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Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey

Background: Postpartum depression (PPD) affects 10-15% of women worldwide, and screening is recommended by clinical guidelines. In Malaysia, nurses in maternal and child health (MCH) clinics provide postpartum care. Aim: To determine nurses’ level of knowledge, beliefs and practices regarding PPD an...

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Main Authors: San, Kang Pei, Mohamed, Mohazmi, Ng, Yong Muh, Liew, Su May
Format: Article
Published: Academy of Family Physicians of Malaysia 2019
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/23532/
http://e-mfp.org/wp-content/uploads/v14n1-original-article-3.pdf
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spelling my.um.eprints.235322020-01-22T03:09:36Z http://eprints.um.edu.my/23532/ Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey San, Kang Pei Mohamed, Mohazmi Ng, Yong Muh Liew, Su May R Medicine Background: Postpartum depression (PPD) affects 10-15% of women worldwide, and screening is recommended by clinical guidelines. In Malaysia, nurses in maternal and child health (MCH) clinics provide postpartum care. Aim: To determine nurses’ level of knowledge, beliefs and practices regarding PPD and factors associated with screening practices. Methods: A cross-sectional study using universal sampling was conducted on nurses from seven government MCH clinics in Malaysia. Data was collected from March until April 2016 through a self-reported questionnaire. Univariate and multivariate analyses were performed to identify factors associated with having ever performed PPD screening. Results: Of the 108 nurses, 55.6% scored above the median total knowledge score (17 out of 24 points). Despite a high proportion of nurses believing that they were responsible for PPD screening (72.2%), counselling depressed mothers (72.2%) and referring mothers for further treatment (87.0%), only 64.8% and 51.9% were confident in recognizing PPD and counselling depressed mothers, respectively. Only 25.9% had ever practiced PPD screening, which was associated with beliefs concerning screening taking too much time (adjusted odds ratio [AOR]=0.13, 95% confidence interval [CI]= 0.02–0.74, P=0.022) and that screening is their responsibility (AOR=14.12, 95%CI=1.65-120.75, P=0.016). Conclusion: More than half of the nurses scored above the median total knowledge score and had positive beliefs towards PPD screening. However, PPD screening practices were poor, and this outcome was associated with their beliefs regarding time and responsibility. © 2019 Malaysian Family Physician. All rights reserved. Academy of Family Physicians of Malaysia 2019 Article PeerReviewed San, Kang Pei and Mohamed, Mohazmi and Ng, Yong Muh and Liew, Su May (2019) Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey. Malaysian Family Physician, 14 (1). pp. 18-25. ISSN 1985-2274 http://e-mfp.org/wp-content/uploads/v14n1-original-article-3.pdf
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
San, Kang Pei
Mohamed, Mohazmi
Ng, Yong Muh
Liew, Su May
Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
description Background: Postpartum depression (PPD) affects 10-15% of women worldwide, and screening is recommended by clinical guidelines. In Malaysia, nurses in maternal and child health (MCH) clinics provide postpartum care. Aim: To determine nurses’ level of knowledge, beliefs and practices regarding PPD and factors associated with screening practices. Methods: A cross-sectional study using universal sampling was conducted on nurses from seven government MCH clinics in Malaysia. Data was collected from March until April 2016 through a self-reported questionnaire. Univariate and multivariate analyses were performed to identify factors associated with having ever performed PPD screening. Results: Of the 108 nurses, 55.6% scored above the median total knowledge score (17 out of 24 points). Despite a high proportion of nurses believing that they were responsible for PPD screening (72.2%), counselling depressed mothers (72.2%) and referring mothers for further treatment (87.0%), only 64.8% and 51.9% were confident in recognizing PPD and counselling depressed mothers, respectively. Only 25.9% had ever practiced PPD screening, which was associated with beliefs concerning screening taking too much time (adjusted odds ratio [AOR]=0.13, 95% confidence interval [CI]= 0.02–0.74, P=0.022) and that screening is their responsibility (AOR=14.12, 95%CI=1.65-120.75, P=0.016). Conclusion: More than half of the nurses scored above the median total knowledge score and had positive beliefs towards PPD screening. However, PPD screening practices were poor, and this outcome was associated with their beliefs regarding time and responsibility. © 2019 Malaysian Family Physician. All rights reserved.
format Article
author San, Kang Pei
Mohamed, Mohazmi
Ng, Yong Muh
Liew, Su May
author_facet San, Kang Pei
Mohamed, Mohazmi
Ng, Yong Muh
Liew, Su May
author_sort San, Kang Pei
title Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
title_short Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
title_full Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
title_fullStr Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
title_full_unstemmed Nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: A cross-sectional survey
title_sort nurses' knowledge, beliefs and practices regarding the screening and treatment of postpartum depression in maternal and child health clinics: a cross-sectional survey
publisher Academy of Family Physicians of Malaysia
publishDate 2019
url http://eprints.um.edu.my/23532/
http://e-mfp.org/wp-content/uploads/v14n1-original-article-3.pdf
_version_ 1657488223613485056
score 13.211869

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