Midwives’ perceptions and experiences of recommending and delivering vaccinations to pregnant women following the Covid-19 pandemic: a qualitative study

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-10-02 DOI:10.1016/j.midw.2024.104206

Dr Catherine Grimley , Professor Helen Atherton , Professor Debra Bick , Louise Clarke , Dr Sarah Hillman , Dr Jo Parsons

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引用次数: 0

Abstract

Background

Pregnant women and their unborn babies are at an increased risk of hospitalisation, morbidity, and mortality from illness. However, uptake of influenza, pertussis and Covid-19 vaccinations offered during pregnancy is below the desired rate. This research aims to explore UK midwives’ experiences of approaching and discussing vaccinations with pregnant women, and their perceived role in pregnant women's vaccination decisions.

Methods

Midwives in the West Midlands, UK were recruited via participating hospitals and midwife specific social media groups. Interviews were conducted remotely from April to July 2023 and analysed with a deductive codebook coding strategy using thematic analysis.

Findings

Semi-structured interviews were conducted with 16 midwives identifying the following key themes: Recommendations to have vaccinations reported on the contents of recommendations and how they are communicated; Messages and guidance included the importance of up-to-date informational needs for midwives to administer vaccinations and the barriers caused by uncertainty and conflicting messages about the Covid-19 vaccine during pregnancy; Delivery of vaccinations included the convenience of offering vaccinations during standard antenatal appointments; and Midwives’ barriers explored the pandemic specific and other barriers midwives face in the administering of vaccinations.

Discussion

These findings contribute to the understanding of how midwives discuss the topic of vaccinations with pregnant women. This research highlights the importance for midwives to receive clear and consistent information. A strong emphasis on why vaccines are important when recommending to pregnant women in addition to standard information on the availability and timing may have a bearing in helping women to make informed decisions about accepting vaccinations.

查看原文本刊更多论文

助产士在 Covid-19 大流行后向孕妇推荐和提供疫苗接种的看法和经验：一项定性研究。

背景：孕妇及其胎儿因疾病住院、发病和死亡的风险都会增加。然而，孕期接种流感、百日咳和 Covid-19 疫苗的比例却低于预期。本研究旨在探讨英国助产士与孕妇接触和讨论疫苗接种的经验，以及她们在孕妇做出疫苗接种决定时所扮演的角色：通过参与调查的医院和助产士社交媒体群组招募英国西米德兰兹郡的助产士。访谈于 2023 年 4 月至 7 月期间远程进行，采用主题分析法对访谈内容进行演绎式编码策略分析：对 16 名助产士进行了半结构化访谈，确定了以下关键主题：接种疫苗的建议报告了建议的内容以及如何传达这些建议；信息和指导包括助产士接种疫苗所需的最新信息的重要性，以及怀孕期间关于Covid-19疫苗的不确定性和相互矛盾的信息所造成的障碍；接种疫苗的提供包括在标准产前预约期间提供接种疫苗的便利性；以及助产士的障碍探讨了助产士在接种疫苗时所面临的大流行特定障碍和其他障碍：这些研究结果有助于了解助产士如何与孕妇讨论疫苗接种话题。这项研究强调了助产士获得清晰一致信息的重要性。在向孕妇推荐疫苗时，除了提供有关疫苗可用性和接种时间的标准信息外，还应着重强调疫苗为何重要，这可能有助于孕妇在接受疫苗接种时做出明智的决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.