Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices.
Barriers and enablers to postpartum depression and anxiety screening: A qualitative study of Victorian maternal and child health nurses' practices.
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DOI：
10.1111/hsc.13966
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发表时间：
2022-11
影响因子：
2.4
通讯作者：
Shafiei, Touran
中科院分区：
文献类型：
--
作者：
Arefadib, Noushin;Cooklin, Amanda;Shafiei, Touran
在澳大利亚维多利亚州，妇幼保健护士在促进及时发现产后抑郁和焦虑（PNDA）方面发挥着关键作用。了解MCHNs的筛查实践，以及影响他们的因素，对于确保未来的筛查政策议程是基于证据的，并能够支持MCHNs开展这项关键工作至关重要。然而，人们对这个问题知之甚少。本研究的目的是深入了解MCHNs的筛查实践及其影响因素。采用半结构化访谈的定性描述设计。参与者为执业至少6个月的妇幼保健师，并定期为新妈妈看病。有目的的抽样用于促进参与者特征的多样性。在2021年3月至5月期间采访了12名MCHNs。我们进行了主题分析，以确定我们数据中的模式。然后使用定性内容分析来确定mchn最强调的问题。确定了两个主题。主题一，“筛查做法的变化”，涉及妇幼保健院的各种筛查做法（即谁、何时、如何）以及影响这些做法的因素。主题二，“系统障碍阻碍公平筛选”，涉及阻碍公平筛选做法的因素。结果表明，系统性障碍导致筛查做法不一致和不公平，来自不同文化和语言背景的女性不太可能按照最佳做法进行筛查。我们的研究结果强调，妇幼保健中心迫切需要分配必要的资源，以平等地筛查所有妇女，无论其文化背景如何。
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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DOI：
10.1016/j.bpobgyn.2013.08.016
发表时间：
2014-01-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
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发表时间：
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影响因子：
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作者：
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DOI：
10.1136/bmj.m4022
发表时间：
2020-11-11
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Levis B;Negeri Z;Sun Y;Benedetti A;Thombs BD;DEPRESsion Screening Data (DEPRESSD) EPDS Group
通讯作者：
DEPRESsion Screening Data (DEPRESSD) EPDS Group