Educational programs and teaching strategies for health professionals responding to women with complex perinatal mental health and psychosocial concerns: A scoping review |
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| Institution: | 1. School of Public Health, State University of New York, Downstate Health Sciences University, 450 Clarkson Avenue, Mail Stop Code 43, Brooklyn, NY 11203, United States of America;2. Department of Health Behavior, Society and Policy, Rutgers School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, United States of America;3. Maternal-Child Mental Health Program, Department of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States of America;4. Department of Community Health Sciences, School of Public Health, State University of New York, Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, United States of America;5. Department of Psychiatry, Obstetrics & Gynecology, and Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School/UMass Memorial Health, 222 Maple Ave – Chang Building, Shrewsbury, MA 01545, United States of America;6. Department of Obstetrics & Gynecology, Pediatrics, Psychiatry, and Population and Quantitative Health Sciences, Memorial Campus, 119 Belmont Street, Worcester, MA 01605, United States of America;7. Department of Health Policy and Management, School of Public Health, State University of New York, Downstate Health Sciences University, 450 Clarkson Avenue, Mail Stop Code 43, Brooklyn, NY 11203, United States of America;1. College of Nursing, Hungkuang University, Taichung, Taiwan;2. School of Nursing, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan;3. Department of Nursing, China Medical University Hospital, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan;4. College of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan |
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| Abstract: | BackgroundMental health and psychosocial concerns such as domestic violence in pregnancy and after birth are significant issues. Maternal health, social and environmental contexts have a direct influence on child development and long-term health. However, midwives, nurses and other health professionals lack confidence and skills in assessing, supporting and referring women with perinatal psychosocial concerns.Aim and objectivesThe aim of the scoping review is to review educational innovations and teaching strategies used to build skills and knowledge in health professionals and students to address psychosocial concerns including perinatal mental health, domestic violence and drug and alcohol misuse.DesignA scoping review was undertaken to help identify the breadth of papers reporting educational innovations and strategies particularly to address psychosocial concerns.MethodFour databases CINAHL, PsychoInfo, PubMed, OvidMedline and the grey literature were searched using a diverse range of terms for papers published in English between January 2009 and December 2020. This yielded 2509 papers and after review, 34 papers were included in the scoping review.ResultsThe 34 papers in this review found a diversity of educational initiatives and strategies delivered either face-to-face, online or in a blended mode addressing the learning needs of health professionals working with women with complex psychosocial concerns. The following characteristics in the papers were examined; focus of education, design and development, length, target audience including interprofessional focus, self-care, sensitive topics, debriefing, involving lived experience consumers and evaluation measures.ParticipantsIn the studies indicated that they benefited from hearing about the individuals’ lived experiences, opportunities for simulated practice and valued interprofessional learning experiences for both content and teamwork. The emergence of virtual modes offered some innovative and engaging ways to create a safe space for psychosocial education. However, the research does not provide guidance as to the best mode of delivery or length of programConclusionThis scoping review provides a broad overview of innovative and diverse educational methods and strategies being used in the nursing, midwifery and health disciplines to engage students and practitioners in learning in the areas of perinatal mental health and psychosocial care. Involvement of lived experience consumers in the design and delivery of education programs can positively impact learners’ knowledge and understandings of sensitive psychosocial topics. These diverse approaches could be used to shape the development and evaluation of future education programs. |
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| Keywords: | Education Teaching Perinatal mental health Domestic violence Substance use Midwifery Interprofessional Lived experience |
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