Implementing an inpatient postpartum depression screening, education, and referral program: a quality improvement initiative

Accortt, Eynav Elgavish; Haque, Lubaba; Bamgbose, Olusinmi; Buttle, Rae; Kilpatrick, Sarah J.

doi:10.1016/j.ajogmf.2022.100581

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…ERIC recommended strong strategies focusing on education and training. Maastrup et al found that exclusive breastfeeding rates in preterm infants at discharge improved after training neonatal nurses in breastfeeding-supportive evidence-based practical training (32); with planning, systems review, and trained staff, postpartum depression (PPD) screening can be integrated into obstetric and paediatric practices and high screening and referral rates can be achieved (33). Others have also demonstrated that effective evidence-based knowledge training is of great signi cance for improving nurses' evidence-based practical ability and facilitating the translation of evidence into the clinical practice (34)(35)(36).…”

Section: Discussionmentioning

confidence: 99%

Barrier identification and implementation strategy integration in the guidelines of optimal postpartum care for advanced maternal age in China: a study based on the CFIR-ERIC implementation strategy matching tool

Deng

Yang

Wang

et al. 2022

Preprint

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Background Due to advanced maternal age facing great risks of fertility, such as gestational hypertension, postpartum haemorrhage, miscarriage, etc., we must attach importance to postpartum care. Guidelines for optimal postpartum care are available. It is of great significance to identify potential barriers and tailor practical implementation strategies before implementing the guidelines. The purpose of this study aimed to use the implementation science methods to develop implementation strategies that could promote the implementation of postpartum care guidelines in clinical practice. Methods Purposive sampling was used to recruit 13 obstetric nurses who had previously participated in the implementation of the postnatal care guidelines for semi-structured interviews. The Consolidated Framework for Implementation Research (CFIR) of 39 structures guided us in collecting and analysing interview data to identify barriers. We then determined implementation strategies by using Consolidated Framework for Implementation Research–Expert Recommendations for Implementing Change (CFIR-ERIC) Implementation Strategy Matching Tool and taking into account the local context. Results The interview content was categorized, coded, and explained, and finally ten barriers were identified, including Evidence Strength & Quality, Complexity, Patient Needs & Resources, Compatibility, Structural Characteristics, Access to knowledge and information, Learning Climate, Knowledge & Beliefs about the Intervention, Self-efficacy, Key Stakeholders. Under the guidance of the CFIR-ERIC Implementation Strategy Matching Tool, some implementation strategies were developed to address these barriers for clinical nurses and the needs of patients and their families, which include conducting educational meetings, developing educational materials for nurses and patients, obtaining feedback from women and their families to meet their needs, rationalize implementation time, improve clinical assessment tools, streamline guideline-based workflows. Conclusion We can apply the CFIR-ERIC Implementation Strategy Matching Tool to select the best implementation strategies to address the barriers based on CFIR and promote the implementation of optimal postpartum care guidelines for advanced maternal age.

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Section: Discussionmentioning

confidence: 99%

Barrier identification and implementation strategy integration in the guidelines of optimal postpartum care for advanced maternal age in China: a study based on the CFIR-ERIC implementation strategy matching tool

Deng

Yang

Wang

et al. 2022

Preprint

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Universal screening of postpartum depression with Edinburgh Postpartum Depression Scale: A prospective observational study

Fijean,

Marçais,

Banasiak

et al. 2024

Intl J Gynecology & Obste

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ObjectivesTo assess the feasibility of universal screening of postpartum depression (PPD), using the Edinburgh Postpartum Depression Scale (EPDS) in the general population. To investigate the proportion of women identified as being at risk of PPD and with confirmed PPD or other mental disorders after a psychiatric consultation.MethodsA multicenter prospective cohort study in four French maternities conducted between 2020 and 2023. All women aged over 18 years, who delivered following a singleton pregnancy after 37 weeks of gestation were eligible for inclusion. The exclusion criteria were pre‐existing psychiatric disorders such as depressive syndrome. The EPDS was completed at 8 weeks postpartum via an online self‐administered questionnaire. If the response to the questionnaire suggested a mental disorder, a psychiatric consultation was proposed to the women concerned. The endpoints were the proportion of women completing the EPDS, the EPDS score, the proportion of women at risk of PPD, the proportion of psychiatric consultation, and the subsequent diagnosis.ResultsThe study included 923 women, of whom 55.0% (508/923) completed the EPDS. Among them, 28.1% (143/508) had an EPDS score of 10 or more, and 11.2% (57/508) received a psychiatric consultation. PPD was confirmed in 8.8% (5/57) of women. Other disorders detected were mood disorders, disorders specifically associated with stress, and anxiety/fear‐related disorders, in 33.3%, 28.1%, and 14.0% of the women, respectively.ConclusionsScreening with self‐administered EPDS is feasible, with a good response rate, making it possible to suspect mental disorders, including PPD, and to offer psychological support when needed.

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Structural Factors in Health Care Associated With the Mental Health Needs of Black Women in California During the Perinatal Period

James,

Klomhaus,

Elliott

et al. 2023

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Implementing an inpatient postpartum depression screening, education, and referral program: a quality improvement initiative

Cited by 5 publications

References 29 publications

Barrier identification and implementation strategy integration in the guidelines of optimal postpartum care for advanced maternal age in China: a study based on the CFIR-ERIC implementation strategy matching tool

Barrier identification and implementation strategy integration in the guidelines of optimal postpartum care for advanced maternal age in China: a study based on the CFIR-ERIC implementation strategy matching tool

Universal screening of postpartum depression with Edinburgh Postpartum Depression Scale: A prospective observational study

Structural Factors in Health Care Associated With the Mental Health Needs of Black Women in California During the Perinatal Period

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