title: Dutch midwives' behavioural intentions of antenatal management of maternal distress and factors influencing these intentions: an exploratory survey.
abstract: OBJECTIVE
  to explore midwives' behavioural intentions and the determinants of these intentions with regard to the management of antenatal care of women with maternal distress.
  
  
  METHODS
  an exploratory survey using a questionnaire. Descriptive statistics calculated expanded TPB constructs, demographic information, personal characteristics and work related details. Multiple linear regression analyses were used to examine which factors influence midwives' intention to provide antenatal care of maternal distress.
  
  
  METHODS
  midwives working in Dutch primary care.
  
  
  METHODS
  112 midwives completed the survey.
  
  
  RESULTS
  midwives did not report a clear intention to screen for maternal distress (3.46 ± 1.8). On average, midwives expressed a positive intention to support women with maternal distress (4.63 ± 1.57) and to collaborate with other health-care professionals (4.63 ± 1.57). Finding maternal distress an interesting topic was a positive predictor for the intention to screen (B=0.383; p=0.005), to support (B=0.637; p=<0.000) and to collaborate (B=0.455; p=0.002). Other positive predictors for the intention to screen for maternal distress were years of work experience (B=0.035; p=0.028), attitude about the value of screening (B=0.326; p=0.002), and self-efficacy (B=0.248; p=0.004). A positive attitude toward support for women with maternal distress (B=0.523; p=0.017) predicted the intention to support these women. Number of years of work experience (B=0.042; p=0.017) was a positive predictor for the intention to collaborate with other health-care professionals.
  
  
  CONCLUSIONS
  the intention to screen for maternal distress was less evident than the intention to support women with maternal distress and the intention to collaborate with other health-care professionals. Important factors predicting the midwife's intention to screen, support and collaborate were finding maternal distress an interesting topic, years of work experience, attitude about the value of screening and support and self-efficacy about screening.
  
  
  CONCLUSIONS
  to provide care involving all three components of antenatal management of maternal distress implies efforts to influence the factors that predict the intention to screen, to support women with maternal distress and the intention to collaborate with other health-care professionals.
authors.affiliation: Midwifery Education & Studies Maastricht-ZUYD, Research Department Midwifery Science, PO Box 1256, 6201 BG Maastricht, The Netherlands. Electronic address: y.fontein@AV-M.nl.
authors.forename: Yvonne J
authors.initials: YJ
authors.lastname: Fontein-Kuipers
authors.affiliation: Midwifery Education & Studies Maastricht-ZUYD, Research Department Midwifery Science, PO Box 1256, 6201 BG Maastricht, The Netherlands.
authors.forename: Luc
authors.initials: L
authors.lastname: Budé
authors.affiliation: Midwifery Education & Studies Maastricht-ZUYD, Research Department Midwifery Science, PO Box 1256, 6201 BG Maastricht, The Netherlands.
authors.forename: Marlein
authors.initials: M
authors.lastname: Ausems
authors.affiliation: Midwifery Education & Studies Maastricht-ZUYD, Research Department Midwifery Science, PO Box 1256, 6201 BG Maastricht, The Netherlands; Maastricht University Medical Centre/CAPHRI, PO Box 6202, AZ Maastricht, The Netherlands; Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, 300 North Ingalis Street, Rm 7C27, Ann Arbor, MI 48109-5429, USA.
authors.forename: Raymond
authors.initials: R
authors.lastname: de Vries
authors.affiliation: Midwifery Education & Studies Maastricht-ZUYD, Research Department Midwifery Science, PO Box 1256, 6201 BG Maastricht, The Netherlands.
authors.forename: Marianne J
authors.initials: MJ
authors.lastname: Nieuwenhuijze
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008880:Midwifery; D009426:Netherlands; D009736:Nursing Process; D018743:Perinatal Care; D049590:Postpartum Period; D011247:Pregnancy; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing*; D011795:Surveys and Questionnaires
keywords: Antenatal care; Behavioural intentions; Maternal distress