Evidence map›Paper›PMID 33869668›Full record

ArticleGlobal qualitative nursing research

Where the System Failed: The COVID-19 Pandemic's Impact on Pregnancy and Birth Care.

Molly R Altman, Amelia R Gavin, Meghan K Eagen-Torkko, Ira Kantrowitz-Gordon, Rue M Khosa, Selina A Mohammed

Open access · goldAbstract read
In one paragraph

Article in Global qualitative nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  19. The COVID-19 pandemic and disruptions in a district quality improvement initiative: Experiences from the CLEVER Maternity Care programme.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Molly R AltmanUniversity of Washington School of Nursing, Seattle, USA.ORCID https://orcid.org/0000-0002-0453-0469
Amelia R GavinUniversity of Washington School of Social Work, Seattle, USA.
Meghan K Eagen-TorkkoUniversity of Washington School of Nursing and Health Studies, Bothell, USA.
Ira Kantrowitz-GordonUniversity of Washington School of Nursing, Seattle, USA.
Rue M KhosaThe Perfect Push, LLC, Redmond, WA, USA.
Selina A MohammedUniversity of Washington School of Nursing and Health Studies, Bothell, USA.
University of Washington · USUniversity of Washington Bothell · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic created a massive shift in health care systems, including within pregnancy and birth care. To explore how experiences of pregnancy and birth were impacted, 15 patient participants and 14 nurse participants were interviewed and transcripts analyzed using critical thematic analysis. Patients highlighted how adaptations to care were inadequate to meet their needs, a desire for support in response to stress, and the impact of COVID on patients' experiences. Nurses identified how inconsistencies in policies impacted nurses' ability to care for patients, the impact on nurses from hospital actions, and the impact on patients from hospital actions. Both groups discussed how system changes had disparate impacts on marginalized communities, leading to racially-biased care. This pandemic will continue to have lasting impact on pregnant and birthing families, and the nurses who care for them, and it is imperative that hospitals examine their role and any potential impacts.

Indexed as

COVID-19critical thematic analysishealth care systemshealth disparitiesNorthwest United Statesperinatal carerespectful care

Identifiers

PMID33869668
PMCPMC8020401
OpenAlexW3152030296

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.