Self- screening using the Edinburgh post natal depression scale for mothers and fathers to initiate early help seeking behaviours.

The forthcoming birth of a new baby and the life changes that occur can present parents with a range of challenges. While recognised in mothers, postnatal depression is not well researched in fathers; especially considering that up to 25% of men report experiencing depression in the ante and postnatal periods. The aim of this study was to test a self-screening tool and referral pathway pamphlet for expectant women and their partners. We used a single blinded randomised controlled study design. The sample, comprised 70 dyads, was randomised to either care as usual or to the self-screening tool and referral pathway pamphlet intervention. The self-screening tool included the Edinburgh Postnatal Depression Scale (EPDS). Other questionnaires used to survey the dyads were the Kessler Psychological Distress (Kessler-10) and the Maternity Social Support Scale (MSSS). The gender differences in the EPDS, Kessler-10 and MSSS scales are represented by differences of 1.0 points on EPDS, 1.0 points on Kessler-10, fathers were reporting less psychological distress than mothers in all cases. No difference was observed in perceived social support. The attrition between time-points was mostly men. Cultural and socio-demographic factors may affect generalisability of the findings. The self-screening tool and referral pathway pamphlet provided to dyads may have some benefit in assisting couples in the perinatal period to detect and seek help for early symptoms of distress.

Nursing Practices in Catholic Healthcare: A Case Study of Nurses in a Catholic Private Hospital.

We aimed to investigate Catholic Identity and Mission communication specifically how nurses were expressing the Catholic healthcare values in practice. A mixed-methods, case study design was used and included non-participant observation, a mid-level manager focus group (n = 7) and online surveys (n = 144). Document and observational data analysis revealed the organisation's commitment to visible indication of Catholic values adherence. Focus group analysis revealed two themes, 'Catholic values in action' and 'taking the extra step'. The impact of Catholic Identity and Mission on nurses and nursing care recipients remains elusive and warrants further understanding.

A hospital nursing research enhancement model.

Evidence-based practice is fundamental to nursing, yet there are many reports in the literature of the difficulty associated with incorporating research activity that leads to evidence-based practice into daily practice. This study used a hospital-based research enhancement model (HREM) to plan, develop, and implement a research outreach ward-based seminar (ROWS) program and evaluate its effectiveness as a means for nurses to increase their knowledge and capacity in research and evidence-based practice. A survey was used to collect both quantitative and qualitative data for evaluation of the program. A total of 78 evaluations were returned after ROWS attendance. Three main themes from the survey were explored. These include accessibility of research, appreciation and application of research, and training in research. The results suggested that nurses are interested in participating in research activities, including projects, best practice forums, journal clubs, and seminars. The HREM can address some common barriers to an evidence-based practice culture and the application of evidence-based practice within nursing.

Nurse education in developing countries--Australian plastics and microsurgical nurses in Nepal.

BACKGROUND: Interplast Australia and New Zealand was established to provide voluntary teams of expertly qualified surgeons, nurses, anesthetists, and allied health care professionals to provide free plastic and reconstructive surgery to the people of neighboring developing countries. Nepal is a developing country that has received overseas assistance for plastic and reconstructive surgery with Interplast since 2007. AIM: The aim of this article was to present three (3) case examples derived from Nepal to illuminate the enhanced capacity of Nepalese plastics and reconstructive health care professionals who have received education facilitated by Interplast METHOD: Case presentations. DISCUSSION: The work performed by Interplast demonstrates that such barriers can be overcome by providing safe, effective, and life-changing plastic surgery to the people of Nepal. Through a collaborative education engagement (described in this article as provided to nursing and other health care workers) volunteers who work with Interplast were able to enable and empower plastics nursing and allied health staff located at the participating site to continue to facilitate complex surgery to the local Nepalese community. Participatory education is an educational approach used by the volunteers working with Interplast CONCLUSION: This collaborative approach offered a means to transfer knowledge into practice for better patient outcomes for nurses and allied health staff in a developing country such as Nepal.

An integrative review of paternal depression.

The aim of this project was to review current research regarding postnatal depression in fathers and to present potential screening and referral options. The search was limited to scholarly (peer reviewed) journals and all articles were retrieved with date limits. Initial search parameters were the following: antenatal depression OR pregnancy depression OR postnatal depression OR perinatal depression AND father* OR men OR paternal. The search yielded 311 abstracts returned. With reference to the inclusion criteria and primary and secondary outcomes intended for the focus of this review, N=63 articles were retrieved and read in full by the researchers. These articles were included in the final integrative review. Depression in fathers following the birth of their child was associated with a personal history of depression and with the existence of depression in their partner during pregnancy and soon after delivery. Based on the review the authors suggest routine screening and assessment of both parents should occur across the pregnancy and postnatal period. The use of the Edinburgh Postnatal Depression Scale for screening of depression in men needs to be linked to referral guidelines for those individuals who require further investigation and care.