RNQualitativeRevista brasileira de enfermagem2024

Respectful care for postpartum women with sickle cell disease: a netnographic study.

Zannety Conceição Silva do Nascimento Souza, Luana Gabriella Pinheiro Barrêto, Paulo Roberto Lima Falcão do Vale and 3 others

PMID 39699363

WHAT IT FOUND

Two postpartum women with sickle cell disease described respectful care as warmth, clear explanations, and keeping mother and baby together.

They reported disrespectful care as being dismissed when describing pain, delayed information about their condition, and separation from their newborn without explanation.

Key findings

01Participants valued simple environmental adjustments and clear communication from the anesthesia team as respectful care.

02Participants experienced disrespect when clinicians dismissed their reported symptoms or provided unclear diagnoses.

03Separation from the newborn immediately after birth caused distress when the reason was not clearly communicated.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study relies on only two individual accounts, which cannot represent the broader population of women with sickle cell disease. The data comes from self-selected public videos, introducing selection bias toward those who chose to share their stories online. The analysis is interpretive, relying on researchers' coding of video content and facial expressions rather than direct patient-reported outcome measures. The study does not measure clinical outcomes, only the perception of care quality.

Declared interests

No conflicts of interest or funding sources were explicitly declared in the provided text.

The easy way to misread this

Do not view this as evidence that current standard of care is universally disrespectful or that specific interventions will improve outcomes. It is a qualitative description of two women's experiences, not a quantitative analysis of care quality or patient safety metrics.

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