Missed Opportunities for Addressing Maternal Mental Health: A Thematic Analysis of Mothers’ Experiences of Using the Well Child Tamariki Ora Service in Aotearoa NZ

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bethany Clapham, Mary Breheny, Angelique Reweti, Christina Severinsen, Felicity Ware
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Abstract

Maternal mental health plays a vital role in the overall wellbeing of mothers, children, families, whānau (core support network) and communities. However, many mothers face mental health challenges during the transition to parenthood. In this study, we used an online story-sharing platform to collect the experiences of mothers who have faced unmet needs while using the Well Child Tamariki Ora (WCTO) service in Aotearoa New Zealand. From the 420 submitted stories, 125 stories related to mental health need while using the WCTO service. Using thematic analysis, we identified three main themes that highlighted the experiences of mothers with the service. This includes (1) making it seem that I’m coping: Mothers’ fear of being judged; (2) i wish I had connected with my WCTO nurse: Fostering meaningful relationships to facilitate personal information sharing; and (3) beyond the baby: Mothers desire for recognition and support during WCTO visits. These findings point to several missed opportunities for WCTO providers to inquire about mental health and offer support needed by mothers. To address this, a relational approach to care would prioritise families and whānau as the focus of care rather than just monitoring the development of babies.

错失解决产妇心理健康问题的良机:新西兰奥特亚罗瓦地区母亲使用 Well Child Tamariki Ora 服务经历的专题分析
孕产妇心理健康对母亲、儿童、家庭、核心支持网络(whānau)和社区的整体福祉起着至关重要的作用。然而,许多母亲在向为人父母过渡的过程中面临着心理健康方面的挑战。在这项研究中,我们利用在线故事分享平台,收集了新西兰奥特亚罗瓦地区的母亲们在使用 Well Child Tamariki Ora(WCTO)服务时遇到的未满足需求的经历。在提交的 420 个故事中,有 125 个故事与使用 WCTO 服务时的心理健康需求有关。通过主题分析,我们确定了三大主题,这些主题突出强调了母亲们使用服务的经历。其中包括:(1) 让人觉得我在应对:母亲害怕被评判;(2) 我希望能与 WCTO 的护士建立联系:培养有意义的关系,促进个人信息共享;(3) 超越婴儿:母亲希望在 WCTO 探视期间得到认可和支持。这些研究结果表明,妇女托儿所的服务提供者在询问母亲的心理健康和提供母亲所需的支 持方面错失了一些机会。为了解决这个问题,一种关系型的护理方法将把家庭和妇女作为护理的重点,而不仅仅是监测婴儿的发育情况。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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