Jahnke JR, Waldrop J, Ledford A, Martinez B. Uncovering Burdens, Examining Needs, and Shedding Assumptions of Evidence-Based Social Support Programs for Mothers: A Descriptive Qualitative Study in a Remote Community.
Glob Qual Nurs Res 2021;
8:23333936211035747. [PMID:
34377743 PMCID:
PMC8327003 DOI:
10.1177/23333936211035747]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 07/09/2021] [Accepted: 07/12/2021] [Indexed: 11/29/2022] Open
Abstract
Many studies have demonstrated a significant burden of maternal stress
and depression for women living on the Galápagos Islands. Here, we aim
to uncover burdens and needs of women with young children on San
Cristóbal Island and then explore options for implementing
evidence-based programs of social support to meet these needs. We
conducted 17 semi-structured qualitative interviews with mothers of
young children, healthcare workers, and community stakeholders. We
then used Summary Oral Reflective Analysis (SORA), an interactive
methodology, for qualitative analysis. Despite initial reports of a
low-stress environment, women described many sources of stress and
concerns for their own and their children’s health and well-being. We
uncovered three broad areas of need for mothers of young children: (1)
the need for information and services, (2) the need for trust, and (3)
the need for space. In response to these concerns, mothers, healthcare
workers, and community leaders overwhelmingly agreed that a social
support program would be beneficial for the health of mothers and
young children. Still, they expressed concern over the feasibility of
such a program. To address these feasibility concerns, we propose that
a web-based education and social support intervention led by nurses
would best meet mothers’ needs. Women could learn about child health
and development, develop strong, trusting friendships with other
mothers, and have their own space to speak freely among experts and
peers.
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