Evidence map›Paper›PMID 25886505›Full record

ArticleBMC pregnancy and childbirth2015

A qualitative study on barriers in the prevention of anaemia during pregnancy in public health centres: perceptions of Indonesian nurse-midwives.

Widyawati Widyawati, Suze Jans, Sutarti Utomo, Jeroen van Dillen, A L M Lagro Janssen

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Widyawati WidyawatiSchool of Nursing, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia. A.Widyawati@radboudumc.nl.
Suze JansRoyal Dutch Organisation of Midwives (KNOV), Nijmegen, Netherlands. suzejans@dds.nl.
Sutarti UtomoProvincial Health Office of Yogyakarta Special Province, Yogyakarta, Indonesia. herta09@yahoo.com.
Jeroen van DillenDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Nijmegen, The Netherlands. jeroen.vandillen1@radboudumc.nl.
A L M Lagro JanssenDepartment of Primary and Community Care, Gender & Women's Health, Radboud University Medical Center, 117, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. toine.lagro@radboudumc.nl.
Radboud University Medical Center · NLRoyal Dutch Organization of Midwives · NLUniversitas Gadjah Mada · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia in pregnancy remains a major problem in Indonesia over the past decade. Early detection of anaemia in pregnancy is one of the components which is unsuccessfully implemented by nurse-midwives. This study aims to explore nurse-midwives' experiences in managing pregnant women with anaemia in Public Health Centres.

methodsWe conducted a qualitative study with semi-structured face to face interviews from November 2011 to February 2012 with 23 nurse-midwives in five districts in Yogyakarta Special Province. Data analysis was thematic, using the constant comparison method, making comparison between participants and supported by ATLAS.ti software.

resultsTwelve nurse-midwives included in the interviews had less than or equal to 10 years' working experience (junior nurse-midwives) and 11 nurse-midwives had more than 10 years' working experience (senior nurse-midwives) in Public Health Centres. The senior nurse-midwives mostly worked as coordinators in Public Health Centres. Three main themes emerged: 1) the lack of competence and clinical skill; 2) cultural beliefs and low participation of family in antenatal care programme; 3) insufficient facilities and skilled support staff in Public Health Centres. The nurse-midwives realized that they need to improve their communication and clinical skills to manage pregnant women with anaemia. The husband and family involvement in antenatal care was constrained by the strength of cultural beliefs and lack of health information. Moreover, unfavourable work environment of the Public Health Centres made it difficult to apply antenatal care the pregnant womens' need.

conclusionsThe availability of facilities and skilled staffs in Public Health Centre as well as pregnant women's husbands or family members contribute to the success of managing anaemia in pregnancy. Nurse-midwives and pregnant women need to be empowered to achieve the optimum result of anaemia management. We recommend a more comprehensive approach in managing pregnant women with anaemia, which synergizes the available resources and empowers nurse-midwives and pregnant women.

Indexed as

AnemiaCommunication BarriersCultureNurse MidwivesPregnancy Complications, HematologicPrenatal CareAdultAttitude of Health PersonnelClinical CompetenceEarly DiagnosisEarly Medical InterventionFemaleHumansIndonesiaMiddle AgedNurse-Patient Relations

Identifiers

PMID25886505
PMCPMC4348154
OpenAlexW2037780976

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.