Change objectives for midwives.

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