14 research outputs found
âNever waste a crisisâ: a commentary on the COVIDâ19 pandemic as a driver for innovation in maternity care
Abstract unavailable
The United Kingdom and the Netherlands maternity care responses to COVID-19: A comparative study
BackgroundThe national health care response to coronavirus (COVID-19) has varied between countries. The United Kingdom (UK) and the Netherlands (NL) have comparable maternity and neonatal care systems, and experienced similar numbers of COVID-19 infections, but had different organisational responses to the pandemic. Understanding why and how similarities and differences occurred in these two contexts could inform optimal care in normal circumstances, and during future crises.AimTo compare the UK and Dutch COVID-19 maternity and neonatal care responses in three key domains: choice of birthplace, companionship, and families in vulnerable situations.MethodA multi-method study, including documentary analysis of national organisation policy and guidance on COVID-19, and interviews with national and regional stakeholders.FindingsBoth countries had an infection control focus, with less emphasis on the impact of restrictions, especially for families in vulnerable situations. Differences included care providersâ fear of contracting COVID-19; the extent to which community- and personalised care was embedded in the care system before the pandemic; and how far multidisciplinary collaboration and service-user involvement were prioritised.ConclusionWe recommend that countries should 1) make a systematic plan for crisis decision-making before a serious event occurs, and that this must include authentic service-user involvement, multidisciplinary collaboration, and protection of staff wellbeing 2) integrate womenâs and familiesâ values into the maternity and neonatal care system, ensuring equitable inclusion of the most vulnerable and 3) strengthen community provision to ensure system wide resilience to future shocks from pandemics, or other unexpected large-scale events
âNever waste a crisisâ: a commentary on the COVIDâ19 pandemic as a driver for innovation in maternity care
Abstract unavailable
Home truths: ethical issues in family research
This article interrogates the shifting ethical contours of research on contemporary childhood and family living. I reflect on increases in ethical regulation and the role of ethics review panels. Drawing on original data from empirical research I examine some of the ethical issues that arise in studies of family life with particular attention to qualitative mixed methods research and the use of psychosocial approaches. I propose that multilayered in-depth approaches require us to consider carefully ethical standpoints, affecting how we thread together individual and/or family case studies. Unsettling stories in research on emotional - social worlds refine our understandings of âharmâ and âdistressâ and reconfigure ideas of âresponsible knowingâ. Qualitative mixed methods research situates âmessyâ, conflicting and unfavourable data as part of ordinary parenthood, reformulating ethical and epistemological dilemmas for researchers of personal lives