Strategies to reduce the psychological burden of health outbreak based on experiences during the COVID-19 pandemic among hospital midwives

Eva Felipe-Dimog; Fu-Wen Liang; Ma‑Am Joy Tumulak; Alfred O. Fomocao; Ferry Efendi

Penulis

Eva Felipe-Dimog Ifugao State University-Lamut Campus
Fu-Wen Liang Universitas Kedokteran Kaohsiung https://orcid.org/0000-0002-3396-037X
Ma‑Am Joy Tumulak University of the Philippines Manila College of Medicine, 547 Pedro Gil Street, Taft Ave, Ermita, 1000 Metro Manila, Metro Manila, Philippines
Alfred O. Fomocao Mountain Province State Polytechnic College, Bontoc, Mountain Province, Philippines
Ferry Efendi Universitas Airlangga, Surabaya, Indonesia

Kata Kunci:

Pandemi covid-19, wabah kesehatan, bidan rumah sakit, dampak psikologis

Abstrak

Coronavirus disease 2019 (COVID-19) was a public health outbreak that caused significant psychological difficulties for healthcare workers worldwide, including hospital midwives. As a result, strategies to reduce the psychological burden during health outbreaks based on hospital midwives' experiences during the COVID-19 pandemic are critical. The goal of this perspective paper was to present some strategies for reducing the negative psychological effects of a health outbreak based on hospital midwives' experiences during the COVID-19 pandemic. Few sources reviewed demonstrated that hospital midwives felt overwhelmed at work and experienced worry and anxiety during the COVID-19 pandemic. Despite these negative consequences, hospital midwives were glad to have developed interpersonal relationships with other health providers and patients as a result of the collaborative effort put in during the COVID-19 pandemic management. Literature suggests that reorganizing the maternity care system, providing adequate supplies, providing strong support, and improving information sharing are among the strategies to lessen the psychological burden during health outbreaks. The pandemic had a negative psychological impact on hospital midwives, which requires attention. Implementing coping strategies to lessen the psychological burden among hospital midwives during health outbreaks contribute to a better provision of healthcare during health emergencies.

Biografi Penulis

Fu-Wen Liang, Universitas Kedokteran Kaohsiung

Profesor Madya

Departemen Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan

Referensi

Aksoy, Y. E., & Koçak, V. (2020). Psychological effects of nurses and midwives due to COVID-19 outbreak: The case of Turkey. Archives of Psychiatric Nursing, 34(5), 427-433. https://doi.org/10.1016/j.apnu.2020.07.011

Alfieri, N., Manodoro, S., & Marconi, A. M. (2020). COVID-19 does not stop obstetrics: what we need to change to go on safely birthing. The experience of a University Obstetrics and Gynecology Department in Milan. Journal of Perinatal Medicine, 48(9), 997-1000. https://doi.org/10.1515/jpm-2020-0218

Arnetz, J. E., Goetz, C. M., Arnetz, B. B., & Arble, E. (2020). Nurse reports of stressful situations during the COVID-19 pandemic: Qualitative analysis of survey responses. International Journal of Environmental Research and Public Health, 17(21), 8126. https://doi.org/10.3390/ijerph17218126

Bai, Y., Lin, C.-C., Lin, C.-Y., Chen, J.-Y., Chue, C.-M., & Chou, P. (2004). Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric services, 55(9), 1055-1057. https://doi.org/10.1176/appi.ps.55.9.1055

Baloushah, S. R., Abu-Hamad, N., Mohammadi, N., Alkasseh, A. S. M., & Salah, M. S. (2022). Gaza midwives' experiences in providing maternity care during COVID-19. European Journal of Midwifery, 6, 51. https://doi.org/10.18332/ejm/150490

Bick, D. (2020). COVID-19: 2020 is the International Year of the Midwife. Midwifery, 85, 102719. https://doi.org/10.1016/j.midw.2020.102719

Bin Naeem, S., & Kamel Boulos, M. N. (2021). COVID-19 Misinformation Online and Health Literacy: A Brief Overview. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18158091

Bowden, E., Campanile, C., & Golding, B. (2020, March 25). Worker at NYC hospital where nurses wear trash bags as protection dies from coronavirus. New York Post. Retrieved December 30 from https://nypost.com/2020/03/25/worker-at-nyc-hospital-where-nurses-wear-trash-bags-as-protection-dies-from-coronavirus/

Bradfield, Z., Hauck, Y., Homer, C. S. E., Sweet, L., Wilson, A. N., Szabo, R. A., Wynter, K., Vasilevski, V., & Kuliukas, L. (2022). Midwives' experiences of providing maternity care during the COVID-19 pandemic in Australia. WOMEN AND BIRTH, 35(3), 262-271. https://doi.org/10.1016/j.wombi.2021.02.007

Carayon, P., & Perry, S. (2021). Human factors and ergonomics systems approach to the COVID-19 healthcare crisis. International Journal for Quality Health Care, 33(Supplement_1), 1-3. https://doi.org/10.1093/intqhc/mzaa109

Cava, M. A., Fay, K. E., Beanlands, H. J., McCay, E. A., & Wignall, R. (2005). The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nursing, 22(5), 398-406.

Chookajorn, T., Kochakarn, T., Wilasang, C., Kotanan, N., & Modchang, C. (2021). Southeast Asia is an emerging hotspot for COVID-19. Nature Medicine, 27(9), 1495-1496. https://doi.org/10.1038/s41591-021-01471-x

Cipriano, P. F. (2018). 100 years on: the Spanish Flu, pandemics and keeping nurses safe. International Nursing Review, 65(3), 305-306. https://doi.org/10.1111/inr.12483

Cole, A., Ali, H., Ahmed, A., Hamasha, M., & Jordan, S. (2021). Identifying Patterns of Turnover Intention Among Alabama Frontline Nurses in Hospital Settings During the COVID-19 Pandemic. Journal of Multidisciplinary Healthcare, 14, 1783-1794. https://doi.org/10.2147/jmdh.S308397

Coxon, K., Turienzo, C. F., Kweekel, L., Goodarzi, B., Brigante, L., Simon, A., & Lanau, M. M. (2020). The impact of the coronavirus (COVID-19) pandemic on maternity care in Europe. Midwifery, 88, 102779. https://doi.org/10.1016/j.midw.2020.102779

Cronie, D., Perdok, H., Verhoeven, C., Jans, S., Hermus, M., de Vries, R., & Rijnders, M. (2019). Are midwives in the Netherlands satisfied with their jobs? A systematic examination of satisfaction levels among hospital and primary-care midwives in the Netherlands. BMC Health Services Research, 19(1), 832. https://doi.org/10.1186/s12913-019-4454-x

Cronie, D., Rijnders, M., & Buitendijk, S. (2012). Diversity in the scope and practice of hospital-based midwives in the Netherlands. Journal of Midwifery Womens Health, 57(5), 469-475. https://doi.org/10.1111/j.1542-2011.2012.00164.x

D'Angelo, A., Ferraguti, G., Petrella, C., Greco, A., Ralli, M., Vitali, M., Framarino Dei Malatesta, M., Fiore, M., Ceccanti, M., & Messina, M. P. (2021). Challenges for Midwives' Healthcare Practice in the Next Decade: COVID-19 - Global Climate Changes - Aging and Pregnancy - Gestational Alcohol Abuse. La Clinica Terapeutica, 171(1), e30-e36. https://doi.org/10.7417/ct.2021.2277

de Jonge, A., de Vries, R., Lagro-Janssen, A. L., Malata, A., Declercq, E., Downe, S., & Hutton, E. K. (2015). The importance of evaluating primary midwifery care for improving the health of women and infants. Frontiers in Medicine (Lausanne), 2, 17. https://doi.org/10.3389/fmed.2015.00017

Desclaux, A., Badji, D., Ndione, A. G., & Sow, K. (2017). Accepted monitoring or endured quarantine? Ebola contacts' perceptions in Senegal. Social Science & Medicine, 178, 38-45. https://doi.org/https://doi.org/10.1016/j.socscimed.2017.02.009

Eglseer, D., Hödl, M., & Lohrmann, C. (2019). Six Nursing Care Problems in Hospitals: A Cross-Sectional Study of Quality of Care. Journal of Nursing Care Quality, 34(1), E8-e14. https://doi.org/10.1097/ncq.0000000000000307

European Centre for Disease Prevention and Control. (2021, February 9). Infection prevention and control and preparedness for COVID-19 in healthcare settings - sixth update. European Centre for Disease Prevention and Control. Retrieved December 29 from https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings

Fumagalli, S., Borrelli, S., Ornaghi, S., Vergani, P., & Nespoli, A. (2022). Midwives' experiences of providing maternity care to women and families during the COVID-19 pandemic in Northern Italy. WOMEN AND BIRTH, 36(1), e57-64. https://doi.org/10.1016/j.wombi.2022.04.011

Galle, A., Semaan, A., Huysmans, E., Audet, C., Asefa, A., Delvaux, T., Afolabi, B. B., El Ayadi, A. M., & Benova, L. (2021). A double-edged sword-telemedicine for maternal care during COVID-19: findings from a global mixed-methods study of healthcare providers. BMJ Global Health, 6(2). https://doi.org/10.1136/bmjgh-2020-004575

González-Timoneda, A., Hernández Hernández, V., Pardo Moya, S., & Alfaro Blazquez, R. (2021). Experiences and attitudes of midwives during the birth of a pregnant woman with COVID-19 infection: A qualitative study. WOMEN AND BIRTH, 34(5), 465-472. https://doi.org/10.1016/j.wombi.2020.12.001

Gotlib, J., Rzonca, E., Baranowska, B., Tataj-Puzyna, U., Pawlicka, P., Jaworski, M., Wojcik-Fatla, A., & Panczyk, M. (2021). Is job seniority a protective factor against anxiety among midwives during the SARS-CoV-2 pandemic? Annals of Agricultural an Environmental Medicine, 28(2), 352-357. https://doi.org/10.26444/aaem/136572

Halperin, O., Noble, A., Yakov, G., Raz, I., & Liebergall-Wischnitzer, M. (2022). Exploring midwives' coping and functioning in the labour wards during the Covid-19 pandemic from the Labour Ward Head Nurses' perspective: A qualitative study. Journal of nursing management. https://doi.org/10.1111/jonm.13710

Hazfiarini, A., Akter, S., Homer, C. S. E., Zahroh, R. I., & Bohren, M. A. (2022). 'We are going into battle without appropriate armour': A qualitative study of Indonesian midwives' experiences in providing maternity care during the COVID-19 pandemic. WOMEN AND BIRTH, 35(5), 466-474. https://doi.org/10.1016/j.wombi.2021.10.003

Hearn, F., Biggs, L., Wallace, H., & Riggs, E. (2022). No one asked us: Understanding the lived experiences of midwives providing care in the north west suburbs of Melbourne during the COVID-19 pandemic: An interpretive phenomenology. WOMEN AND BIRTH, 35(5), 447-457. https://doi.org/10.1016/j.wombi.2021.09.008

Heymann, D. L., Chen, L., Takemi, K., Fidler, D. P., Tappero, J. W., Thomas, M. J., Kenyon, T. A., Frieden, T. R., Yach, D., Nishtar, S., Kalache, A., Olliaro, P. L., Horby, P., Torreele, E., Gostin, L. O., Ndomondo-Sigonda, M., Carpenter, D., Rushton, S., Lillywhite, L., . . . Rannan-Eliya, R. P. (2015). Global health security: the wider lessons from the west African Ebola virus disease epidemic. Lancet, 385(9980), 1884-1901. https://doi.org/10.1016/s0140-6736(15)60858-3

Huysmans, E., Audet, C., Delvaux, T., Galle, A., Semaan, A., Asefa, A., & Benova, L. (2021). How COVID-19 challenged care for women and their newborns: a qualitative case study of the experience of Belgian midwives during the first wave of the pandemic. MedRxiv.

Iacopetta, D., Ceramella, J., Catalano, A., Saturnino, C., Pellegrino, M., Mariconda, A., Longo, P., Sinicropi, M. S., & Aquaro, S. (2022). COVID-19 at a Glance: An Up-to-Date Overview on Variants, Drug Design and Therapies. Viruses, 14(3), 573. https://www.mdpi.com/1999-4915/14/3/573

Jacobsen, K. E., Katon, J. G., & Kantrowitz-Gordon, I. (2022). Midwifery in the Time of COVID-19: An Exploratory Study from the Perspectives of Community Midwives. Womens Health Issues, 32(6), 564-570. https://doi.org/10.1016/j.whi.2022.06.009

Jeong, H., Yim, H. W., Song, Y.-J., Ki, M., Min, J.-A., Cho, J., & Chae, J.-H. (2016). Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiology and health, 38. https://doi.org/10.4178/epih.e2016048

Kantrowitz‐Gordon, I. (2020). Ethics of Midwifery Care During the COVID‐19 Pandemic. In (Vol. 65, pp. 731-732): Wiley Online Library.

Khalilpourazari, S., & Doulabi, H. H. (2021, 11-13 Aug. 2021). Using reinforcement learning to forecast the spread of COVID-19 in France. 2021 IEEE International Conference on Autonomous Systems (ICAS),

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976

Lawler, D. (2010). Women with disabilities: the midwife's role and responsibilities. Practicing Midwife, 13(1), 20-23.

Levine, M. S., & Lowe, N. K. (2015). Measuring Nurse Attitudes About Childbirth: Revision and Pilot Testing of the Nurse Attitudes and Beliefs Questionnaire. Journal of Nursing Measurement, 23(2), 287-301. https://doi.org/10.1891/1061-3749.23.2.287

Li, Y., Chandra, Y., & Kapucu, N. (2020). Crisis coordination and the role of social media in response to COVID-19 in Wuhan, China. The American Review of Public Administration, 50(6-7), 698-705. https://doi.org/10.1177/0275074020942105

Liu, M., Cheng, S. Z., Xu, K. W., Yang, Y., Zhu, Q. T., Zhang, H., Yang, D. Y., Cheng, S. Y., Xiao, H., Wang, J. W., Yao, H. R., Cong, Y. T., Zhou, Y. Q., Peng, S., Kuang, M., Hou, F. F., Cheng, K. K., & Xiao, H. P. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study. Bmj, 369, m2195. https://doi.org/10.1136/bmj.m2195

LoGiudice, J. A., & Bartos, S. (2021). Experiences of Nurses During the COVID-19 Pandemic: A Mixed-Methods Study. AACN Advanced Critical Care, 32(1), 14-26. https://doi.org/10.4037/aacnacc2021816

Messina, M. P., D'Angelo, A., Battagliese, G., Coriale, G., Tarani, L., Pichini, S., Rasio, D., Parlapiano, G., Fiore, M., Petrella, C., Vitali, M., Ferraguti, G., & Ceccanti, M. (2020). Fetal alcohol spectrum disorders awareness in health professionals: implications for psychiatry. Rivista di Psichiatria, 55(2), 79-89. https://doi.org/10.1708/3333.33022

Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., Agha, M., & Agha, R. (2020). The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International Journal of Surgery, 78, 185-193. https://doi.org/10.1016/j.ijsu.2020.04.018

O'Connell, M., Crowther, S., Ravaldi, C., & Homer, C. (2020). Midwives in a pandemic: A call for solidarity and compassion. WOMEN AND BIRTH, 33(3), 205-206. https://doi.org/10.1016/j.wombi.2020.03.008

Paiano, M., Jaques, A. E., Nacamura, P. A. B., Salci, M. A., Radovanovic, C. A. T., & Carreira, L. (2020). Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review. Revista Brasileira de Enfermagem, 73(suppl 2), e20200338. https://doi.org/10.1590/0034-7167-2020-0338

Park, H. Y., Park, W. B., Lee, S. H., Kim, J. L., Lee, J. J., Lee, H., & Shin, H. S. (2020). Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East respiratory syndrome in South Korea. BMC Public Health, 20(1), 605. https://doi.org/10.1186/s12889-020-08726-1

Peña, J. A., Bianco, A. T., Simpson, L. L., Bernstein, P. S., Roman, A. S., Goffman, D., Schweizer, W. E., Overbey, J., & Stone, J. L. (2020). A Survey of Labor and Delivery Practices in New York City during the COVID-19 Pandemic. American Journal of Perinatology, 37(10), 975-981. https://doi.org/10.1055/s-0040-1713120

Pietrasanta, C., Pugni, L., Ronchi, A., Schena, F., Davanzo, R., Gargantini, G., Ferrazzi, E., & Mosca, F. (2020). Management of the mother-infant dyad with suspected or confirmed SARS-CoV-2 infection in a highly epidemic context. Journal of Neonatal-Perinatal Medicine, 13(3), 307-311. https://doi.org/10.3233/npm-200478

Rapisarda, F., Vallarino, M., Brousseau-Paradis, C., Benedictis, L., Corbière, M., Villotti, P., Cavallini, E., Briand, C., Cailhol, L., & Lesage, A. (2022). Workplace Factors, Burnout Signs, and Clinical Mental Health Symptoms among Mental Health Workers in Lombardy and Quebec during the First Wave of COVID-19. International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19073806

Rochelson, B., Nimaroff, M., Combs, A., Schwartz, B., Meirowitz, N., Vohra, N., Klein, V. R., Santandreu, O., Kramer, M., Mootabar, N., Serur, E., Spiryda, L., Berlin, S., & Chervenak, F. (2020). The care of pregnant women during the COVID-19 pandemic - response of a large health system in metropolitan New York. Journal of Perinatal Medicine, 48(5), 453-461. https://doi.org/10.1515/jpm-2020-0175

Saiman, L., Acker, K. P., Dumitru, D., Messina, M., Johnson, C., Zachariah, P., Abreu, W., Saslaw, M., Keown, M. K., Hanft, E., Liao, G., Johnson, D., Robinson, K., Streltsova, S., Valderrama, N., Markan, A., Rosado, M., Krishnamurthy, G., Sahni, R., . . . Goffman, D. (2020). Infection prevention and control for labor and delivery, well baby nurseries, and neonatal intensive care units. Seminars in Perinatology, 44(7), 151320. https://doi.org/10.1016/j.semperi.2020.151320

Salari, N., Khazaie, H., Hosseinian-Far, A., Khaledi-Paveh, B., Kazeminia, M., Mohammadi, M., Shohaimi, S., Daneshkhah, A., & Eskandari, S. (2020). The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Human Resources for Health, 18(1), 100. https://doi.org/10.1186/s12960-020-00544-1

Saragih, I. D., Tonapa, S. I., Saragih, I. S., Advani, S., Batubara, S. O., Suarilah, I., & Lin, C. J. (2021). Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: A systematic review and meta-analysis. International Journal of Nursing Studies, 121, 104002. https://doi.org/10.1016/j.ijnurstu.2021.104002

Sauls, D. J. (2007). Nurses' attitudes toward provision of care and related health outcomes. Nursing Research, 56(2), 117-123. https://doi.org/10.1097/01.NNR.0000263972.54619.4a

Semaan, A., Audet, C., Huysmans, E., Afolabi, B., Assarag, B., Banke-Thomas, A., Blencowe, H., Caluwaerts, S., Campbell, O. M. R., Cavallaro, F. L., Chavane, L., Day, L. T., Delamou, A., Delvaux, T., Graham, W. J., Gon, G., Kascak, P., Matsui, M., Moxon, S., . . . Benova, L. (2020). Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Global Health, 5(6). https://doi.org/10.1136/bmjgh-2020-002967

Serafini, G., Parmigiani, B., Amerio, A., Aguglia, A., Sher, L., & Amore, M. (2020). The psychological impact of COVID-19 on the mental health in the general population. QJM: An International Journal of Medicine, 113(8), 531-537. https://doi.org/10.1093/qjmed/hcaa201

Serrão, C., Duarte, I., Castro, L., & Teixeira, A. (2021). Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic-The Mediating Role of Psychological Resilience. International Journal of Environmental Research and Public Health, 18(2). https://doi.org/10.3390/ijerph18020636

Sommerstein, R., Fux, C. A., Vuichard-Gysin, D., Abbas, M., Marschall, J., Balmelli, C., Troillet, N., Harbarth, S., Schlegel, M., & Widmer, A. (2020). Risk of SARS-CoV-2 transmission by aerosols, the rational use of masks, and protection of healthcare workers from COVID-19. Antimicrobial Resistance and Infection Control, 9(1), 100. https://doi.org/10.1186/s13756-020-00763-0

Suresh, R., Alam, A., & Karkossa, Z. (2021). Using Peer Support to Strengthen Mental Health During the COVID-19 Pandemic: A Review. Frontiers in Psychiatry, 12, 714181. https://doi.org/10.3389/fpsyt.2021.714181

Trumello, C., Bramanti, S. M., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., Crudele, M., Lombardi, L., Pignataro, S., Viceconti, M. L., & Babore, A. (2020). Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. International Journal of Environmental Research and Public Health, 17(22). https://doi.org/10.3390/ijerph17228358

Valverde-Espinoza, N., Barja-Ore, J., Rojas, M. S., Pérez-Silva, M., Herrera-Málaga, R., Angulo, L. H., & López, B. R. (2022). Personal Protective Equipment: Analysis of supply among midwives during the COVID-19 pandemic in Peru. Midwifery, 103583. https://doi.org/https://doi.org/10.1016/j.midw.2022.103583

Watkins, S., Ruskin, K. J., & Schwengel, D. A. (2021). Patient safety and physician well-being: impact of COVID-19. ASA Monitor, 85(1), 21-21. https://doi.org/10.1097/01.ASM.0000725848.61435.b5

Weiss, A. K., Quinn, S. M., Danley, A. L., Wiens, K. J., & Mehta, J. J. (2021). Burnout and Perceptions of Stigma and Help-Seeking Behavior Among Pediatric Fellows. Pediatrics, 148(4). https://doi.org/10.1542/peds.2021-050393

Wilson, A. N., Sweet, L., Vasilevski, V., Hauck, Y., Wynter, K., Kuliukas, L., Szabo, R. A., Homer, C. S. E., & Bradfield, Z. (2022). Australian women's experiences of receiving maternity care during the COVID-19 pandemic: A cross-sectional national survey. Birth, 49(1), 30-39. https://doi.org/10.1111/birt.12569

World Health Organization. (2016). Global strategic directions for strengthening nursing and midwifery 2016-2020. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/275453/9789241510455-eng.pdf?sequence=1

World Health Organization. (2020). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). W. H. Organization. https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

World Health Organization. (2022). Midwifery education and care. World Health Organization. Retrieved November 17 from https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/maternal-health/midwifery

Worldometers. (2023, January 23). COVID-19 Coronavirus pandemic. Worldometers. Retrieved January 23 from https://www.worldometers.info/coronavirus/

Yörük, S., & Güler, D. (2021). The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID-19 pandemic: A cross-sectional study in Turkey. Perspective in Psychiatric Care, 57(1), 390-398. https://doi.org/10.1111/ppc.12659

Zwakhalen, S. M. G., Hamers, J. P. H., Metzelthin, S. F., Ettema, R., Heinen, M., de Man-Van Ginkel, J. M., Vermeulen, H., Huisman-de Waal, G., & Schuurmans, M. J. (2018). Basic nursing care: The most provided, the least evidence based - A discussion paper. Journal of Clinical Nursing, 27(11-12), 2496-2505. https://doi.org/10.1111/jocn.14296