Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices

Arefadib, Noushin; Cooklin, Amanda; Shafiei, Touran

doi:10.1111/hsc.13966

Cited by 3 publications

(1 citation statement)

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“…Qualitative studies conducted on Perinatal depression screening practice in Amhara Regional State, Ethiopia, share common barriers with our study findings: health administrators' low literacy, community awareness, and organizational challenges (38). A qualitative descriptive study done in Victoria, Australia indicated language barrier between professionals and patients also factor influencing screening practice (39).…”

Section: Discussionsupporting

confidence: 72%

Assessment of Postpartum Depression Screening Practice and Associated Factors among Physicians in Gynecology and Obstetrics Department of Tertiary Hospitals in Southern and Central Ethiopia

Yayna,

Daka,

Tesfaye

et al. 2024

Preprint

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INTRODUCTION: Postpartum depression (PPD) is becoming one of the world’s increasing public health globally. The pooled postpartum depression in Ethiopia is 22.89% and highest (33.82%) in Southern and Central Ethiopia. Even though physicians play a significant role in the detection and management of Postpartum depression, their screening practice level is unknown in Ethiopia. OBJECTIVE: To assess the postpartum depression screening practice level and associated factors among physicians in obstetrics and gynecology department at tertiary hospitals in Southern and Central Ethiopia. METHODS: Institution-based cross-sectional study design in which quantitative approach supported with qualitative was employed among all physicians in the obstetrics and gynecology department of four tertiary hospitals in Southern and Central Ethiopia from April 1 to 30, 2023. The quantitative data was collected by a self-administered structured questionnaire. Data was analyzed using SPSS version 25. The variables with P-values of <0.25 from the Bivariable analysis were selected for multivariable logistic regression analysis. Odds Ratio and 95% CI was used to measure the statistical association and P Value ≤ 0.05 was used to determine the statistical significance of the tests. Six key informant interviews were conducted by semi structured guide using tape recorder and qualitative data was transcribed from audio recordings for thematic analysis. RESULTS: The postpartum depression screening practices among physicians was only 22%. Barriers include a lack of training, knowledge gaps, time constraints, lack of screening tools and Cultural influences. Physicians in the age group 30-34 were 4.7 times (AOR=4.7; 95% CI, 1.06, 21.44) more likely to screen mothers for postpartum depression as compared with physicians in age group of 25-29. Physicians with good knowledge about postpartum depression were 3.3 times (AOR= 3.3; 95% CI, 1.03, 11.06) more likely to screen mothers for postpartum depression as compared with physicians with poor knowledge. Physicians who had a training about PPD in their institution were 5.4 (AOR= 5.4; 95% CI, 1.33, 22.34) more likely to screen mothers for postpartum depression as compared with physicians who had no training. CONCLUSION: The study revealed a notable gap in postpartum depression screening practices and the interventions are needed to bridge the gap.

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Section: Discussionsupporting

confidence: 72%

Assessment of Postpartum Depression Screening Practice and Associated Factors among Physicians in Gynecology and Obstetrics Department of Tertiary Hospitals in Southern and Central Ethiopia

Yayna,

Daka,

Tesfaye

et al. 2024

Preprint

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Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices

Arefadib

Cooklin

Shafiei

2022

Health Social Care Comm

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In Victoria, Australia, Maternal and Child Health nurses (MCHNs) play a key role in facilitating the timely identification of Postnatal Depression and Anxiety (PNDA). Understanding MCHNs' screening practices, and the factors which impact them, is central to ensuring that future screening policy agendas are evidence‐based and able to support MCHNs in carrying out this critical work. Yet, little is known about this subject. The purpose of this study was to gain an in‐depth understanding of MCHNs' screening practices, and the factors which impact them. Qualitative descriptive design with semi‐structured interviews were used. Participants were MCHNs who had been practicing for a minimum of 6 months and regularly saw new mothers. Purposeful sampling was used to facilitate diversity across participant characteristics. Twelve MCHNs were interviewed between March and May 2021. Thematic analysis was conducted to identify patterns across our data. Qualitative content analysis was then used to identify issues which were most emphasised by MCHNs. Two themes were identified. Theme one, ‘variations in screening practices’, pertained to MCHNs' various screening practices (i.e., who, when, how) and the factors which influence them. Theme two, ‘systemic barriers hinder equitable screening’, pertained to factors which hindered equitable screening practices. Results indicate that systemic barriers contribute to inconsistent and inequitable screening practices, with women from culturally and linguistically diverse backgrounds less likely to be screened in line with best practice. Our findings emphasise an urgent need for MCHNs to be allocated with the resources required to screen all women equally, regardless of their cultural background.

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Nurses’ and midwives’ experiences of managing parental postnatal depression: A scoping review

Shidende,

Bates,

Lee

et al. 2024

Journal of Advanced Nursing

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AimTo describe the current state of the literature on nurses' and midwives' knowledge, perceptions and experiences of managing parental postnatal depression (PPND).DesignThe Joanna Briggs Institute scoping review method and the PRISMA extension for Scoping Reviews guided the work.Data SourcesA systematic search of PubMed, CINAHL, Embase, MEDLINE, PsycINFO and Scopus databases was conducted in January and February 2023.Review MethodsPeer‐reviewed primary research articles published in English between 2012 and 2023 that involved nurses or midwives managing PPND were included. Rayyan was used to screen titles, abstracts and full‐text articles. A spreadsheet was used to organize extracted data and synthesize results.ResultsTwenty‐nine articles met the inclusion criteria. Most study samples were of mothers, and few were from middle‐ and lower‐income countries. Nurses and midwives lacked knowledge about PPND, yet they felt responsible for its management. Nurses and midwives faced significant organizational and systems‐level challenges in managing PPND. However, nurses and midwives facilitated PPND care in collaboration with other healthcare providers.ConclusionThe review highlights significant gaps in the nurses' and midwives' care of PPND. Educational programmes are necessary to increase nurse and midwife knowledge of PPND and strategies for its management, including facilitating collaboration across the healthcare system and eliminating organizational and systemic‐related barriers. Additional focused research is needed on nurses' and midwives' knowledge, perception of and experience with PPND beyond mothers, such as with fathers, sexually and gender‐minoritized parents and surrogate mothers. Finally, additional research is needed in middle‐ and lower‐income countries where nurses and midwives may face a higher burden of and unique cultural considerations in managing PPND.ImpactPPND can affect the parent's mental and physical health and relationship with their child. If left untreated, PPND can lead to long‐term consequences, including child developmental delays, behavioural problems and difficulties with parental–child attachment.Reporting MethodThis scoping review adheres to PRISMA Extension for Scoping Review guidelines and the Joanna Briggs Institute scoping review method.Patient or Public ContributionThis research is a scoping review of published peer‐reviewed studies.

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Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices

Cited by 3 publications

References 48 publications

Assessment of Postpartum Depression Screening Practice and Associated Factors among Physicians in Gynecology and Obstetrics Department of Tertiary Hospitals in Southern and Central Ethiopia

Assessment of Postpartum Depression Screening Practice and Associated Factors among Physicians in Gynecology and Obstetrics Department of Tertiary Hospitals in Southern and Central Ethiopia

Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices

Nurses’ and midwives’ experiences of managing parental postnatal depression: A scoping review

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