To report findings of a systematic review and meta-synthesis of qualitative studies exploring public health nurses' perceptions and experiences of identifying and managing women with perinatal mental health problems.
Public health nurses play a key role in supporting women who experience perinatal mental health problems and several qualitative studies have explored their role.
Systematic review and meta-synthesis.
A comprehensive search was developed and multiple databases were searched from 2000-2015.
Studies that employed qualitative methods to explore experiences of public health nurses in identifying and managing women with perinatal mental health problems were included. Two reviewers independently assessed the methodological quality of studies. Themes, concepts and interpretations were extracted and synthesised using the process of thematic analysis.
Fifteen papers including 14 unique qualitative studies were included. Two overarching themes emerged: 'conceptualisation and detection of perinatal mental health problems' and 'barriers and facilitators to management'. The former of these comprised several sub-themes including the use of formal screening tools versus clinical intuition and challenges encountered in detection. The latter theme, barriers to management included availability of referral pathways and time. In terms of facilitators, training, public health nursing interventions, support groups and referral pathways were identified as factors that optimise management.
Public health nurses use a variety of methods to identify women with perinatal mental health problems. However, several support structures are needed to optimise management including access to appropriate referral pathways, support groups and relationship continuity. This article is protected by copyright. All rights reserved.