Achieving Consensus for the Design and Delivery of an Online Intervention to Support Midwives in Work-Related Psychological Distress: Results From a Delphi Study

Abstract

BackgroundSome midwives are known to experience both professional and organizational sources of psychological distress, which can manifest as a result of the emotionally demanding midwifery work, and the traumatic work environments they endure. An online intervention may be one option midwives may engage with in pursuit of effective support. However, the priorities for the development of an online intervention to effectively support midwives in work-related psychological distress have yet to be explored.ObjectiveThe aim of this study was to explore priorities in the development of an online intervention to support midwives in work-related psychological distress.MethodsA two-round online Delphi study was conducted. This study invited both qualitative and quantitative data from experts recruited via a scoping literature search and social media channels.ResultsIn total, 185 experts were invited to participate in this Delphi study. Of all participants invited to contribute, 35.7% (66/185) completed Round 1 and of those who participated in this first round, 67% (44/66) continued to complete Round 2. Out of 39 questions posed over two rounds, 18 statements (46%) achieved consensus, 21 (54%) did not. Participants were given the opportunity to write any additional comments as free text. In total, 1604 free text responses were collected and categorized into 2446 separate statements of opinion, creating a total of 442 themes. Overall, participants agreed that in order to effectively support midwives in work-related psychological distress, online interventions should make confidentiality and anonymity a high priority, along with 24-hour mobile access, effective moderation, an online discussion forum, and additional legal, educational, and therapeutic components. It was also agreed that midwives should be offered a simple user assessment to identify those people deemed to be at risk of either causing harm to others or experiencing harm themselves, and direct them to appropriate support.ConclusionsThis study has identified priorities for the development of online interventions to effectively support midwives in work-related psychological distress. The impact of any future intervention of this type will be optimized by utilizing these findings in the development process.

Childbearing women's experiences of midwives' workplace distress: Patient and public involvement

“…In addition to this, our findings demonstrate that new mothers would be supportive of a confidential and anonymous online intervention to support midwives in work-related psychological distress. This contribution to knowledge is particularly interesting to note, as previous research has highlighted how some professionals may be reluctant to allow the inevitable amnesty which anonymity and confidentiality would permit for midwives seeking support (Pezaro, Clyne 2016). As such, there is now an opportunity to develop, test and evaluate a confidential and anonymous evidence based online intervention to support midwives in work-related psychological distress in line with proposed research plans, and with the validation of maternity service users.…”