RESUMEN
Although maternal depression is a common emotional disorder, assessment and intervention rates are low. Using a cross-sectional survey design, we examined attitudes, beliefs, and practices of obstetrical and neonatology nurses toward the management of symptoms of maternal depression (SMD). Nurses believed they were responsible to assess for SMD and intervene with women showing SMD. However, only 50% assessed for SMD at least once monthly. Identified barriers to care were: lack of time, training, language, and patient and family beliefs. NICU nurses reported lower confidence, knowledge, and skills, than other nurses who participated in this study. This study shows there is a need to enhance nurses? confidence in assessing and intervening with SMD, and to clarify the referral process.
Asunto(s)
Depresión Posparto/enfermería , Trastorno Depresivo/enfermería , Conocimientos, Actitudes y Práctica en Salud , Complicaciones del Embarazo/enfermería , Centros de Asistencia al Embarazo y al Parto , Canadá , Estudios Transversales , Depresión Posparto/prevención & control , Trastorno Depresivo/prevención & control , Femenino , Encuestas de Atención de la Salud , Humanos , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Enfermería Neonatal , Evaluación en Enfermería , Enfermería Obstétrica , Embarazo , Complicaciones del Embarazo/prevención & control , Complicaciones del Embarazo/psicologíaRESUMEN
BACKGROUND: Informational support to family members of ICU patients has significant potential for reducing their psychological distress, enabling them to better cope and support the patient. OBJECTIVES: To describe family member perception of informational support, anxiety, satisfaction with care, and their interrelationships, to guide further refinement of a local informational support initiative and its eventual evaluation. METHODOLOGY/DESIGN: This cross-sectional descriptive correlational pilot study collected data from a convenience sample of 29 family members using self-report questionnaires. SETTING: 22-bed medical-surgical intensive care unit of a 659-bed university affiliated teaching hospital in Montreal, Quebec, Canada. RESULTS: Mean informational support, assessed with a modified version of the CCFNI (Molter and Leske, 1983), was 55.41(SD=13.28; theoretical range of 20-80). Mean anxiety, assessed with the State Anxiety Scale (Spielberger et al., 1983) was 45.41 (SD=15.27; theoretical range of 20-80). Mean satisfaction with care, assessed using Androfact (Version 4.0, 2001), was 83.09 (SD=15.49; theoretical range of 24-96). A significant positive correlation was found between informational support and satisfaction with care (r=0.741, p<.001). No significant relationships were noted between informational support and anxiety nor between satisfaction with care and anxiety. CONCLUSION: Findings are related to the ultimate objectives of refining a local informational support initiative and its eventual evaluation, and in so doing, are of more widespread interest to others striving to make evidence based improvements to the care of similar populations.