{"title":"初级保健助产士对西班牙COVID-19大流行期间远程医疗使用情况的看法","authors":"Mariana Loezar-Hernández , Erica Briones-Vozmediano , Montserrat Gea-Sánchez , Juana Robledo-Martin , Laura Otero-García","doi":"10.1016/j.enfcli.2023.09.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the COVID-19 pandemic.</p></div><div><h3>Method</h3><p>Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-2022.</p></div><div><h3>Results</h3><p>Five categories were identified: (1)<!--> <!-->changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups; (2)<!--> <!-->implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine; (3)<!--> <!-->reaction of women to telemedicine; (4)<!--> <!-->strategies implemented by midwives for a humanized care, and (5)<!--> <!-->learning for the future.</p></div><div><h3>Conclusions</h3><p>The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862123001079/pdfft?md5=0522809ca7690c8a6169d2cdc4a65e56&pid=1-s2.0-S1130862123001079-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Percepciones de matronas de Atención Primaria sobre el uso de la telemedicina durante la pandemia COVID-19 en España\",\"authors\":\"Mariana Loezar-Hernández , Erica Briones-Vozmediano , Montserrat Gea-Sánchez , Juana Robledo-Martin , Laura Otero-García\",\"doi\":\"10.1016/j.enfcli.2023.09.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the COVID-19 pandemic.</p></div><div><h3>Method</h3><p>Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-2022.</p></div><div><h3>Results</h3><p>Five categories were identified: (1)<!--> <!-->changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups; (2)<!--> <!-->implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine; (3)<!--> <!-->reaction of women to telemedicine; (4)<!--> <!-->strategies implemented by midwives for a humanized care, and (5)<!--> <!-->learning for the future.</p></div><div><h3>Conclusions</h3><p>The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.</p></div>\",\"PeriodicalId\":46453,\"journal\":{\"name\":\"Enfermeria Clinica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1130862123001079/pdfft?md5=0522809ca7690c8a6169d2cdc4a65e56&pid=1-s2.0-S1130862123001079-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Enfermeria Clinica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1130862123001079\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria Clinica","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130862123001079","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Percepciones de matronas de Atención Primaria sobre el uso de la telemedicina durante la pandemia COVID-19 en España
Objective
To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the COVID-19 pandemic.
Method
Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-2022.
Results
Five categories were identified: (1) changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups; (2) implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine; (3) reaction of women to telemedicine; (4) strategies implemented by midwives for a humanized care, and (5) learning for the future.
Conclusions
The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.
期刊介绍：
Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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