Sutter Lena, Rewicki Felicitas, Surbek Daniel, Walther Sebastian, Goemaes Régine, Huber Lynn Alexia, Cignacco Eva
Department of Obstetrics and Gynecology University Hospital of Bern, Bern, Switzerland.
University of Applied Sciences, School of Health Professions, Bern, Switzerland.
Eur J Midwifery. 2024 Jul 5;8. doi: 10.18332/ejm/189954. eCollection 2024.
Perinatal mental health disorders (PMDs) are a global health concern. In industrialized countries, the prevalence of PMDs is estimated to be 20%, and they are associated with serious negative effects for women, their children and their families, along with high societal costs related to long-term impacts. In Switzerland, the PMD detection rate during obstetrical healthcare provision is very low (1-3%), and specialized healthcare services are limited. This study aimed to develop and implement an advanced practice midwife (APM) role at a Swiss obstetrics and gynecology hospital using the PEPPA framework to provide adequate screening and first-consultation services.
The study uses a qualitative approach and follows the research stages using the 8-step from the participatory, evidence-based, patient-focused process for advanced practice nursing role development, implementation and evaluation (PEPPA) framework to develop and implement the APM role.
Utilizing the PEPPA framework, we were able to develop, implement, and evaluate the APM role in the field of perinatal mental health. Through appropriate screening and first-consultation services, we were able to identify affected women early and facilitate treatment.
In addition to stakeholder engagement and interprofessional collaboration, PEPPA serves as a beneficial framework for the process of role development, implementation, and evaluation in the midwifery profession. This study aims to assist midwives with Master's degrees in establishing corresponding roles within their practice areas, thereby enhancing care delivery. Furthermore, the current APM approach is intended to be continuously evaluated to gain new insights into its effectiveness.
围产期心理健康障碍（PMD）是一个全球关注的健康问题。在工业化国家，PMD的患病率估计为20%，它们会给女性、其子女及其家庭带来严重负面影响，同时还会产生与长期影响相关的高昂社会成本。在瑞士，产科医疗保健服务期间的PMD检测率非常低（1%-3%），专门的医疗服务也很有限。本研究旨在瑞士一家妇产科医院利用PEPPA框架开发并实施高级实践助产士（APM）角色，以提供充分的筛查和首次咨询服务。
本研究采用定性方法，并遵循参与式、循证、以患者为中心的高级实践护理角色开发、实施和评估（PEPPA）框架中的8个步骤的研究阶段，来开发和实施APM角色。
利用PEPPA框架，我们能够在围产期心理健康领域开发、实施和评估APM角色。通过适当的筛查和首次咨询服务，我们能够早期识别受影响的女性并促进治疗。
除了利益相关者的参与和跨专业协作外，PEPPA还是助产专业角色开发、实施和评估过程中的一个有益框架。本研究旨在帮助拥有硕士学位的助产士在其执业领域建立相应角色，从而提高护理服务质量。此外，当前的APM方法旨在持续评估，以深入了解其有效性。
