Hospital practice in COVID-19 times: perceptions of the midwifery interns in Peru

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Abstract

Objective

To evaluate the perception of midwifery interns regarding hospital practices during COVID-19.

Material and methods

Study of qualitative approach, of phenomenological design, where 80 midwifery interns from the different regions of Peru participated, who are also representatives of their hospital headquarters. An in-depth interview was applied where the perception of hospital practices was addressed according to: i) current problems and ii) solution proposals.

Results

Midwifery interns have been removed from hospital practices, mainly due to the absence of personal protective equipment and health insurance, financially affecting those who must continue to make rent and food payments; Likewise, a large part of the universities have not offered proposals for solutions to the delay in internships, raising concerns about delays in administrative procedures, even more so for students from non-licensed universities. Among the proposals, those who are close to graduating suggest being exempted from the months when there were no activities, so as not to delay future processes such as tuition and rural service; likewise, suspend payment for these months and strengthen knowledge through the discussion of clinical cases, which could be virtual.

Conclusions

The cessation of hospital practice responds to a lack of guarantees in the health care of the student, generating economic repercussions and a negative perception regarding university management. Finally, solutions that could be considered for the next decisions made by the institutions are reported.

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  1. SciScore for 10.1101/2020.06.05.20094482: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: ETHICAL ASPECTS: The study had the review and approval of the ethics committee of the “Committee for Ethics in Specific Research for COVID-19” of the Institute for Health Technology Assessment and Research, in Lima Peru.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    ANALYSIS OF THE INFORMATION: The information obtained was reviewed by the researchers, selecting per student the message or messages that summarize or represent the main idea that they sought to communicate, which were transcribed in an Excel database, where each row corresponded to an midwifery representative and each column the questions asked.
    Excel
    suggested: None

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    (9) The demand for the suspension of the monthly payment or other expenses towards the universities while the compulsory social immobilization lasts has been based on the student’s dissatisfaction with paying an incomplete or poorly delivered service; however, this attitude can be enhanced by the economic limitations inherent in the context, which escape the academic-hospital environment and also includes the loss of massive jobs and the increase in costs of certain foods due to panic, greatly limiting the economic income due to family (26). It is necessary to consider that the results found are limited to the subjectivity of the midwifery student, with which it could be replicated in other fields of the health sciences or the perspective of the authorities, both hospital and university, could be evaluated. However, the strength of this study lies in the representativeness that has been sought, considering the presence of students from all regions of Peru. Finally, we conclude that midwifery inmates perceive that the lack of personal protective equipment, the economic repercussions and the delay of procedures are the main problems where they have been affected. Likewise, this study reports solutions that could be considered for the next policies to be formulated.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • No funding statement was detected.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.