‘It's about developing a trustful relationship’: A Realist Evaluation of midwives’ relational competencies and confidence in a Danish antenatal psychosocial assessment programme

Andersen, Clara Graugaard; Thomsen, Louise Lund Holm; Gram, Pernille; Overgaard, Charlotte

doi:10.1016/j.midw.2023.103675

Cited by 3 publications

(3 citation statements)

References 55 publications

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“…The reasons underlying negative attitudes toward the use of formal screening tools included perceiving the questions as intrusive (n=3 studies), not clearly understanding the purpose of doing so (n=3 studies), inexperience in conducting assessment and feeling compelled to undertake it as a standardized survey ( 23 ), the fear of “not doing it right” (n=2) and discomfort when disclosure occurs (n=7 studies). Some studies reported a flexible use of screening tools (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Some studies reported a flexible use of screening tools (e.g. modified wording or timing of the questions; n=4 studies) and one study outlined the importance of person-centered care in conducting assessment ( 23 ). Conversely, midwives who lacked clarity about their role in PMHC reported feelings of inadequacy resulting in a non-flexible use of screening tools and a distant and superficial manner of asking questions ( 23 ).…”

Section: Resultsmentioning

confidence: 99%

“…modified wording or timing of the questions; n=4 studies) and one study outlined the importance of person-centered care in conducting assessment ( 23 ). Conversely, midwives who lacked clarity about their role in PMHC reported feelings of inadequacy resulting in a non-flexible use of screening tools and a distant and superficial manner of asking questions ( 23 ). Midwives reported to feel more comfortable in opening discussions about PMH during follow-up visits compared with the booking appointment (n=5 studies).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Dubreucq,

Dupont,

Lambregtse-Van den Berg

et al. 2024

Front. Psychiatry

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BackgroundMidwives may be key stakeholders to improve perinatal mental healthcare (PMHC). Three systematic reviews considered midwives’ educational needs in perinatal mental health (PMH) or related interventions with a focus on depression or anxiety. This systematic review aims to review: 1) midwives’ educational/training needs in PMH; 2) the training programs in PMH and their effectiveness in improving PMHC.MethodsWe searched six electronic databases using a search strategy designed by a biomedical information specialist. Inclusion criteria were: (1) focus on midwives; (2) reporting on training needs in PMH, perinatal mental health problems or related conditions or training programs; (3) using quantitative, qualitative or mixed-methods design. We used the Mixed Methods Appraisal Tool for study quality.ResultsOf 4969 articles screened, 66 papers met eligibility criteria (47 on knowledge, skills or attitudes and 19 on training programs). Study quality was low to moderate in most studies. We found that midwives’ understanding of their role in PMHC (e.g. finding meaning in opening discussions about PMH; perception that screening, referral and support is part of their routine clinical duties) is determinant. Training programs had positive effects on proximal outcomes (e.g. knowledge) and contrasted effects on distal outcomes (e.g. number of referrals).ConclusionsThis review generated novel insights to inform initial and continuous education curriculums on PMH (e.g. focus on midwives’ understanding on their role in PMHC or content on person-centered care).Registration detailsThe protocol is registered on PROSPERO (CRD42021285926)

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Dubreucq,

Dupont,

Lambregtse-Van den Berg

et al. 2024

Front. Psychiatry

View full text Add to dashboard Cite

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Identifying psychosocial vulnerabilities in pregnancy: A mixed-method systematic review of the knowledge base of antenatal conversational psychosocial assessment tools

Gram,

Andersen,

Petersen

et al. 2024

Midwifery

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Concept Analysis of Woman-Centered Care

Sposato,

Miller

2024

McN: The American Journal of Maternal/Child Nursing

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Approximately two-thirds of pregnancy-related deaths in the United States occur during the postpartum period, yet there is minimal research focusing on the postpartum hospital stay, a critical point of contact between women and the health care system and an important opportunity for intervention. A new approach to postpartum care is needed. “Woman-centered” postpartum care is recommended to improve maternal outcomes, but the concept of woman-centered care is not well-defined. Using Walker & Avant's method of concept analysis, we identified four defining attributes of woman-centered care in the literature: 1) choice, control, and involvement in decision-making; 2) communication and collaboration in the caregiver–woman relationship; 3) individualized and holistic care; and 4) continuity of care. Using these findings, we offer a conceptual definition of woman-centered care and apply the attributes to the postpartum hospitalization in the model and contrary cases. We discuss the potential of the concept to improve maternal health care during this critical period.

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‘It's about developing a trustful relationship’: A Realist Evaluation of midwives’ relational competencies and confidence in a Danish antenatal psychosocial assessment programme

Cited by 3 publications

References 55 publications

A systematic review of midwives’ training needs in perinatal mental health and related interventions

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Identifying psychosocial vulnerabilities in pregnancy: A mixed-method systematic review of the knowledge base of antenatal conversational psychosocial assessment tools

Concept Analysis of Woman-Centered Care

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