenges encountered theme includes challenging environmental conditions, organizational issues, problems with medical supplies and drugs, and being a victim of the earthquake. The problems in perinatal services theme includes pregnancy, childbirth, and postpartum services. The coping mechanism's theme encompasses problem-focused and emotion-focused coping strategies. The recommendations theme includes education and awareness, preparedness for disasters, and sustainable services.

Implications for nursing/midwifery and health policy: Nurses and midwives working in the earthquake-affected area experienced numerous physical and psychological challenges and encountered difficulties in delivering health services. A disaster education course including simulated disaster drills and practice can be integrated into the education system. Strengthening healthcare facilities against disasters and raising awareness among the community are crucial.

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世纪大地震中的围产期护理:护士和助产士的经验。
目的:了解在地震灾区提供围产期护理的护士和助产士的经验:2023 年 2 月 6 日,土耳其发生了两次地震,震级分别为 7.8 级和 7.6 级,影响范围很大。迅速组织围产期护理、在最合适的条件下提供护理以及由合格的医疗专业人员提供护理至关重要。了解护士和助产士的灾后经历对于解决这一问题至关重要:本研究采用现象学方法,对地震灾区的 8 名护士和 12 名助产士进行了定性研究。数据收集使用了个人信息和半结构化访谈表,数据分析使用了内容分析法。数据分析采用内容分析法:结果:参与者的平均年龄为 33.75 岁。护士和助产士的经历分为五个主题:经历的情感、遇到的挑战、围产期服务中的问题、应对机制和建议。经历的情绪主题包括积极情绪和消极情绪。遇到的挑战主题包括具有挑战性的环境条件、组织问题、医疗用品和药品问题以及地震受害者。围产期服务方面的问题包括怀孕、分娩和产后服务。应对机制主题包括以问题为中心的应对策略和以情绪为中心的应对策略。建议主题包括教育和意识、备灾和可持续服务:在地震灾区工作的护士和助产士经历了许多生理和心理挑战,在提供医疗服务时也遇到了困难。可以将包括模拟灾难演习和实践在内的灾难教育课程纳入教育系统。加强医疗保健设施的防灾能力和提高社区意识至关重要。
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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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