Public health nurses' perinatal mental health training needs: A cross sectional survey

J Adv Nurs. 2019 Nov;75(11):2535-2547. doi: 10.1111/jan.14013. Epub 2019 Aug 27.

Abstract

Aim: To examine public health nurses' education, training, and professional support needs in perinatal mental health.

Background: Public health nurses have a key role in supporting maternal mental health including screening, support, referral, and decreasing stigmatization.

Design: A cross-sectional survey.

Methods: Data were collected from a convenience sample of Irish public health nurses (N = 105) from December 2016-February 2018. The anonymous postal survey consisted of the Perinatal Mental Health Questionnaire, Mental Illness: Clinician's Attitudes scale and Perinatal Mental Health Learning Needs questionnaire.

Results: Public health nurses reported good levels of knowledge (77.2%) and confidence (83.8%) in recognising women experiencing stress, anxiety and depression. They indicated less confidence in caring (50.5%) for women. The average score for the Mental Illness: Clinician's Attitudes scale was 35.9 (SD 5.9), suggesting positive attitudes towards women with significant mental illness.

Conclusion: Public health nurses require educational opportunities to explore expressions of psychological distress across cultures and their own personal attitudes to mental health, systems of clinical supervision, and support pathways.

Impact: Generating new knowledge on the importance of incorporating an attitude component in perinatal mental health education for public health nurses.

目的: 在于审查公共卫生护士在围产期心理健康方面的教育需求、培训需求和专业保障需求。 背景: 公共卫生护士在保障产妇心理健康方面发挥着关键作用,包括筛查、支持、转诊和减少污名化。 设计: 横断面调查法。 方法: 数据来源于2016年12月至2018年2月爱尔兰公共卫生护士(105名)的便利样本。匿名邮寄调查包括围产期心理健康问卷、精神疾病:临床医生态度量表和围产期心理健康学习需求问卷。 结果: 公共卫生护士汇报说,在识别经历过压力、焦虑和抑郁的妇女方面,知识水平(77.2%)和自信程度(83.8%)良好。他们表示对照顾妇女的信心较低(50.5%)。精神疾病:临床医生态度量表的平均得分为35.9(标准偏差为5.9),表明对患有严重精神疾病的女性持积极态度。 结论: 公共卫生护士需要接受教育从而探讨跨文化心理困扰的表现形式,以及他们自己对心理健康、临床监督系统和保障途径的个人态度。 影响: 对公共卫生护士在围产期心理健康教育中融入态度成分的重要性产生新的认识。.

Keywords: attitudes; confidence; integrated care pathways; nursing; perinatal mental health problems; public health nurses.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Education, Nursing, Continuing / organization & administration*
  • Female
  • Humans
  • Ireland
  • Mental Disorders / nursing*
  • Middle Aged
  • Needs Assessment*
  • Pregnancy
  • Pregnancy Complications / nursing*
  • Public Health Nursing*
  • Staff Development
  • Surveys and Questionnaires