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Xiao X, Ma H, Zhu S, Li Q, Chen Y. The perceptions and attitudes of obstetric staff and midwives towards perinatal mental health disorders screening: a qualitative exploratory study in Shenzhen, China. BMC Nurs 2023; 22:313. [PMID: 37705010 PMCID: PMC10498526 DOI: 10.1186/s12912-023-01475-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 08/31/2023] [Indexed: 09/15/2023] Open
Abstract
BACKGROUND The perinatal period is a crucial time for women, as they experience various biological, psychological, and social stressors. Due to the complexity of this vulnerable time, there is a high prevalence of depressive and anxiety disorders among pregnant women. In 2019, the Health Commission of Shenzhen initiated perinatal mental health screening programme in China. However, attitudes and perceptions of medical staff towards implementing mental health screening programme during pregnancy remain unclear. The aim of this study was to explore the perceptions and attitudes of obstetric staff and midwives towards screening for perinatal mental disorders in pregnant women, and identify their perceived needs and motivations for undertaking this task. METHODS This is a qualitative exploratory study. Data were collected through in-depth, semi-structured, face-to-face interviews. The dataset was analysed using inductive content analysis. Purposive sampling method was used to recruit 13 participants at a tertiary maternal hospital in Shenzhen from September to November, 2019. RESULTS A total of 13 obstetric staff was interviewed, including two obstetricians, three midwives, and eight nurses. Four themes were identified from this study: views on perinatal mental health disorders screening, competency in identifying and supporting high-risk groups, barriers to dealing with psychological problems during pregnancy, and the support needs of medical staff in undertaking the tasks of mental health disorders screening. CONCLUSION Medical staff lacked sufficient knowledge and skills in perinatal psychological health and were not well prepared for the task of screening pregnant women for mental health disorders. To address this issue, medical organisations and relevant government sectors should provide training to medical staff on perinatal mental health disorders, enhance public awareness of perinatal mental health disorders, establish a model of multidisciplinary collaboration for the screening of women's perinatal mental disorders, and provide continuous and holistic care for pregnant women.
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Affiliation(s)
- Xiao Xiao
- Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, Shenzhen, China
- School of Nursing, Southern Medical University, Guangzhou, China
| | - Haixia Ma
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Ho Man Tin, Kowloon, Hong Kong, China
| | - Shening Zhu
- Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, Shenzhen, China
| | - Qiaomeng Li
- Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, Shenzhen, China
| | - Yu Chen
- School of Nursing, Southern Medical University, Guangzhou, China.
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Shahmi Ruslan NL, Mohd Arifin SR, Abang Abdullah KH, Abas NAH, Husain R, Abd Aziz KH, Musa R, Syed Mohideen FB, Perveen A, Che Mat K. Assessment tools to measure postnatal mental illness: A 10-year scoping review. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2022; 17:10-21. [PMID: 35950006 PMCID: PMC9357413 DOI: 10.51866/rv1289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
INTRODUCTION The use of assessment tools to measure postnatal mental illness is essential in healthcare settings. However, variations in the types of tools and their reliability in a particular population lead to under-recognition of mental health status in postnatal mothers. The aim of this review is to evaluate the most recent 10 year of research on the validity and reliability of postnatal mental illness assessment tools. METHODS A literature search of studies from online databases PubMed, Scopus, and Science Direct was conducted. RESULTS A total of 59 studies were selected for this review. Several studies utilised multiple assessment tools, and a total of 96 assessment tools were identified and classified into six domains: postnatal blues, postnatal stress, postnatal anxiety, postnatal depression, postnatal psychosis, and postnatal psychological disorder. In this review, EPDS was the most common tool used to identify postnatal depression and anxiety while DASS 21 was the most common tool used to identify postnatal psychological disorder. There is a wide range in preponderance of evidence for the reliability of each assessment tool and there were inconsistencies in assessing the validity of the assessment tools. CONCLUSION This review provides information regarding some of the main assessment tools currently available to measure postnatal mental illnesses. There were no standardised tools that were used in a particular setting. The results may differ in different population because there are differences in not only languages and dialects, but also cultural and racial backgrounds, which greatly influences their perception and interpretation of postnatal mental illness.
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Affiliation(s)
- Nur Liyana Shahmi Ruslan
- RN, BNurs, Hospital Development Centre, UniSZA, Kampus Gong Badak, Kuala Nerus, Terengganu, Malaysia
| | - Siti Roshaidai Mohd Arifin
- RM, RN, BHsc, MNSc, PhD, Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia,
| | - Khadijah Hasanah Abang Abdullah
- MBChB, DrPsych, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, Negeri, Sembilan, Malaysia
| | - Nurul Ain Hidayah Abas
- BSc, MS, Dr Rer Nat, Department of Psychology and Counselling, Faculty of Human Development, Universiti Pendidikan, Sultan Idris, Tanjung Malim, Perak, Malaysia
| | - Rohayah Husain
- MD, MMed (Psych), Psychological Medicine Unit, Faculty of Medicine, Universiti Sultan, Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia
| | - Karimah Hanim Abd Aziz
- MD, MPH, DrPH, Department of Community Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Ramli Musa
- MD, M.Med (Psychiatry), Department of Psychiatry, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan Pahang, Malaysia
| | - Fathima Begum Syed Mohideen
- MD, MMed (Family Medicine), Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, Negeri, Sembilan, Malaysia
| | - Asma Perveen
- MCPD, PhD, Department of Psychology and Counselling, Faculty of Human Development, Universiti Pendidikan, Sultan Idris, Tanjung Malim, Perak, Malaysia
| | - Khairi Che Mat
- MD, MMed (Psych), Psychological Medicine Unit, Faculty of Medicine, Universiti Sultan, Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia
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Branquinho M, Shakeel N, Horsch A, Fonseca A. Frontline health professionals’ perinatal depression literacy: A systematic review. Midwifery 2022; 111:103365. [DOI: 10.1016/j.midw.2022.103365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 03/15/2022] [Accepted: 05/09/2022] [Indexed: 11/15/2022]
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Elkashif MML. Prevalence of Postpartum Depression, Associated Factors, Social Support, and Professional Assistance: A Cross-Sectional Study in Port Said, Egypt. INTERNATIONAL JOURNAL OF CHILDBIRTH 2022. [DOI: 10.1891/ijc-2021-0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTIONPostpartum depression is a mental illness that affects post-childbirth mothers. It is associated with psychological and social risk factors such as negative childhood experiences and pregnancy and childbirth problems. Postpartum depression has not been a focus of concern in Egypt. Therefore, this study aimed to identify the prevalence of postpartum depression, its associated factors, social support, and professional assistance in Port Said, Egypt.METHODOLOGYA random sampling strategy was used to select 540 women ten weeks postpartum. Data were collected using a questionnaire during an interview to identify potential risk factors for postpartum depression. The modified Arabic version of the Edinburgh Postpartum Depression Scale was used to assess symptoms of postpartum depression which is a multidimensional measure of social communication. Statistical analysis was completed using SPSS 25.0. software.RESULTSIt was found that 24.4% of women were at risk for postpartum depression. Social support from family and friends was significantly associated with mitigation of postpartum depression.CONCLUSIONThis study affirmed postpartum depression was a common health problem among 540 women who gave birth in Port Said, Egypt. Early detection and efficient screening methods to detect postpartum depression should be applied, especially in areas with a high risk for this condition. Early detection may prevent complications for mothers, babies, and families.
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Gilson KM, Davis E, Gains J, Brunton S, Williams K, Reddihough D. Experiences and barriers to accessing mental health support in mothers of children with a disability. Child Care Health Dev 2021; 47:697-704. [PMID: 34010464 DOI: 10.1111/cch.12884] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 09/03/2020] [Accepted: 05/08/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Despite evidence for high levels of mental health problems in mothers of children with a disability and the potential impact on caring for their child, very little is known about mothers' experience in accessing professional mental health support. This study aimed to explore mothers' views and experience on seeking help for their mental health. METHODS Semi-structured interviews were conducted with 25 mothers of children with a disability. Thematic analysis was completed. RESULTS Mothers experienced significant barriers when accesing support at the personal, professional and system level. Personal barriers included the need for competency and stigma about mental illness: professional barriers included the lack of discussions about mental health and interpersonal factors that hindered disclosure. System barriers included feeling invisible to the health services, paediatric care focusing on the child rather than the family and limitations to the type of mental health support available. CONCLUSION Mothers perceive substantial barriers in accessing support for their mental health. It is important that strategies are designed so the importance of mentally healthy mothers is understood and to normalize a need for assistance when you are the mother of a child with additional support needs. Strategies are also needed to encourage mothers to seek help and to assist professionals having discussions about maternal wellbeing. Improvements are also required in the accessibility of service supports.
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Affiliation(s)
- Kim-Michelle Gilson
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Australia.,Neurodevelopment and Disability, The Royal Children's Hospital, Melbourne, Australia
| | - Elise Davis
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Australia.,Research Unit, Summer Foundation, Blackburn, Victoria, Australia
| | - Joan Gains
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Australia.,Developmental Disability and Rehabilitation Research, Murdoch Childrens Research Institute, Melbourne, Australia
| | - Susan Brunton
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Australia
| | - Katrina Williams
- Developmental Disability and Rehabilitation Research, Murdoch Childrens Research Institute, Melbourne, Australia.,Department of Paediatrics, University of Melbourne, Melbourne, Australia.,Department of Paediatrics, Monash University, Melbourne, Australia
| | - Dinah Reddihough
- Neurodevelopment and Disability, The Royal Children's Hospital, Melbourne, Australia.,Developmental Disability and Rehabilitation Research, Murdoch Childrens Research Institute, Melbourne, Australia.,Department of Paediatrics, University of Melbourne, Melbourne, Australia
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Layton H, Bendo D, Amani B, Bieling PJ, Van Lieshout RJ. Public health nurses' experiences learning and delivering a group cognitive behavioral therapy intervention for postpartum depression. Public Health Nurs 2020; 37:863-870. [PMID: 32924183 DOI: 10.1111/phn.12807] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 08/24/2020] [Accepted: 08/25/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVES Public Health Nurses (PHNs) often provide support to women with postpartum depression (PPD) in the absence of specialized training. The objective of this study was to explore the experiences of six PHNs who were trained to deliver a group cognitive behavioral therapy (CBT) intervention for PPD in the public health setting, and to describe how learning and delivering this intervention affected their professional roles and personal lives. DESIGN This qualitative study employed a phenomenological approach. SAMPLE Six PHNs who completed the CBT training program and delivered at least one CBT group in their community. MEASUREMENTS Individual in-depth interviews were conducted and transcribed verbatim. Transcripts were analyzed according to thematic derivation procedures. RESULTS The themes that emerged from the interviews with the PHNs included: (a) components of the CBT training program that nurses most valued, (b) benefits of training for their professional role as a PHN, (c) implications for practice, and (d) using CBT skills in their personal lives. CONCLUSIONS The provision of CBT training to PHNs may not only positively impact their work with clients with mental illness, but may also have the potential to provide broader clinical and professional benefits for these skilled professionals and their other clients.
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Affiliation(s)
- Haley Layton
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Daniella Bendo
- Department of Interdisciplinary Programs, Kings University College at Western University, London, Ontario, Canada
| | - Bahar Amani
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Peter J Bieling
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Ryan J Van Lieshout
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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Rouhi M, Stirling CM, Crisp EP. Mothers' views of health problems in the 12 months after childbirth: A concept mapping study. J Adv Nurs 2019; 75:3702-3714. [PMID: 31452233 DOI: 10.1111/jan.14187] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 07/22/2019] [Accepted: 08/10/2019] [Indexed: 01/03/2023]
Abstract
AIMS To identify the health problems that women feel require help and subsequent help-seeking behaviour during the 12 months period after childbirth. BACKGROUND Many women experience physical and mental health problems after childbirth, but there is a gap in understanding how they perceive their health after childbirth. Studies suggested they are inhibited in expressing their needs and so seek informal rather than professional help for their health problems. DESIGN A mixed method concept mapping study. METHOD Two groups of Australian women were recruited by an online platform and purposive sampling (N = 81) in 2017-2018, based on an established concept mapping methodology. A first group created 83 brainstorm statements about post-childbirth health problems and help-seeking and a second group sorted and rated the statements based on their perception of the prevalence of the issues and the help-seeking advice they would offer to others. Bradshaw`s Taxonomy of Needs was used to theoretically underpins the explanation of the results of women's felt need after childbirth. RESULTS Multidimensional scaling resulted in six clusters of issues which were categorized into three domains: 'health issues and care', 'support' and 'fitness'. Despite being directly asked, about two-thirds of the women did not report experiencing any health problems. CONCLUSION Our findings showed women had a broader perception of healthcare needs which included support and fitness. There is a potential gap in services for women who do not have good social support. IMPACT Family and friends were a key source of help-seeking. Post-childbirth routine care was focused on infant care and limited to the first 6 weeks after childbirth. The content of current post-childbirth care must be reviewed.
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Affiliation(s)
- Maryam Rouhi
- School of Nursing, College of Health and Medicine, University of Tasmania, Hobart, TAS, Australia
| | - Christine M Stirling
- School of Nursing, College of Health and Medicine, University of Tasmania, Hobart, TAS, Australia
| | - Elaine P Crisp
- School of Nursing, College of Health and Medicine, University of Tasmania, Launceston, TAS, Australia
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Recto P, Champion JD. "We Don't Want to be Judged": Perceptions about Professional Help and Attitudes Towards Help-Seeking among Pregnant and Postpartum Mexican-American Adolescents. J Pediatr Nurs 2018; 42:111-117. [PMID: 29709411 DOI: 10.1016/j.pedn.2018.04.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 04/20/2018] [Accepted: 04/20/2018] [Indexed: 10/17/2022]
Abstract
PURPOSE The purpose of this qualitative study is to understand how depression is recognized, as well as perceptions of professional help and attitudes concerning perinatal depression among pregnant and postpartum (perinatal) Mexican-American adolescents. DESIGN AND METHODS This qualitative descriptive study used deductive and inductive content analysis to analyze data. Categories and subcategories describing the mental health literacy of perinatal Mexican-American adolescents concerning perinatal depression are presented. A convenience sample of 20 perinatal Mexican-American adolescents between the ages of 15 and 19 years were interviewed. Participants were recruited from parenting classes across urban high-schools in Southwestern United States. RESULTS Adolescents expressed difficulties in recognizing perinatal depression. Depressive symptoms were identified through self-appraisals or the appraisal of others. Establishing rapport with empathetic health care providers facilitated trust among adolescents. Fear of judgement was the most common response and prevented help-seeking. Lack of trust, normalization of depression, and reluctance with disclosing symptoms were also indicated by participants. CONCLUSIONS Stigma concerning perinatal depression was identified as a barrier for help-seeking among participants who were already experiencing criticism due to their pregnancy status. The quality of interactions with health providers may hinder or facilitate adolescents from professional help-seeking. PRACTICE IMPLICATIONS Active engagement and collaboration with Mexican-American adolescents are indicated in identification and treatment of perinatal depression. Integration of mental health services in primary care settings is suggested to facilitate help-seeking for perinatal depression. Mental Health First Aid may be utilized to improve knowledge and decrease stigma concerning perinatal depression among Mexican-American adolescents.
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Affiliation(s)
- Pamela Recto
- The University of Texas at Austin, School of Nursing, Austin, Texas, USA.
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Gilson KM, Johnson S, Davis E, Brunton S, Swift E, Reddihough D, Williams K. Supporting the mental health of mothers of children with a disability: Health professional perceptions of need, role, and challenges. Child Care Health Dev 2018; 44:721-729. [PMID: 30133770 DOI: 10.1111/cch.12589] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 06/04/2018] [Accepted: 06/17/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND Mothers of children with a disability have a higher risk of mental health difficulties than mothers of typically developing children. Very little is known about how health professionals perceive their role in supporting mothers' mental health. We aimed to explore the perspectives of health professionals working with families of children with a disability about how they provide support for maternal mental health in their roles. Specifically, whether professionals consider it their role and responsibility to provide support, the types of actions that they engage in to do this, and the challenges that they experience. METHODS This qualitative semi-structured interview study included 13 health professionals (allied health professionals, general practitioners, and paediatricians) working with families of a child with a disability. Thematic analysis was conducted on transcribed interview data. RESULTS Four overlapping themes were identified from the data indicating that professionals knew that mothers needed mental health support but were not always clear about their roles and responsibilities to support maternal mental health. Professionals also found it difficult to address maternal mental health difficulties, were not always aware of the best strategies to support maternal mental health, and faced difficulties that could be overcome with training and system improvements. CONCLUSIONS Although all health professionals were aware of the frequent occurrence of maternal mental health difficulties and the importance of addressing them, several challenges were identified to managing them successfully. Providing health professionals with training in discussing mental health and clearer referral pathways would contribute to mothers being better supported, in addition to policy change that allows parental support in child health services.
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Affiliation(s)
- Kim-Michelle Gilson
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Shae Johnson
- Centre for Family Research and Evaluation, Drummond Street Services, Carlton, Victoria, Australia.,Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Elise Davis
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Susan Brunton
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Elena Swift
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Global and Population Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Dinah Reddihough
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Neurodevelopment and Disability, The Royal Children's Hospital, Parkville, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
| | - Katrina Williams
- Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Neurodevelopment and Disability, The Royal Children's Hospital, Parkville, Victoria, Australia.,Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia
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Higgins A, Downes C, Monahan M, Gill A, Lamb SA, Carroll M. Barriers to midwives and nurses addressing mental health issues with women during the perinatal period: The Mind Mothers study. J Clin Nurs 2018; 27:1872-1883. [PMID: 29314366 DOI: 10.1111/jocn.14252] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2017] [Indexed: 01/12/2023]
Abstract
AIMS AND OBJECTIVES To explore barriers to midwives and nurses addressing mental health issues with women during the perinatal period. BACKGROUND Perinatal mental health is considered an important public health issue with health policy internationally identifying the importance of psychological support for women in the perinatal period. Midwives and primary care nurses are ideally positioned to detect mental distress early, but evidence suggests that they are reluctant to discuss mental health issues with women during pregnancy or in the postnatal period. DESIGN The research used a descriptive design. METHODS A total of 809 midwives and nurses completed an anonymous, online or hard copy survey. Designed by the research team, the survey listed 26 potential barriers to the provision of perinatal mental health care. RESULTS Participants identified organisational factors as presenting the greatest barriers. Organisational barriers included lack of perinatal mental health services, absence of care pathways, heavy workload, lack of time, lack of privacy and not seeing women regularly enough to build a relationship. Over 50% of participants identified practitioner-related barriers, such as lack of knowledge on perinatal mental health and cultural issues; lack of skill, in particular, skills to respond to a disclosure of a mental health issue; and fears of causing women offence and distress. Findings also indicated that the context of care and education influenced the degree to which participants perceived certain items as barriers. CONCLUSIONS Midwives and primary care nurses encounter many organisational- and practitioner-related barriers that negatively impact on their ability to incorporate mental health care into their practice. RELEVANCE TO CLINICAL PRACTICE Midwifery and nursing services need to develop strategies to address system- and practitioner-related barriers, including the development of services and care pathways, and the provision of culturally sensitive education on perinatal mental health in order to support practitioners to address issues with confidence and competence.
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Affiliation(s)
- Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Carmel Downes
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Mark Monahan
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Ailish Gill
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Stephen A Lamb
- Waterford/Wexford Mental Health Services HSE South, Waterford, Ireland
| | - Margaret Carroll
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
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Higgins A, Downes C, Carroll M, Gill A, Monahan M. There is more to perinatal mental health care than depression: Public health nurses reported engagement and competence in perinatal mental health care. J Clin Nurs 2017; 27:e476-e487. [DOI: 10.1111/jocn.13986] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2017] [Indexed: 02/06/2023]
Affiliation(s)
- Agnes Higgins
- School of Nursing and Midwifery Trinity College Dublin Ireland
| | - Carmel Downes
- School of Nursing and Midwifery Trinity College Dublin Ireland
| | | | - Ailish Gill
- School of Nursing and Midwifery Trinity College Dublin Ireland
| | - Mark Monahan
- School of Nursing and Midwifery Trinity College Dublin Ireland
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12
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Souliotis K, Agapidaki E, Tzavara C, Economou M. Psychiatrists role in primary health care in Greece: findings from a quantitative study. Int J Ment Health Syst 2017; 11:65. [PMID: 29075320 PMCID: PMC5651643 DOI: 10.1186/s13033-017-0172-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Accepted: 10/10/2017] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Although the need for integration of mental health services into primary care is well established little has been done. The outbreak of the recession found the Greek mental health system in transition. As a response to the crisis, governments implemented horizontal budget cuts instead of health reforms. This resulted in an unfavorable situation for mental health which was set once again on the sidelines of the health policy agenda. Previous studies suggest that the most prevalent disorders in the years of financial crisis in Greece are depression and anxiety while a general increase of the psychiatric morbidity is observed does not follow the population' needs. METHODS The present descriptive study was carried out between March and June of 2015. A convenience sample of 174 psychiatrists and psychiatry residents who met the inclusion criteria were finally selected to participate. Data were collected by using a 40-items questionnaire consisted of three sections: (a) nine questions about demographics, (b) nine questions pertaining to general aspects of administrative regulations related to primary care, (c) 22 questions about psychiatrists attitudes and perceptions towards their role in primary care. Quantitative variables are expressed as mean values, while qualitative variables as absolute and relative frequencies. RESULTS The vast majority of participants perceives the public primary care services and mental health services in their community as inadequate and considers psychiatrists' participation in primary care as important in order to improve the detection and management rates of people demonstrating mental health symptoms. They also believe that: (a) primary care practitioners' usually fail to detect the mental health conditions of patients; (b) their participation in primary care will decrease the social stigmatization for mental health conditions; (c) patients receiving pharmaceutical treatment for mental health problems by GPs and other primary care professionals usually fail to comply. CONCLUSIONS Respondents in the present study are receptive to participate in primary care. They believe that their inclusion to primary care will result to decreased social stigmatization for mental health problems, increased patient' access and improved detection and management rates for common mental health conditions.
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Affiliation(s)
- Kyriakos Souliotis
- Faculty of Social and Political Sciences, Department of Social and Education Policy, University of Peloponnese, Damaskinou & Kolokotroni Str., 20100 Corinth, Greece
- Health Policy Institute, Athens, Greece
| | - Eirini Agapidaki
- Health Policy Institute, 36-38, Amaryssias Artemidos Str., 15124 Athens, Greece
| | - Chara Tzavara
- Health Policy Institute, 36-38, Amaryssias Artemidos Str., 15124 Athens, Greece
| | - Marina Economou
- University Mental Health Research Institute (UMHRI), Athens, Greece
- First Department of Psychiatry, Medical School, University of Athens, Eginition Hospital, Soranou Ephesiou st., 115 27 Athens, Greece
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Noonan M, Galvin R, Doody O, Jomeen J. A qualitative meta-synthesis: public health nurses role in the identification and management of perinatal mental health problems. J Adv Nurs 2016; 73:545-557. [DOI: 10.1111/jan.13155] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Noonan
- Department of Nursing and Midwifery; University of Limerick; Ireland
| | - Rose Galvin
- Department of Clinical Therapies; University of Limerick; Ireland
| | - Owen Doody
- Department of Nursing and Midwifery; University of Limerick; Ireland
| | - Julie Jomeen
- Faculty of Health and Social Care; University of Hull; UK
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