Skoog Malin, Rubertsson Christine, Kristensson Hallström Inger
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Scand J Caring Sci. 2023 Mar;37(1):173-184. doi: 10.1111/scs.13086. Epub 2022 May 6.
Screening immigrant mothers for postpartum depression has been shown to be challenging for health care professionals in handling cultural implications of postpartum depression, communicating through interpreter and applying translated versions of the screening scale.
The aim of the study was to test the feasibility of an evidence-based educational intervention for Child Health Services nurses in screening non-native-speaking immigrant mothers for postpartum depression.
The approval was obtained from Swedish Ethical Review Authority, 2018/1063.
Thirty Child Health Services nurses who conducted screening with assistance of interpreter at least three times per year participated. The study was registered at ClinicalTrials.gov (NCT04167709) and a one-group pretest-posttest experimental design was applied. Data on the participants' acceptability and response to outcomes of the intervention were collected by an evaluation questionnaire, the Clinical Cultural Competency Training Questionnaire, the General Self-efficacy Scale and by self-reported data on general performance of the task. Descriptive statistics were used to present the results of the evaluation questionnaire and general performance of the task. Paired t-test were used to compare the scores on the General Self-efficacy scale, while Wilcoxon signed-ranked test was used to compare the scores on the Clinical Cultural Competency Training Questionnaire. Qualitative data were analysed by content analysis.
All 30 participants stated that they found the content of the intervention satisfying. The intervention was shown to provide new knowledge and improved their ability to meet the requirements linked to the screening procedure. The intervention affected their self-estimated cultural competence in some aspects but not their self-efficacy or general performance of the task.
The intervention was found feasible but require adjustment in the design of the practical training sessions. The use of the provided material, a comic strip on parental support and interpreter information needs further evaluation.
对于医疗保健专业人员而言，筛查移民母亲的产后抑郁症具有挑战性，这涉及处理产后抑郁症的文化影响、通过口译员进行沟通以及应用筛查量表的翻译版本。
本研究的目的是测试一项基于证据的教育干预措施对儿童健康服务护士筛查非母语移民母亲产后抑郁症的可行性。
获得了瑞典伦理审查局的批准，批准号为2018/1063。
30名每年至少在口译员协助下进行三次筛查的儿童健康服务护士参与了研究。该研究在ClinicalTrials.gov（NCT04167709）上注册，并采用单组前测-后测实验设计。通过一份评估问卷、临床文化能力培训问卷、一般自我效能量表以及关于任务总体表现的自我报告数据，收集参与者对干预措施的可接受性和对结果的反应数据。描述性统计用于呈现评估问卷的结果和任务的总体表现。配对t检验用于比较一般自我效能量表的得分，而Wilcoxon符号秩检验用于比较临床文化能力培训问卷的得分。定性数据通过内容分析进行分析。
所有30名参与者均表示他们认为干预内容令人满意。该干预措施被证明提供了新知识，并提高了他们满足与筛查程序相关要求的能力。该干预措施在某些方面影响了他们自我评估的文化能力，但未影响他们的自我效能或任务的总体表现。
该干预措施被认为是可行的，但在实践培训课程的设计上需要调整。所提供材料（一幅关于父母支持的连环漫画和口译员信息）的使用需要进一步评估。
