Aim To understand about the experiences and feelings of the nurses infected with COVID‐19 when caring for patients with COVID‐19. Background With the sudden outbreak of coronavirus disease 2019 (COVID‐19), nurses take care of patients with COVID‐19 and have a very high risk of being infected with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) themselves. Methods This study adopted a qualitative design of hermeneutic phenomenology. A purposeful sampling was used, and all data were collected through in‐depth semi‐structured telephone interviews then analyzed using interpretative phenomenological analysis. Results The interview data generated 4 topics and 14 secondary topics. Four major themes were identified from this study, including “experiences of infection”, “health belief”, “social support”, and “the pursuit of self‐worth”. Conclusions Nurses infected by COVID‐19 experienced a physical and psychological shock. They had a strong sense of responsibility and willingness to take risks. Providing professional psychological counseling and physical rehabilitation services are crucial. Implication for nursing management This manuscript provides nursing managers an understanding of the personal experiences and needs of clinical nurses in their work, especially during COVID‐19. It is helpful for nursing managers to explore the greater driving force of nurses and prepare nursing human resources for greater challenges.
This retrospective study aimed to investigate the correlation between neonatal hyperbilirubinemia (NHB) and hypoglycemia (NH) in Chinese women with diabetes in pregnancy (DIP), and the influencing factors. All the data were collected July 1, 2017 and June 30, 2020, and 10,558 Chinese women with DIP and live births were included. Two separate multivariate binary stepwise forward logistic regression analysis calculated OR with 95% CI. The prevalence rates of NHB and NH was respectively 3.65% and 5.82% among women with DIP. The comorbidity of both diseases was 0.59%. NH were 1.81 times (OR 1.81, 1.19–2.76) more likely to have hyperbilirubinemia. NHB is positively correlated with NH (OR 1.93, 1.27–2.92). Increased gestational age has a protective effect on both NH (OR 0.76, 0.68–0.85) and NHB (OR 0.80, 0.69–0.92). Abnormal placental morphology is related to NH (OR 1.55, 1.16–2.08) and NHB (OR 1.64, 1.10–2.45). Regarding neonatal outcomes, congenital heart disease (CHD) (OR 2.16, 1.25–3.73; and OR 10.14, 6.47–15.90) was a risk factor for NH and NHB. NHB and NH were significantly correlated in women with DIP. The offspring of DIP with multiple risk factors have a significantly increased risk of neonatal hyperbilirubinemia.
Background: Pregnant nurses are at high risk of developing gestational diabetes mellitus (GDM), and nurses diagnosed with GDM face challenges in balancing disease management and work, which affects maternal and child health and the quality of care. GDM requires significant changes to lifestyle and physical activity to control blood glucose levels, which is key to reducing adverse pregnancy outcomes. However, few studies have focused on the experiences of pregnant nurses with GDM. This study aimed to gain insight into the experiences of pregnant nurses with GDM in China in terms of their illness, work burdens, and self-care. Methods: This qualitative study used an interpretative phenomenological analysis. Face-to-face semi-structured in-depth interviews were conducted with pregnant nurses with GDM to investigate their experiences and self-care. The study was performed at Chongqing’s maternal and child health hospital in China. A purposive sampling was used. Nine pregnant nurses diagnosed with GDM were recruited and interviewed. Results: The interview data generated four themes and 11 sub-themes. The four themes were ‘the perceptions and feelings of GDM’, ‘experiences of lifestyle changes’, ‘social support needs’, and ‘health expectations and risk perception.’ Conclusion: Many factors such as the unique occupational environment, overwork, occupational pressure, shift work, family status, and education level may lead to difficulties in managing blood glucose in nurses with GDM. These findings suggest that managers should pay more attention to nurses with GDM and develop personalized medical care and work arrangements. These measures can improve the self-care and well-being of nurses with GDM and promote the health of nurses and their offspring.
Introduction The incidence of gestational diabetes mellitus (GDM) is increasing and an issue of global concern. GDM can cause severe adverse effects for pregnant women and their fetuses. This systematic review is proposed to explore women’s experiences during the pregnancy with GDM. This review will provide insights into the physical, psychological and social adaptation experiences of women with GDM that can help to identify challenges of glycaemic control and provide targeted care and interventions to improve maternal and child health. Methods and analysis The databases we will search include English databases (ie, PubMed, CINAHL, Embase, the Cochrane Library, Web of Science, Joanna Briggs Institute (JBI) Database of Systematic Reviews, PsycINFO, OpenGrey and Deep Blue) and Chinese databases (ie, China Biology Medicine disc, China National Knowledge Infrastructure, and VIP Database for Chinese Technical Periodicals). Published qualitative evidence of life changes or experiences of the women with GDM will be searched. There will be no limits on publication year. Two reviewers will independently use the JBI Critical Appraisal Checklist for Qualitative Research for methodological validity prior to inclusion in this review. Any disagreements regarding article evaluation will be resolved through discussion or with a third reviewer. Data will be extracted using the standardised data extraction tool from JBI System for the Unified Management, Assessment and Review of Information. Synthesis will include in-depth reading of the original text and the discovery of the results, and then summarising similar categories for more advanced synthesised findings. The final synthesised findings will be graded according to the ConQual approach for establishing confidence. Ethics and dissemination This study does not require ethical approval as primary data will not be collected. Results of this systematic review will be submitted to peer-reviewed international journals for publication and be presented in relevant international conferences. PROSPERO registration number CRD42019132065.