School of Midwifery.
Department of Nursing, Debre Berhan University.
JBI Evid Implement. 2021 Nov 18;20(1):44-52. doi: 10.1097/XEB.0000000000000299.
As directed by the WHO, antenatal care providers have good opportunities to identify and refer mothers who are struggling with psychosocial problems. In Ethiopia, the pooled prevalence of perinatal depression is 25.8%, which is almost two-fold of the pooled global prevalence. Though this is an indication of the need for prompt interventions, there is no assessment targeted to this population. Therefore, the aim of this project was to promote an antenatal psychosocial assessment practice among midwives.
Using the Joanna Briggs Institute Practical Application of Evidence System, 66 first visit antenatal care assessment opportunities were observed in both baseline and follow-up audit using three audit criteria. Fourteen midwives were interviewed for the first criterion. On the basis of the results, the gaps and barriers were analyzed using Getting Research into Practice strategies.
The baseline audit result revealed a 0% compliance rate for all evidence-based antenatal psychosocial assessment audit criteria. This scenario disclosed that there had not been psychosocial problem assessment practice at antenatal clinic. However, the postimplementation result showed that an average 91.5% practice of evidence-based antenatal psychosocial assessment was applied as per standards.
Carrying out discussions on evidence summary with providers, on-the-job training, using local leaders' opinions, and involving relevant stakeholders appeared to be the key methods in improving compliance to best available evidence in antenatal psychosocial assessment.
根据世界卫生组织的指示，产前护理提供者有很好的机会识别和转介那些正在与心理社会问题作斗争的母亲。在埃塞俄比亚，围产期抑郁症的总患病率为 25.8%，几乎是全球总患病率的两倍。尽管这表明需要及时干预，但针对这一人群的评估尚未进行。因此，本项目的目的是促进助产士进行产前心理社会评估实践。
使用 Joanna Briggs 研究所实用证据系统，使用三个审计标准观察了基线和后续审计中的 66 次首次产前护理评估机会。对 14 名助产士进行了第一次标准的访谈。根据结果，使用“将研究转化为实践”策略分析了差距和障碍。
基线审计结果显示，所有基于证据的产前心理社会评估审计标准的合规率均为 0%。这种情况表明，产前诊所没有进行心理社会问题评估实践。然而，实施后的结果显示，按照标准，平均有 91.5%的证据为基础的产前心理社会评估实践得到了应用。
与提供者讨论证据摘要、在职培训、利用当地领导的意见以及让相关利益攸关方参与，似乎是提高产前心理社会评估中最佳可用证据的合规性的关键方法。
