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Maternity healthcare providers’ self-perceptions of well-being during COVID-19: A survey in Tshwane Health District, South Africa
journal contributionposted on 2023-07-28, 04:07 authored by Sarie Oosthuizen, Anne-Marie Bergh, Antonella Silver, Refilwe Malatji, Vivian Mfolo, Tanita Botha
Background: Mental health manifestations such as depression and anxiety disorders became more marked during the coronavirus disease 2019 (COVID-19) pandemic as frontline healthcare workers struggled to maintain high-quality intrapartum care and essential health services.Aim: This study aimed to identify maternity healthcare providers’ self-perceptions of changes in their feelings of mental well-being.Setting: Ten midwife obstetric units and the labour wards of four district hospitals in Tshwane Health District, South Africa.Methods: We conducted an anonymous, cross-sectional survey amongst a convenience sample of 114 maternity healthcare workers to gauge the changes in healthcare workers’ experience and perceptions of well-being during the COVID-19 pandemic. Four items measured the perceived changes on a scale of 0–10 for the periods before and during COVID-19, respectively, namely feelings of fear or anxiety, stress, depression and anger.Results: The majority of participants were professional nurses (37%) and advanced midwives (47%). They reported a significant change in well-being from before the pandemic to during the pandemic with regard to all four items (p 0.0001). The biggest ‘before-during’ difference was in perceptions of fear or anxiety and the smallest difference was in perceptions of anger. A framework was constructed from the open-ended responses to explain healthcare workers’ understanding and perceptions of increased negative feelings regarding their mental well-being.Conclusion: The observed trends in the changes in healthcare workers’ self-perceptions of their mental well-being highlight the need for further planning to build resilient frontline healthcare workers and provide them with ongoing mental health support and improved communication pathways.
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COVID-19angeranxietydepressionfearmaternity healthcare workersmental healthstresssupportCross-Sectional StudiesDepressionFemaleHealth PersonnelHumansPandemicsPregnancySARS-CoV-2Self ConceptSouth Africa4203 Health Services and Systems4204 Midwifery4205 Nursing42 Health SciencesBehavioral and Social ScienceBrain DisordersClinical ResearchMental HealthHealth Services7.1 Individual care needs7 Management of diseases and conditionsMental health3 Good Health and Well Being4203 Health services and systems