Implementation of a Perinatal Depression Care Bundle in a Nurse-Managed Midwifery Practice.
| Autor: | Gillis BD, Holley SL, Leming-Lee TS, Parish AL |
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| Jazyk: | angličtina |
| Zdroj: | Nursing for women's health [Nurs Womens Health] 2019 Aug; Vol. 23 (4), pp. 288-298. Date of Electronic Publication: 2019 Jul 01. |
| DOI: | 10.1016/j.nwh.2019.05.007 |
| Abstrakt: | Objective: To implement a perinatal depression care bundle at a midwifery practice to help certified nurse-midwives (CNMs) educate women about perinatal depression and direct those affected to mental health services. Design: Quality improvement project to implement a perinatal depression care bundle for care of pregnant women between 24 and 29 weeks gestation. Setting/local Problem: CNMs practicing in a nurse-managed midwifery practice systematically screen all women for perinatal depression during pregnancy and the postpartum period but do not have a consistent method of providing anticipatory guidance about perinatal depression. Participants: All CNMs in the midwifery practice providing prenatal care (n = 16) participated in implementation. Intervention/measurements: The perinatal depression care bundle included three elements: (a) an educational handout; (b) a brief, provider-initiated discussion about perinatal depression; and (c) lists of local and online mental health resources. Four weeks after the care bundle was implemented, we conducted a retrospective chart review to assess CNMs' adherence to the new bundle. Results: Over 4 weeks, 51 prenatal visits met eligibility criteria for participation. CNMs implemented the perinatal depression care bundle for 22 (43.1%) eligible visits. CNM feedback indicated that the care bundle was brief, easy to incorporate into routine care, and well received by women. Conclusion: This project incorporated the use of a perinatal depression care bundle for women seen during routine prenatal care. Using a systematic approach to deliver perinatal depression education and resources reduces process variability and may destigmatize the illness, allowing women to feel empowered to seek help before depression symptoms become severe. (Copyright © 2019 AWHONN. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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