Evaluation of psychological training for nurses and midwives to optimise care for women with perinatal depression: a systematic review and meta-analysis

Tsuei-Hung Wang; Ya-Ling Tzeng; Yu-Kuei Teng; Lee-Wen Pai; Tzu-Pei Yeh

doi:10.1016/j.midw.2021.103160

Evaluation of psychological training for nurses and midwives to optimise care for women with perinatal depression: a systematic review and meta-analysis

Midwifery. 2022 Jan:104:103160. doi: 10.1016/j.midw.2021.103160. Epub 2021 Sep 30.

Authors

Tsuei-Hung Wang¹, Ya-Ling Tzeng², Yu-Kuei Teng³, Lee-Wen Pai⁴, Tzu-Pei Yeh⁵

Affiliations

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; Department of Nursing, China Medical University Hospital, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan. Electronic address: tyaling@mail.cmu.edu.tw.
³ School of Nursing, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan; Department of Nursing, China Medical University Hospital, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan. Electronic address: tengyk@mail.cmu.edu.tw.
⁴ College of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan.
⁵ School of Nursing, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan; Department of Nursing, China Medical University Hospital, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung 406040, Taiwan.

PMID: 34753017
DOI: 10.1016/j.midw.2021.103160

Abstract

Objective Perinatal depression is linked to poor maternal health and infant development outcomes. The World Health Organization recommends expanding the mental health education and training of primary care providers to improve the quality of perinatal depression care. The present study evaluated the effect of various psychological training methods on nurses' and midwives' competence in administering care to and alleviating symptoms in patients with perinatal depression. Methods A comprehensive search of the PubMed, MEDLINE, Cochrane Library, EMBASE, Web of Science, and CINAHL databases was performed. The data were independently extracted by two reviewers, and the critical appraisal tools of the Joanna Briggs Institute were used for quality assessment. Random-effects meta-analysis was conducted using Review Manager 5.4 software. Findings A total of 13 articles including 246 nurses and midwives and 4,381 perinatal women were reviewed. Care administered through both face-to-face (relative risk [RR] 0.70, 95% confidence interval [CI] 0.61-0.74) and digital training (RR 0.44, 95% CI 0.26-0.74) significantly mitigated symptoms of perinatal depression. Significant benefits were observed after 3- to 5-day and 8-day training, for which the RR were 0.75 (95% CI 0.59-0.97) and 0.72 (95% CI 0.66-0.85), respectively. Studies with high intervention fidelity more effectively reduced the risk of depressive symptoms in perinatal women than those with low intervention fidelity. Key conclusions and implications for practice Compared with face-to-face, digital training methods were more effective in reducing the risk of depressive symptoms. High intervention fidelity and 3- to 5-day and 8-day training resulted in better outcomes. The present findings can serve as a reference for the design of psychological training programs for nurses and midwives to equip them with effective strategies for administering care to patients with perinatal depression.

Keywords: Education; Midwives; Nurses; Perinatal depression; Systematic review; Training.

Publication types

Meta-Analysis
Review
Systematic Review

MeSH terms

Child
Depression
Female
Humans
Infant, Newborn
Midwifery*
Parturition
Perinatal Care
Pregnancy