Department of Nursing and Midwifery, Mzuzu University, Mzuzu, Malawi.
J Psychiatr Ment Health Nurs. 2024 Aug;31(4):431-450. doi: 10.1111/jpm.12992. Epub 2023 Nov 27.
WHAT IS KNOWN ABOUT THE TOPIC?: Mental health-related problems in pregnancy are now becoming a global health concern. However, most studies have reported that midwives are unable to assess and support maternal mothers due to poor preservice education. The findings of these studies needed to be explored further from the available literature to address the gap. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: The paper has identified maternal mental health core competencies and innovative clinical teaching strategies that nurse educators can utilize when supporting students theoretically and during clinical practice so that students should be adequately prepared for maternal mental health practice. Challenges and recommendations for clinical teaching were also identified. However, there are still gaps in the literature related to the effectiveness of teaching strategies to promote competence acquisition in maternal mental health. WHAT ARE THE IMPLICATIONS FOR EDUCATION?: The study results can be used by nurse educators to develop effective clinical teaching practices in maternal mental health care. The findings can be used in the development of best clinical teaching guidelines for maternal or perinatal mental health to be used by nurse educators for the undergraduate midwifery training programmes. ABSTRACT: Introduction Maternal mental health problems are commonly experienced by women; however, they are usually not adequately recognized and treated by midwives in Malawi. Evidence suggests poor preservice education by nursing colleges which affects the development of essential maternal mental health competencies. Aim The aim of the study was to review existing evidence on clinical teaching practices by nurse educators in teaching student midwives maternal mental health care. Method Integrative review method was used, and various databases were searched. Out of 1768 articles, 27 research articles met the inclusion criteria. The critical appraisal skills programme checklist tools were used to assess data quality. Thematic analysis was done by comparing, grouping and integrating data. Results Six themes emerged, namely: core maternal mental health competencies, professional regulation, interactive teaching strategies, collaborative partnerships, capacity building and shortage of resources. Discussion Clinical teaching is an important aspect of midwifery education. Utilizing student-centred teaching approaches helps students acquire competencies in maternal mental health care. Further research is required to identify the effectiveness of the clinical teaching methods. The Implication to Practice The study results can assist nurse educators to provide comprehensive clinical teaching practices in maternal mental health care which will aid in the development of maternal mental health competencies among student midwives.
已知信息：与怀孕相关的心理健康问题现在正成为全球关注的健康问题。然而，由于前期教育不足，大多数研究报告指出，助产士无法评估和支持产妇。需要从现有文献中进一步探讨这些研究结果，以弥补这一差距。
新增信息：本文确定了产妇心理健康核心能力和创新的临床教学策略，护士教育者可以在理论和临床实践中支持学生，使学生为产妇心理健康实践做好充分准备。还确定了临床教学的挑战和建议。然而，在促进产妇心理健康能力获取的教学策略的有效性方面，文献中仍存在空白。
对教育的意义：研究结果可被护士教育者用于发展产妇心理健康护理的有效临床教学实践。研究结果可用于制定产妇或围产期心理健康最佳临床教学指南，供护士教育者用于本科助产士培训课程。
摘要：背景 产妇心理健康问题在女性中很常见；然而，在马拉维，这些问题通常未被助产士充分识别和治疗。证据表明，护理学院的前期教育不佳，这影响了产妇心理健康基本能力的发展。目的 本研究旨在回顾护士教育者在教授学生助产士产妇心理健康护理方面的临床教学实践的现有证据。方法 采用综合审查方法，检索了各种数据库。在 1768 篇文章中，有 27 篇研究文章符合纳入标准。使用批判性评估技能方案清单工具评估数据质量。通过比较、分组和整合数据进行主题分析。结果 出现了六个主题，即：产妇心理健康核心能力、专业监管、互动教学策略、合作伙伴关系、能力建设和资源短缺。讨论 临床教学是助产教育的一个重要方面。利用以学生为中心的教学方法有助于学生获得产妇心理健康护理方面的能力。需要进一步研究以确定临床教学方法的有效性。对实践的意义 研究结果可以帮助护士教育者提供全面的产妇心理健康护理临床教学实践，有助于培养学生助产士的产妇心理健康能力。
