Table 2: Change objectives for midwives.
|
Knowledge |
Attitude |
Self-efficacy
in screening for MD |
Skills
Management |
Social
norm |
PO1.
Midwives utilize assessment (including screening) of MD (to promote self-disclosure) |
Define
maternal distress Define
psychopathology Report
that assessment of MD promotes self-disclosure of pregnant women Report
the barriers that affect the midwife’s approach in assessment of MD Report
risk groups for MD (within their population) Report
the appropriate times for screening for MD within antenatal care Report
methods to screen for MD during pregnancy Report
how screening results must be interpreted Define
which screening parameters are relevant for consultation or referral to other
healthcare professionals Report
the risk factors in a woman’s (medical) history or current personal
circumstances for developing MD Report
the risk factors during pregnancy and birth for developing MD Report
which personality traits are risk factors for developing MD |
Express
their motivation regarding assessment and screening of MD Argue
the relevance of prevention regarding assessment and screening of MD Argue
that midwives are the appropriate caregivers for MD assessment and screening Argue
that pregnancy is a ‘window of opportunity’ to assess and screen for MD Express
the importance of assessment and screening of MD in order to adequately refer
to other healthcare professionals |
Express
confidence in assessment and screening of MD Express
competence in assessment and screening of MD Express
competence in asking the right questions in assessment of MD Express
that their experience in assessment increases their confidence in asking the
right questions Express
competence in managing women that self-disclose after assessment or screening
|
Demonstrate
assessment and screening for MD Demonstrate
correct interpretation of the screening results Demonstrate
when consultation or referral is indicated based on assessment or screening
results Demonstrate
discussing the answers regarding MD and the results of MD screening with
pregnant women |
Acknowledge
that assessment and screening is part of the midwife’s role as coach and
counsellor and as medical professional |
PO2. Midwives advice women in coping with MD |
Report
the effect of advising women in coping with MD Report
the three effective coping mechanisms (self-disclosure, acceptance,
help-seeking) Report
the three ineffective coping mechanisms (avoidance, drinking, smoking) Report
a minimum of 5 practical tips for pregnant women aimed at coping with MD in
daily life |
Express
their motivation to advice women in coping with MD Report
the relevance to advice women in coping with MD Report
the importance to advice women in coping with MD |
|
Demonstrate
advising women experiencing MD how to influence stress-factors Demonstrate
advising women experiencing MD how to positively cope with MD |
Acknowledge
that advising women in dealing with MD is part of the midwife’s role as coach
and counsellor and advisor Acknowledge
their position involving confidentiality Acknowledge
their non-judgmental position regarding MD |
PO3.
Midwives support pregnant women in finding self-help initiatives and
professional support for MD |
Report
the effect of supporting pregnant women in seeking self-help initiatives and
professional support for MD Report
the local self-help initiatives and resources for professional support for MD
(including content and scope) |
Express
their motivation to guide pregnant women in finding self-help initiatives and
professional support for MD Report
that supporting pregnant women in finding self-help initiatives and
professional support promotes reduction of MD |
|
Demonstrate
informing pregnant women in finding self-help initiatives and professional
support for MD Demonstrate
constructing a map of local self-help initiatives and resources for
professional support for MD Demonstrate
correct thresholds when to support pregnant women in choosing self-help
initiatives and professional support for MD |
Acknowledge
that guiding pregnant women using self-help initiatives and professional
support for MD is part of the midwife’s role as coach and counsellor and as
advisor |
*MD: Maternal
Distress