ABSTRACT :
Purpose : To explore the perceived challenges, job satisfiers, and self-care of perinatal nurses in the United States during the COVID-19 pandemic
Study Design and Methods: In May of 2021, a cross sectional survey was distributed online to members of the Association of Women's Health, Obstetric, and Neonatal Nurses and the National Association of Neonatal Nurses. We calculated descriptive statistics on respondent characteristics and applied conventional content analysis to free-text comments.
Results : Perinatal nurses (N=297) responded to three open-ended questions on their perceived challenges, job satisfies, and self-care. Frequently reported challenges included changing guidelines and policies (n=101, 34%), personal protective equipment as a barrier (n-137, 46.1%) and visitor restrictions (n=64, 21.5%). Respondents reported using mental (n=152, 51.2%) and physical (n=145,48.8%) self-care strategies and 12.8%(n=38) reported using no self-care strategies.
Clinical Implications: The ability to provide high-quality care was reported as a leading job satisfies. Poor communication of consistent, evidence-based guidelines, lack of personal protective equipment, and inadequate unit staffing were leading challenge.Visitor restrictions were a challenges. Visitor restrictions were a challenge and a job satisfied, suggesting opportunities to better include visitors as support people. Most respondents reported engaging in one or more types of self-care outside of the hospital setting. Future research is needed to examine strategies for self-care among perinatal nursed when at work in the hospital setting.