Introduction: Pregnancy anemia is still a big problem worldwide. Health behavior can be influenced by perceptions of the importance of disease prevention. The theory of the Health Belief Model can ...study the relationship between prevention efforts and perceptions. The purpose was to analyze the relationship between perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy and cues to action with anemia prevention behaviors.
Methods: This study used a correlational design cross-sectional approach. The total samples were 104 pregnant women selected using purposive sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and cues to action. The dependent variable in this study was anemia prevention behaviors. Data were collected at one obstetrical polyclinic in hospital and also home visits were conducted to respondents who did not come to the hospital. The instrument used questionnaires on perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, cues to action and anemia prevention behaviors.
Results: Perceived susceptibility (p=0.023 r=0.223), and cues to action (p=0.037 r=0.204) had a significant relationship with anemia prevention behaviors., while there was no relation between perceived severity (p= 0.839), perceived benefit (p= 0.986), perceived barrier (p= 0.585), and self-efficacy (p=0.399) with anemia prevention behaviors.
Conclusions: Health workers can increase the susceptibility and cues to action of pregnant women through health education about anemia prevention.
Guidelines for intrapartum care focus on optimising women's natural physiology to birth, with health services urged to promote a positive birth experience through attending to informed ...decision-making, respectful maternity care and facilitation of autonomy and choice for women.
Australia is one of the safest countries in the world in which to give birth or to be born. Despite this, women in rural areas continue to experience higher rates of maternal mortality (Kildea et al. ...2008) and fetal and neonatal deaths (AIHW 2005).
Aim
This study examined the prevalence of job dissatisfaction and burnout among maternity nurses and the association of job dissatisfaction and burnout with missed care.
Background
Nurse burnout and ...job dissatisfaction affect the quality and safety of care and are amenable to intervention. Little is known about job dissatisfaction and burnout among maternity nurses or how these factors are associated with missed care in maternity units.
Methods
This was a cross‐sectional secondary analysis of the 2015 RN4CAST survey data and the American Hospital Association's 2015 Annual Survey. Robust logistic regression models at the nurse level examined the association of job dissatisfaction and burnout with missed care.
Results
One‐quarter of nurses screened positive for burnout, and almost one‐fifth reported job dissatisfaction. While 56.4% of nurses in the total sample reported any missed care, 72.6% of nurses with job dissatisfaction and 84.5% of nurses with burnout reported any missed care (p < .001).
Conclusions
The association of job dissatisfaction and burnout, which are modifiable states, with increased rates of missed maternity care suggests that addressing job dissatisfaction and burnout may improve care quality.
Implications for Nursing Management
Job dissatisfaction, burnout and missed care may decrease with an improved work environment.
Aim
To examine factors that influence intrapartum health outcomes among Black childbearing persons, including cisgender women, transmasculine and gender‐diverse birthing persons.
Background
Black ...childbearing persons are three to four times (243%) more likely to die while giving birth than any other racial/ethnic group. Black birthing persons are not just dying from complications but also from inequitable care from healthcare providers compared to their white counterparts.
Design
Discursive paper.
Method
Searching national literature published between 2010 and 2021 in PubMed, CINAHL, Embase and SCOPUS, we explored factors associated with poor intrapartum health outcomes among Black childbearing persons.
Discussion
Several studies have ruled out social determinants of health as sufficient causative factors for poor intrapartum health outcomes among Black birthing persons. Recent research has shown that discrimination by race heavily influences whether a birthing person dies while childbearing.
Conclusions
There is a historical context for obstetric medicine that includes harmful stereotypes, implicit bias and racism, all having a negative impact on intrapartum health outcomes. The existing health disparity among this population is endemic and requires close attention.
Impact on Nursing Practice
Nurses and other healthcare professionals must understand their role in establishing unbiased care that promotes respect for diversity, equity and inclusion.
No Patient or Public Contribution
There was no patient or public involvement in the design or drafting of this discursive paper.
Continuity of midwifery care is associated with better outcomes for mothers and babies, yet, it's not available to everyone. While support for these models is growing in Australia, more needs to be ...done, writes Robert Fedele.
Background
Single room maternity care (SRMC) includes all aspects of the birth process (labour, delivery, postpartum) in a single room with a consistent team of healthcare providers. Traditional ...maternity care (TMC) involves having mothers labouring and delivering their baby in one room and then transferring to a room on another unit, which also means a transition in providers. Although many hospitals have transitioned to SRMC, there has been limited evidence to support their development.
Methods
This study was conducted in two large hospitals (one offering SRMC, the other TMC) in Western Canada. A cross-sectional between-subjects design was used to compare differences between SRMC and TMC. New mothers were asked to complete validated questionnaires. Health information was collected from administrative and health databases. The main outcomes included readiness for hospital discharge, mothers’ satisfaction, newborn length of stay, and mother length of stay. Several covariates were examined.
Results
In total, 506 (292 SRMC; 214 TMC) mothers participated. Readiness for discharge and maternal satisfaction were significantly higher in SRMC. Although newborn and mother length of stay were significantly reduced in SRMC compared to TMC for univariate tests, mother length of stay was not significantly different when adjusting for other variables.
Conclusions
There are positive health and psychosocial outcomes for mothers and newborns in the SRMC model of care compared to TMC. Since readiness for discharge and satisfaction are associated with positive maternal-infant interactions and transitions to community, SRMC could be the better approach. Further research should examine healthcare provider outcomes and implementation costs.
Aim
To investigate the relationships between participation in mothers’ groups and social capital, social support and mental well‐being measures for mothers whose oldest child was 0‐5 years.
...Background
Evaluations of facilitated mothers’ groups have found positive benefits for information sharing and support. Mothers’ groups often continue as parent‐led groups; however, little is known about the potential benefits of ongoing participation compared with non‐participation.
Design
Cross‐sectional survey.
Methods
Data were collected through a survey from March 2013–January 2014 in Perth, Western Australia. The data from a subgroup of mothers (N = 313) whose oldest child was 0‐5 years of age were analysed using multivariable regression. Participation in mothers’ groups in the previous 12 months was investigated for associations with social capital {Neighbourhood Cohesion Index (NCI); Families, Social Capital and Citizenship Survey (FSCCS) and Reciprocity}; social support {Medical Outcomes Study‐Social Support Survey (MOS‐SSS) and Parent Support Outside Home Scale (PSOHS)}; and mental well‐being {Warwick Edinburgh Mental Well‐Being Scale (WEMWBS)}. Participation was measured as three groups – locally, outside area of residence and non‐participation.
Results
Mothers who participated in mothers’ groups locally scored significantly higher than those who had not participated in mothers’ group for ‘social capital’ (NCI, FSCCS, Reciprocity), ‘social support’ (MOS‐SSS, PSOHS) and ‘mental well‐being’ (WEMWBS). Mothers who participated in mothers’ group outside the area scored significantly higher than those who had not participated in mothers’ groups for one measure of ‘social support’ (PSOHS).
Conclusions
Participation in mothers’ group locally may provide support and social capital benefits for mothers of children aged 0‐5 years, which may influence mental well‐being.
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